{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:42:47Z","timestamp":1791999767958,"version":"4.4.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the effectiveness of integrated nursing and medical management in children with lobar pneumonia, focusing on symptom relief, pulmonary function recovery, inflammation control, length of hospital stay, and caregiver satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty pediatric patients with lobar pneumonia were randomly assigned to receive either routine nursing care or an integrated medical and nursing intervention. Key clinical outcomes\u2014including the duration of symptoms, pulmonary function indices, inflammatory markers, length of hospital stay, treatment efficacy, caregiver satisfaction, and adverse events\u2014were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the control group, the observation group demonstrated significantly shorter durations of fever, cough, and pulmonary rales, reduced antibiotic usage, and shorter hospital stays (all <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). Pulmonary function indices improved markedly (<jats:italic>P<\/jats:italic>\u2009=\u20090.001), and inflammatory markers showed more substantial reductions (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). The overall treatment effectiveness in the observation group was 100%, with a caregiver satisfaction rate of 96.00% and a complication rate of 8.00%, all significantly better than those in the control group (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Integrated nursing and medical management significantly improves clinical outcomes for pediatric lobar pneumonia, accelerating recovery, enhancing pulmonary function, reducing complications, and increasing caregiver satisfaction. These findings support its broader application in clinical practice.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>ClinicalTrials.gov Identifier<\/jats:title><jats:p><jats:uri>https:\/\/clinicaltrials.gov\/study\/NCT06945991<\/jats:uri>, NCT06945991 (16th\/April\/2025).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2025.1612618","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T05:31:21Z","timestamp":1753680681000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Integrated nursing and medical management improves outcomes in pediatric lobar pneumonia: a randomized controlled study"],"prefix":"10.3389","volume":"13","author":[{"given":"Yuxiao","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianli","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuejiao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenshan","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1007\/s15010-021-01689-4","article-title":"Lobar (croupous) pneumonia: old and new data","volume":"50","author":"Zinserling","year":"2022","journal-title":"Infection"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1647","DOI":"10.1007\/s00134-022-06844-5","article-title":"Right pan-lobar pneumonia due to Streptococcus pneumoniae","volume":"48","author":"Basse","year":"2022","journal-title":"Intensive Care Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1099\/jmm.0.000473","article-title":"Epidemiological typing of multidrug-resistant Klebsiella pneumoniae, which causes paediatric ventilator-associated pneumonia in Egypt","volume":"66","author":"Mohamed","year":"2017","journal-title":"J Med Microbiol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1186\/s12879-024-09289-x","article-title":"Early predictors of delayed radiographic resolution of lobar pneumonia caused by Mycoplasma pneumoniae in children: a retrospective study in China","volume":"24","author":"Zheng","year":"2024","journal-title":"BMC Infect Dis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1136\/archdischild-2013-304023","article-title":"Systematic review on antibiotic therapy for pneumonia in children between 2 and 59 months of age","volume":"99","author":"Lassi","year":"2014","journal-title":"Arch Dis Child"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.1016\/S0140-6736(13)60222-6","article-title":"Global burden of childhood pneumonia and diarrhoea","volume":"381","author":"Walker","year":"2013","journal-title":"Lancet"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e330","DOI":"10.1016\/S2666-5247(23)00031-9","article-title":"Infection and co-infection patterns of community-acquired pneumonia in patients of different ages in China from 2009 to 2020: a national surveillance study","volume":"4","author":"Liu","year":"2023","journal-title":"Lancet Microbe"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1490500","DOI":"10.3389\/fped.2025.1490500","article-title":"Advancing risk factor identification for pediatric lobar pneumonia: the promise of machine learning technologies","volume":"13","author":"Shen","year":"2025","journal-title":"Front Pediatr"},{"key":"B9","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/j.cnc.2020.02.005","article-title":"Impact of patient and family involvement in long-term outcomes","volume":"32","author":"Grant","year":"2020","journal-title":"Crit Care Nurs Clin North Am"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.1513\/AnnalsATS.202102-146ST","article-title":"Defining modern pulmonary rehabilitation. An official American thoracic society workshop report","volume":"18","author":"Holland","year":"2021","journal-title":"Ann Am Thorac Soc"},{"key":"B11","first-page":"3533","article-title":"Dynamic monitoring and a clinical correlation analysis of the serum vitamin A, D, and E levels in children with recurrent respiratory tract infections","volume":"14","author":"Sun","year":"2022","journal-title":"Am J Transl Res"},{"key":"B12","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1007\/s12098-023-04628-3","article-title":"Childhood pneumonia: what\u2019s unchanged, and what\u2019s new?","volume":"90","author":"Yadav","year":"2023","journal-title":"Indian J Pediatr"},{"key":"B13","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1111\/inm.13094","article-title":"Integrated nursing care for people with combined mental health and substance use disorders","volume":"32","author":"Hove","year":"2023","journal-title":"Int J Ment Health Nurs"},{"key":"B14","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3109\/13685538.2010.524954","article-title":"The development of anti-cancer programs in Canada for the geriatric population: an integrated nursing and medical approach","volume":"14","author":"Kuzmarov","year":"2011","journal-title":"Aging Male"},{"key":"B15","doi-asserted-by":"publisher","first-page":"15022","DOI":"10.1038\/npjpcrm.2015.22","article-title":"Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial","volume":"25","author":"Hernandez","year":"2015","journal-title":"NPJ Prim Care Respir Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"141","DOI":"10.3969\/j.issn.1007-614x.2021.17.067","article-title":"Evaluation of the effect of integrated medical care on pulmonary function of patients with severe pneumonia complicated with respiratory failure","volume":"37","author":"Li","year":"2021","journal-title":"Chin Community Doctors"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e13143","DOI":"10.1111\/1460-6984.13143","article-title":"The role of an inpatient aphasia-friendly choir for people with post-stroke communication impairment from the perspective of the multidisciplinary team: an exploratory study","volume":"60","author":"Goodhew","year":"2025","journal-title":"Int J Lang Commun Disord"},{"key":"B18","doi-asserted-by":"publisher","first-page":"66","DOI":"10.3390\/jcm5080066","article-title":"A review of the multidisciplinary diagnosis of interstitial lung diseases: a retrospective analysis in a single UK specialist centre","volume":"5","author":"Chaudhuri","year":"2016","journal-title":"J Clin Med"},{"key":"B19","doi-asserted-by":"publisher","first-page":"141","DOI":"10.2147\/COPD.S116719","article-title":"Dual bronchodilation in COPD: lung function and patient-reported outcomes\u2014a review","volume":"12","author":"Price","year":"2017","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"B20","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.1093\/cid\/cir531","article-title":"The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the pediatric infectious diseases society and the Infectious Diseases Society of America","volume":"53","author":"Bradley","year":"2011","journal-title":"Clin Infect Dis"},{"key":"B21","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1055\/s-0043-1776063","article-title":"Role of multidisciplinary team meetings in the diagnosis and management of diffuse parenchymal lung diseases in a tertiary care hospital","volume":"13","author":"Khan","year":"2023","journal-title":"Avicenna J Med"},{"key":"B22","doi-asserted-by":"publisher","first-page":"e93","DOI":"10.1016\/j.jpainsymman.2020.04.017","article-title":"Family-centered care during the COVID-19 era","volume":"60","author":"Hart","year":"2020","journal-title":"J Pain Symptom Manage"},{"key":"B23","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.1016\/j.puhe.2021.04.016","article-title":"Family-centered care for children during pandemics","volume":"198","author":"Bellizzi","year":"2021","journal-title":"Public Health"},{"key":"B24","doi-asserted-by":"publisher","first-page":"e005934","DOI":"10.1136\/bmjopen-2014-005934","article-title":"What do parents of children with dysphagia think about their MDT? A qualitative study","volume":"4","author":"Cowpe Jebson","year":"2014","journal-title":"BMJ Open"},{"key":"B25","doi-asserted-by":"publisher","first-page":"3009","DOI":"10.1080\/14796694.2024.2407757","article-title":"Effect of multidisciplinary team-style continuity of care and nutritional nursing on lung cancer: randomized study","volume":"20","author":"Wei","year":"2024","journal-title":"Future Oncol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1038\/s41746-021-00423-6","article-title":"The potential of artificial intelligence to improve patient safety: a scoping review","volume":"4","author":"Bates","year":"2021","journal-title":"NPJ Digit Med"},{"key":"B27","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1097\/MCC.0000000000000945","article-title":"Artificial intelligence and clinical deterioration","volume":"28","author":"Malycha","year":"2022","journal-title":"Curr Opin Crit Care"},{"key":"B28","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.ijnss.2023.12.008","article-title":"The effect of intelligent management interventions in intensive care units to reduce false alarms: an integrative review","volume":"11","author":"Li","year":"2024","journal-title":"Int J Nurs Sci"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1612618\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T05:31:23Z","timestamp":1753680683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1612618\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,28]]},"references-count":28,"alternative-id":["10.3389\/fped.2025.1612618"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1612618","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,28]]},"article-number":"1612618"}}