OUTCOMES OF NURSING CARE FOR PEDIATRIC LOWER RESPIRATORY INFECTIONS AT THE NATIONAL CHILDREN'S HOSPITAL RESPIRATORY CENTER IN 2023
Main Article Content
Abstract
Respiratory infections are a common disease in children. It is the leading cause of morbidity and death around the world, especially in developing countries. Monitoring, nursing care, health education play an important role and directly affect the results of treatment of children. Objective: To evaluate the outcomes of care for children with lower respiratory infections, improve the quality of care and treatment of lower respiratory infections in children. Subjects and methods of study: Children under 5 years of age diagnosed with acute lower respiratory infections are treated at the Respiratory Center – Central Children's Hospital from March 2023 to August 2023. Clinical signs and treatment results are collected and analyzed. Results: There were 232 children eligible for inclusion in the study. Children admitted mainly from 6-12 months (40.2%), cure rate (86.2%), disease relief (12.9%), treatment time < 10 days 73.3%. The results of nursing care are good (97%), 100% when discharged from the hospital there is no fever, shortness of breath, wheezing, poor feeding, cyanosis, vomiting, runny nose. Another 14.7% of children had a dry cough when they were discharged from the hospital. Factors affecting nursing care outcomes include overweight/obesity, malnutrition, symptoms of respiratory distress, CRP, and RSV infection. Conclude: The outcome of nursing care for pediatric patients with acute respiratory infections is beneficial, with marked improvement in clinical symptoms and treatment efficacy. Therefore, it is necessary to focus on the role of coordinated nursing care in pediatric practice.
Article Details
Keywords
: Nursing care, acute lower respiratory infections.
References
2. GBD 2017 Lower Respiratory Infections Collaborators (2017), Quantifying risks and interventions that have affected the burden of lower respiratory infections among children younger than 5 years: An analysis for the Global Burden of Disease Study 2017. The Lancet Infectious diseases, Volume 20, Issue 1, January 2020, Pages 60-79.
3. Nguyen TKP, Nguyen DV, Graham SM, Marais BJ, et al. Disease spectrum and management of children admitted with acute respiratory infection in Viet Nam. Trop Med Int Health. 2017 Jun;22(6):688-695. doi: 10.1111/ tmi.12874.
4. Bộ Y tế (2015), Quyết định số 3312/QĐ-BYT ngày 07 tháng 08 năm 2015, Hướng dẫn chẩn đoán và điều trị một số bệnh thường gặp ở trẻ em.
5. Ardura-Garcia, C., & Kuehni, C. E. (2019). Reducing childhood respiratory morbidity and mortality in low- and middle-income countries: a current challenge. The European respiratory journal, 54(1), 1900987. https://doi.org/ 10.1183/13993003.00987-2019.
6. Ding, Q., Xu, L., Zhu, Y. et al. Comparison of clinical features of acute lower respiratory tract infections in infants with RSV/HRV infection, and incidences of subsequent wheezing or asthma in childhood. BMC Infect Dis 20, 387 (2020). https://doi.org/10.1186/s12879-020-05094-4.
7. Lê Thị Hồng Hanh, Hoàng Thị Thu Hằng, Nguyễn Thị Lê, et al (2020). Đặc điểm dịch tễ học lâm sàng ở trẻ viêm phổi nặng có nhiễm RSV tại trung tâm Hô hấp bệnh viện Nhi Trung ương. Journal of Pediatric Research and Practice, Vol. 4, No. 5 (2020) 1-9.
8. Linda H Aiken and associates (2021), Hospital nurse staffing and patient outcomes in Chile: a multilevel cross - sectional study. 2021 Aug; 9(8): e1145-e1153 doi:10.1016/s2214 - 109X(21) 00209-6. Epub 2021 Jul 2.