The Impact of Hierarchical Chain Nursing Model on the Resolution Time of Fever and Cough in Children with Pneumonia

Objective: This study investigates the effects of a hierarchical chain nursing model on the resolution time for fever and cough in children diagnosed with pneumonia. Methods: Eighty children with pneumonia admitted to our hospital between March 2021 and January 2022 were enrolled in this study. The participants were divided into two groups: the observation group and the experimental group, each containing 40 patients, based on the nursing interventions provided. The observation group received standard nursing care, while the experimental group was treated with the hierarchical chain nursing model. We compared clinical outcomes, including the resolution times for symptoms (fever, cough, pulmonary rales), length of hospitalization, pulmonary function indicators [such as peak expiratory flow (PEF), functional residual capacity (FRC), and forced expiratory flow rate at 25% of vital capacity (FEF25%)], the mental health of family members, and their satisfaction with nursing care. Results: The total effective treatment rate was 77.5% in the observation group and 97.5% in the experimental group, with the latter significantly higher (P<0.05). The duration of pulmonary rales and the length of hospitalization were significantly less in the experimental group (all, P<0.05). Post-intervention, the levels of PEF, FRC, and FEF25% showed substantial improvement in the experimental group compared to the observation group (all, P<0.05). Moreover, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores for family members in the experimental group were significantly lower than those in the observation group (all, P<0.05). Family satisfaction rates were 75.0% for the observation group and 97.5% for the experimental group, with the latter demonstrating significantly greater satisfaction with nursing care (P<0.05). Conclusion: The hierarchical chain nursing model proves to be highly effective in managing pneumonia in children. This model not only enhances clinical outcomes and expedites the resolution of symptoms such as fever, cough, and pulmonary rales but also improves lung function and reduces psychological stress among family members. Consequently, this model significantly increases family satisfaction with nursing services.