{"title":"Enhancing Clinical Nursing Guidance and Optimizing Care Processes for Improved Hand-Foot-and-Mouth Disease Treatment Outcomes.","authors":"Ying Zhao, Hao Ju","doi":"10.2147/JMDH.S523576","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of modified skin care intervention in pediatric Hand-Foot-and-Mouth Disease (HFMD) patients, focusing on its impact on skin recovery, pain management, and herpes healing.</p><p><strong>Methods: </strong>Clinical data from 130 HFMD children (February 2023-June 2024) were retrospectively analyzed. Patients were divided into a control group (n=65, routine care) and an observation group (n=65, modified care). Outcomes included herpes healing rate, symptom duration (fever, eating improvement, hospitalization), pain severity (Visual Analog Scale, VAS), skin condition (HFMD skin assessment tool), nursing compliance (medication adherence, skin protection, hygiene practices), and satisfaction (Newcastle Satisfaction with Nursing Services Scale, NSNS).</p><p><strong>Results: </strong>Clinical Outcomes: The observation group achieved a higher herpes healing rate (95.38% vs 84.62%) and shorter recovery times for herpes relief, fever resolution, eating improvement, and hospitalization (all P<0.05). Pain Management: Group-time interaction effects for VAS scores were significant (F=6.534, P<0.05). Both groups showed reduced pain over time (P<0.05), but the observation group reported lower VAS scores on day 3 and at discharge (P<0.05 vs control). Skin Recovery: Skin scores improved significantly in both groups (time effect F=6.623, P<0.05), with the observation group demonstrating superior skin condition on day 3 and discharge (P<0.05 vs control). Compliance and Satisfaction: The observation group exhibited better adherence to medication, skin protection, and hygiene protocols (P<0.05) and higher satisfaction rates (95.38% vs 81.54%, P<0.05).</p><p><strong>Conclusion: </strong>Modified skin care intervention outperforms routine protocols in accelerating recovery, reducing pain, enhancing skin integrity, improving treatment adherence, and boosting patient/family satisfaction. These findings support its adoption as a superior care model for pediatric HFMD management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3921-3931"},"PeriodicalIF":2.4000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256776/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S523576","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate the efficacy of modified skin care intervention in pediatric Hand-Foot-and-Mouth Disease (HFMD) patients, focusing on its impact on skin recovery, pain management, and herpes healing.
Methods: Clinical data from 130 HFMD children (February 2023-June 2024) were retrospectively analyzed. Patients were divided into a control group (n=65, routine care) and an observation group (n=65, modified care). Outcomes included herpes healing rate, symptom duration (fever, eating improvement, hospitalization), pain severity (Visual Analog Scale, VAS), skin condition (HFMD skin assessment tool), nursing compliance (medication adherence, skin protection, hygiene practices), and satisfaction (Newcastle Satisfaction with Nursing Services Scale, NSNS).
Results: Clinical Outcomes: The observation group achieved a higher herpes healing rate (95.38% vs 84.62%) and shorter recovery times for herpes relief, fever resolution, eating improvement, and hospitalization (all P<0.05). Pain Management: Group-time interaction effects for VAS scores were significant (F=6.534, P<0.05). Both groups showed reduced pain over time (P<0.05), but the observation group reported lower VAS scores on day 3 and at discharge (P<0.05 vs control). Skin Recovery: Skin scores improved significantly in both groups (time effect F=6.623, P<0.05), with the observation group demonstrating superior skin condition on day 3 and discharge (P<0.05 vs control). Compliance and Satisfaction: The observation group exhibited better adherence to medication, skin protection, and hygiene protocols (P<0.05) and higher satisfaction rates (95.38% vs 81.54%, P<0.05).
Conclusion: Modified skin care intervention outperforms routine protocols in accelerating recovery, reducing pain, enhancing skin integrity, improving treatment adherence, and boosting patient/family satisfaction. These findings support its adoption as a superior care model for pediatric HFMD management.
目的：评价改良皮肤护理干预在小儿手足口病（HFMD）患者中的疗效，重点关注其对皮肤恢复、疼痛管理和疱疹愈合的影响。方法：回顾性分析2023年2月~ 2024年6月收治的130例手足口病患儿的临床资料。将患者分为对照组（n=65，常规护理）和观察组（n=65，改良护理）。结果包括疱疹愈合率、症状持续时间（发烧、饮食改善、住院治疗）、疼痛严重程度（视觉模拟量表，VAS）、皮肤状况（手足口病皮肤评估工具）、护理依从性（药物依从性、皮肤保护、卫生习惯）和满意度（纽卡斯尔护理服务满意度量表，NSNS）。结果：临床结果：观察组疱疹愈合率较高（95.38% vs 84.62%），在疱疹缓解、发热消退、饮食改善、住院治疗等方面恢复时间较短（均为p）。结论：改良皮肤护理干预在加速恢复、减轻疼痛、增强皮肤完整性、提高治疗依从性、提高患者/家属满意度等方面优于常规方案。这些发现支持将其作为小儿手足口病管理的优越护理模式。
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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