儿童慢性危重症疾病进程的影响因素及干预策略研究进展

doi:10.3761/j.issn.2096-7446.2025.05.009

Abstract

Abstract:

Pediatric chronic critical illness（PCCI） refers to children with complex and chronic diseases. Compared to ordinary pediatric patients，children with PCCI face higher readmission rates and mortality risks，and their nursing needs are also more complex. At present，the family and social care support system for children with PCCI is not yet perfect，making it difficult for them to receive coherent and coordinated nursing services，which has a negative impact on recovery process. This article reviews the definition and diagnostic criteria，epidemiology，influencing factors，and intervention strategies of PCCI，aiming to enhance the professional awareness of nursing staff in the field of PCCI，and provide theoretical support and practical guidance for standardizing PCCI nursing practice in China.

Key words: Pediatric Chronic Critical Illness, Influencing Factors, Intervention Strategy, Critical Care Nursing, Review Literature as Topic

HONG Liuyu, CHEN Xiangping, LAO Yuewen, CHEN Qianqian, GONG Xiaoyan. Research progress on influencing factors and intervention strategies of pediatric chronic critical illness[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 566-569.

Figures/Tables 1

References 23

[1]	Zorko DJ, Mcnally JD, Rochwerg B, et al. Defining pediatric chronic critical Illness:a scoping review[J]. Pediatr Crit Care Med, 2023, 24(2):e91-e103.
[2]	Donohue PK, Williams EP, Wright-Sexton L, et al. “It’s relentless”:providers’ experience of pediatric chronic critical illness[J]. J Palliat Med, 2018, 21(7):940-946. doi: 10.1089/jpm.2017.0397 pmid: 29570427
[3]	Shapiro MC, Henderson CM, Hutton N, et al. Defining pediatric chronic critical illness for clinical care,research,and policy[J]. Hosp Pediatr, 2017, 7(4):236-244. doi: 10.1542/hpeds.2016-0107 pmid: 28351944
[4]	Shappley RKH, Noles DL, Spentzas T. Pediatric chronic critical illness:validation,prevalence,and impact in a children’s hospital[J]. Pediatr Crit Care Med, 2021, 22(12):e636-e639.
[5]	Grandjean C, Perez MH, Ramelet AS, et al. Comparison of clinical characteristics and healthcare resource use of pediatric chronic and non-chronic critically ill patients in intensive care units:a retrospective national registry study[J]. Front Pediatr, 2023,11:1194833.
[6]	Demirkiran H, Kilic M, Tomak Y, et al. Evaluation of the incidence,characteristics,and outcomes of pediatric chronic critical illness[J]. PloS One, 2021, 16(5):e0248883.
[7]	Murphy Salem SL, Graham RJ. A call for defining pediatric chronic critical illness:moving beyond I know it when I see it[J]. Pediatr Crit Care Med, 2023, 24(2):179-181.
[8]	Boss RD, Henderson CM, Weiss EM, et al. The changing landscape in pediatric hospitals:a multicenter study of how pediatric chronic critical illness impacts NICU throughput[J]. Am J Perinatol, 2022, 39(6):646-651.
[9]	谭子锋, 李恩斯, 钟卫彬, 等. 儿童重症监护室儿童慢性危重症的病因组成及预后分析[J]. 中国当代儿科杂志, 2023, 25(8):843-848.
	Tan ZF, Li ES, Zhong WB, et al. Etiology composition and prognosis of pediatric chronic critical illness in a pediatric intensive care unit[J]. Chin J Contemp Pediatr, 2023, 25(8):843-848.
[10]	Rogozinski L, Young A, Grybauskas C, et al. Point prevalence of children hospitalized with chronic critical illness in the general inpatient units[J]. Hosp Pediatr, 2019, 9(7):545-549. doi: 10.1542/hpeds.2018-0208 pmid: 31201203
[11]	Namachivayam SP, Alexander J, Slater A, et al. Five-year survival of children with chronic critical illness in Australia and New Zealand[J]. Crit Care Med, 2015, 43(9):1978-1985. doi: 10.1097/CCM.0000000000001076 pmid: 25962079
[12]	Ishihara T, Tanaka H. Causes of death in critically ill paediatric patients in Japan:a retrospective multicentre cohort study[J]. BMJ Paediatr Open, 2019, 3(1):e000499.
[13]	Wright-Sexton LA, Compretta CE, Blackshear C, et al. Isolation in parents and providers of children with chronic critical illness[J]. Pediatr Crit Care Med, 2020, 21(8):e530-e537.
[14]	Hirschfeld RS, Barone S, Johnson E, et al. Pediatric chronic critical illness:gaps in inpatient intrateam communication[J]. Pediatr Crit Care Med, 2019, 20(12):e546-e555.
[15]	Boss RD, Hirschfeld RS, Barone S, et al. Pediatric chronic critical illness:training teams to address the communication challenges of patients with repeated and prolonged hospitalizations[J]. J Pain Symptom Manage, 2020, 60(5):959-967.
[16]	Pang J, Batson L, Detwiler K, et al. Where do families turn? Ethical dilemmas in the care of chronically critically ill children[J]. Monash Bioeth Rev, 2024.[Online ahead of print]
[17]	Boss RD. Palliative care for NICU survivors with chronic critical illness[J]. Semin Fetal Neonatal Med, 2023, 28(4):101446.
[18]	Berry JG, Hall M, Dumas H, et al. Pediatric hospital discharges to home health and postacute facility care:a national study[J]. JAMA Pediatr, 2016, 170(4):326-333. doi: 10.1001/jamapediatrics.2015.4836 pmid: 26902773
[19]	Murphy Salem S, Graham RJ. Chronic illness in pediatric critical care[J]. Front Pediatr, 2021,9:686206.
[20]	杨苏, 黄丽华. 跨专业共享决策模式的研究进展[J]. 中华护理教育, 2021, 18(8):755-758.
	Yang S, Huang LH. Research progress on interprofessional shared decision-making model[J]. Chin J Nurs Educ, 2021, 18(8):755-758.
[21]	张佳佳, 陈凤, 宫晓艳, 等. ICU无行为能力患者替代决策的研究进展[J]. 中华急危重症护理杂志, 2022, 3(1):78-82.
	Zhang JJ, Chen F, Gong XY, et al. Review on surrogate decision-making for incapacitated patients in ICU[J]. Chin J Emerg Crit Care Nurs, 2022, 3(1):78-82.
[22]	姚娟, 莫霖, 郭小利, 等. 互联网+多元联动模式在恶性肿瘤患儿PICC居家延续性护理中的应用[J]. 中华护理杂志, 2020, 55(5):756-761. doi: 10.3761/j.issn.0254-1769.2020.05.025
	Yao J, Mo L, Guo XL, et al. Application of Internet plus multiple linkage on home-based continuous nursing care for PICC in children with malignant tumor[J]. Chin J Nurs, 2020, 55(5):756-761. doi: 10.3761/j.issn.0254-1769.2020.05.025
[23]	Dharmaraj BG, Adams S, Orkin J. Care maps:de-medicalizing children with medical complexity[J]. Paediatr Child Health, 2022, 27(8):451-453.

Research progress on influencing factors and intervention strategies of pediatric chronic critical illness

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 23

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	ZHANG Yueqi, WANG Youfang, PAN Meng, XIANG Xuan. The factors influencing unplanned endotracheal extubation in critically ill children：a meta-analysis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 548-554.
[2]	YANG Rui, LI Bingyu, LI Lu. Nursing of a patient with thrombotic microangiopathy after renal transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 576-578.
[3]	SHEN Xiaomin, HE Wenjing, YANG Tongnan, WANG Dandan, ZHAO Wenjing. Postoperative nursing of a patient with type Ⅱ Abernethy malformation complicated with pulmonary hypertension undergoing liver transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 579-581.
[4]	JING Jiamei, WEI Xiaojing, WANG Zhenzhen, CUI Bowen, LIANG Hongxia. Research progress on nursing strategies for adult brain death donor organ maintenance in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 631-635.
[5]	ZHOU Feifei, GAO Chunhua, CHU Junqing, LIN Yan, WANG Xiaohong, QIAO Wenbo, REN Yayu. A review on mechanical ventilation withdrawal nursing for obese patients in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 636-640.
[6]	HU Han, ZHANG Rui, CHEN Xuan. Nursing of a patient with intercostal pseudoaneurysm rupture secondary to multiple drainage of malignant pleural effusion [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 452-454.
[7]	CAI Xiaofeng, XU Jing, ZHAO Huiying, WU Guosheng. Nursing care of a patient undergoing small intestine combined with partial colorectal transplantation and anal anastomosis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 455-458.
[8]	WANG Desheng, JING Xinhua, HAN Xiaoyun, LIU Ling, QIAN Ting, FENG Yi. Application of information-based early warning system for post-pyloric enteral nutrition in patients with severe neurological diseases [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 475-479.
[9]	LI Xuqin, HUANG Fangfang, YU Chao. Nursing care of a patient with fatal pulmonary thromboembolism undergoing extracorporeal membrane oxygenation under high bleeding risk [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 462-465.
[10]	LAO Xiaoli, XU Hongxia, GE Guomei, BIAN Lifang. Emergency nursing for a patient with multiple visceral artery aneurysm ruptures after pancreaticoduo-denectomy [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 329-331.
[11]	LU Huaping, WANG Lizhu, LIN Xingxing, ZHENG Ru, HUANG Mengli, ZHENG Qi. Nursing care of skull base osteonecrosis complicated with invasive aspergillosis after radiotherapy for nasopharyngeal carcinoma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 339-341.
[12]	ZHU Guiping, LI Qian, ZHU Yirong. Nursing care of a patient with severe acute respiratory distress syndrome caused by Aspergillus fumigatus infection [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 342-344.
[13]	SU Yichao, HU Xiaoli, LI Qiufang. Research progress and prospect of intestinal microecological adjustment strategies in early life of premature Infants [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 372-375.
[14]	OUYANG Lanxin, LIU Di, CHEN Wen. Research progress on identifying and treating injuries caused by elder abuse in emergency departments [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 376-379.
[15]	WENG Chengjie, PAN Xiangying, WANG Jinning, JIN Jiajia, ZHAO Xuehong. Research progress on digitization and intelligence of ICU alarm management [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 380-384.