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已发表论文
综合护理规划以改善大型面部及颈部胎记患儿激光治疗的效果
Authors Dang J, Chen X, Zhang C, Liu Y, Niu X, Ma B, Shi W
Received 1 July 2025
Accepted for publication 7 October 2025
Published 21 October 2025 Volume 2025:18 Pages 2691—2700
DOI https://doi.org/10.2147/CCID.S550699
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Jeffrey Weinberg
Juan Dang,1,* Xiuzhi Chen,1,* Chi Zhang,1,* Yinhe Liu,1 Xingyu Niu,1 Bingbing Ma,1 Wei Shi2
1Department of Dermatology, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China; 2Department of Nursing, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Bingbing Ma, Department of Dermatology, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China, Email shio375@outlook.com Wei Shi, Department of Nursing, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China, Email dybo729@outlook.com
Purpose: Children with facial and cervical birthmarks display unique physical and psychological complexities that demand multifaceted, long-term care following laser treatment. Integrated care based on the integrated care models is a promising approach to address these needs. This study aimed to assess the efficacy of integrated care for children with large facial and cervical birthmarks who were undergoing laser treatment.
Patients and Methods: This retrospective study analyzed clinical data of children who received laser treatment under general anesthesia at our clinic from March 2022 to August 2024. Children were divided into a control group, which received conventional care, and a study group, which received integrated care based on the integrated care models in addition to conventional care. Outcomes compared between the groups included the children’s FPS-R and medication awareness rates on the seventh day post-discharge, parental satisfaction at seven days and three months, and the incidence of adverse reactions within three months.
Results: A total of 153 children were enrolled in the study, with 76 in the study group and 77 in the control group. Under the premise of comparable clinical characteristics, the study group exhibited significantly lower FPS-R (P=0.012) on the seventh day and higher parental satisfaction at both seven days and three months post-discharge (P< 0.001) compared to the control group. There was no significant difference in parental medication awareness rates between the groups, despite the study group achieving 100%. No significant differences were observed in the rates of adverse reactions; however, the control group reported severe local or systemic reactions, whereas the study group experienced only transient, mild adverse reactions.
Conclusion: This study provided the first evidence of the efficacy of integrated care in laser treatment for pediatric facial and cervical birthmarks, particularly in alleviating pain levels and enhancing parental satisfaction. It also mitigated the severity of post-discharge adverse reactions. Integrated care improves treatment outcomes and the care experience for families of these special children, warranting further investigation.
Keywords: integrated care, integrated care models, laser therapy, pediatric care, facial birthmarks, cervical birthmarks, parental satisfaction
1Department of Dermatology, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China; 2Department of Nursing, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Bingbing Ma, Department of Dermatology, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China, Email shio375@outlook.com Wei Shi, Department of Nursing, Air Force Medical Center, PLA, Beijing, 100142, People’s Republic of China, Email dybo729@outlook.com
Purpose: Children with facial and cervical birthmarks display unique physical and psychological complexities that demand multifaceted, long-term care following laser treatment. Integrated care based on the integrated care models is a promising approach to address these needs. This study aimed to assess the efficacy of integrated care for children with large facial and cervical birthmarks who were undergoing laser treatment.
Patients and Methods: This retrospective study analyzed clinical data of children who received laser treatment under general anesthesia at our clinic from March 2022 to August 2024. Children were divided into a control group, which received conventional care, and a study group, which received integrated care based on the integrated care models in addition to conventional care. Outcomes compared between the groups included the children’s FPS-R and medication awareness rates on the seventh day post-discharge, parental satisfaction at seven days and three months, and the incidence of adverse reactions within three months.
Results: A total of 153 children were enrolled in the study, with 76 in the study group and 77 in the control group. Under the premise of comparable clinical characteristics, the study group exhibited significantly lower FPS-R (P=0.012) on the seventh day and higher parental satisfaction at both seven days and three months post-discharge (P< 0.001) compared to the control group. There was no significant difference in parental medication awareness rates between the groups, despite the study group achieving 100%. No significant differences were observed in the rates of adverse reactions; however, the control group reported severe local or systemic reactions, whereas the study group experienced only transient, mild adverse reactions.
Conclusion: This study provided the first evidence of the efficacy of integrated care in laser treatment for pediatric facial and cervical birthmarks, particularly in alleviating pain levels and enhancing parental satisfaction. It also mitigated the severity of post-discharge adverse reactions. Integrated care improves treatment outcomes and the care experience for families of these special children, warranting further investigation.
Keywords: integrated care, integrated care models, laser therapy, pediatric care, facial birthmarks, cervical birthmarks, parental satisfaction