Expert consensus on post-illness health management in children

中华预防医学会儿童保健分会; 广东省医师协会儿科医师分会; 广东省医学会儿科学分会儿童保健学组

doi:10.11852/zgetbjzz2026-0789

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (10) : 1057-1062. DOI: 10.11852/zgetbjzz2026-0789

Expert Consensus

Expert consensus on post-illness health management in children

Child Healthcare Branch, Chinese Preventive Medicine Association; Pediatricians Branch, Guangdong Medical Doctor Association; Child Healthcare Group, Pediatrics Branch, Guangdong Medical Association

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Abstract

Advances in pediatric diagnosis and treatment have improved acute-stage survival. However, inadequate health management during recovery has become a major factor affecting children's long-term outcomes. China currently lacks systematic standards for post-illness health management in children, resulting in fragmented post-discharge rehabilitation guidance and disease monitoring. Addressing respiratory, neurological, nutritional, and other common pediatric disorders, this consensus proposes a continuous health management model from hospital to home. It systematically outlines pathways for clinical assessment, functional rehabilitation, nutritional support, and psychological and behavioral interventions during recovery, with particular emphasis on oral-motor training, maintenance of respiratory function, and psychosocial support in promoting children's growth and development. This consensus aims to standardize clinical care pathways, reduce disease recurrence and disability, and provide pediatricians with evidence-based guidance on follow-up and rehabilitation, thereby promoting comprehensive physical and psychological recovery in children.

Key words

convalescence / health management / rehabilitation training / comprehensive multidimensional intervention / children

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Child Healthcare Branch, Chinese Preventive Medicine Association; Pediatricians Branch, Guangdong Medical Doctor Association; Child Healthcare Group, Pediatrics Branch, Guangdong Medical Association. Expert consensus on post-illness health management in children[J]. Chinese Journal of Child Health Care. 2026, 34(10): 1057-1062 https://doi.org/10.11852/zgetbjzz2026-0789

References

[1] Henrickson M. Policy challenges for the pediatric rheumatology workforce: Part Ⅱ. Health care system delivery and workforce supply[J]. Pediatr Rheumatol, 2011, 9(1): 24.
[2] Tang R, Zhang X, Yin P, et al. National and provincial disease burden of childhood asthma in China, 2010-2021: A systematic analysis of the Global Burden of Disease Study 2021[J]. Chin Med J,2026, 139(7): 1101-1103.
[3] 胡云华, 何茂郎, 贾怀妙, 等. 2005—2014年中国0~14岁儿童恶性肿瘤发病趋势分析[J]. 中华肿瘤防治杂志, 2022, 29(10): 695-699.
Hu YH, He ML, Jia HM, et al. Trend of malignant tumor in children aged 0-14 in China from 2005 to 2014[J]. Chin J Cancer Prev Treat, 2022, 29(10): 695-699. (in Chinese)
[4] Zhou J, Shan S, Wu J, et al. Global prevalence of hypertension among children and adolescents aged 19 years or younger:An updated systematic review and meta-analysis[J]. Lancet Child Adolesc Heal, 2026, 10(1): 11-21.
[5] Riekki H, Aitokari L, Saari A, et al. The prevalence of prediabetes is high and has rapidly increased, independent of the degree of obesity, in Finnish children with overweight or obesity[J]. Int J Obes (Lond), 2026, 50(2): 407-413.
[6] Make America Healthy Again Commission. MAHA-Report-The-White-House[R/OL]. (2025-02-13)[2026-07-28]. https://www.whitehouse.gov/wp-content/uploads/2025/02/MAHA-Report-The-White-House.pdf.
[7] England AM, Temporin A, Hornsby V, et al. Using the national Paediatric Early Warning System (PEWS) for England: Part 2[J].Nurs Child Young People,2025. doi:https://doi.org/10.7748/ncyp.2025.e1544
[8] Luijmes M, Stevens J, Diets N, et al. Pediatric Early Warning Score in interhospital ambulance care: A pilot study exploring feasibility and impact[J]. Scand J Trauma Resusc Emerg Med, 2025, 33(1): 65.
[9] BeckerPJ, Nieman Carney L, Corkins MR, et al. Consensus statement of the academy of nutrition and dietetics/American society for parenteral and enteral nutrition: Indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition)[J]. J Acad Nutr Diet, 2014, 114(12): 1988-2000.
[10] Huysentruyt K, Alliet P, Muyshont L, et al. The STRONGkids nutritional screening tool in hospitalized children:A validation study[J]. Nutrition, 2013, 29(11-12): 1356-1361.
[11] 卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析[J]. 中山大学学报(医学科学版), 2008,29(3): 328-331.
Lu YY, Tian Q, Hao YT, et al. Reliability and validity for Chinese version of pediatric quality of life inventory PedsQL4.0[J]. J Sun Yat Sen Univ Med Sci, 2008, 29(3): 328-331. (in Chinese)
[12] 吴至凤, 张雨平, 赵聪敏, 等. 中文版儿童生活功能评估量表重庆地区常模的建立及应用[J]. 中国当代儿科杂志, 2014, 16(6): 638-642.
Wu ZF, Zhang YP, Zhao CM, et al. Establishment and application of Chinese pediatric evaluation of disability inventory norms in Chongqing, China[J]. Chin J Contemp Pediatr, 2014, 16(6): 638-642. (in Chinese)
[13] 吴至凤,赵聪敏,张雨平,等.调整的中文版PEDI量表在正常及脑瘫儿童中的信效度分析[J].第三军医大学学报, 2013, 35(24):2714-2716.
[14] 杨玉霞, 顾莺. STRONGkids量表筛检住院儿童营养不良风险的Meta分析[J]. 护士进修杂志, 2015,30(11): 980-983.
Yang YX, Gu Y. Metaanalysis of mal-nutritional risk among hospitalized childrenscreening by STRONGkids scale[J]. J Nurses Train, 2015, 30(11): 980-983. (in Chinese)
[15] Cheng Y, Zhang XL, Zhang JY, et al. The application of pediatric early warning score (PEWS) in emergency observation room[J]. J Pediatr Nurs, 2022, 66: 1-5.
[16] 李娟, 黄晓凤. Brighton PEWS在重型手足口病并发神经功能损害患儿中的应用价值[J]. 医学临床研究, 2023,40(6): 916-919.
Li J, Huang XF. Application of Brighton PEWS in children with severe hand-foot-and-mouth disease complicated with neurological impairment[J]. J Clin Res, 2023, 40(6): 916-919. (in Chinese)
[17] Clark A, Cannings-John R, Carrol ED, et al. Assessing children who are acutely ill in general practice using the National PEWS and LqSOFA clinical scores: A retrospective cohort study[J]. Br J Gen Pract, 2025, 75(751): e98-e104.
[18] Gawronski O, Briassoulis G, El Ghannudi Z, et al. European survey on Paediatric Early Warning Systems, and other processes used to aid the recognition and response to children's deterioration on hospital wards[J]. Nurs Crit Care, 2024, 29(6): 1643-1653.
[19] HicksonMR, Matula ST, Tshiamo WB, et al. Implementing and evaluating a paediatric early warning system (PEWS) at a national referral hospital in Botswana[J]. BMJ Paediatr Open, 2025, 9(1): e003627.
[20] Lambert V, Matthews A, MacDonell R, et al. Paediatric early warning systems for detecting and responding to clinical deterioration in children:A systematic review[J]. BMJ Open, 2017, 7(3): e014497.
[21] MehtaNM, Skillman HE, Irving SY, et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of critical care medicine and American society for parenteral and enteral nutrition[J]. J Parenter Enteral Nutr, 2017, 41(5): 706-742.
[22] Choi MH, Lee M. Psychosocial and psychological interventions' effectiveness among nurses in intensive care units caring for pediatric patients: A systematic review and meta-analysis[J]. Front Pediatr, 2022, 10: 883230.
[23] Bhandari M, Abbasi A, Bhatt V. The effect of hospitalization on children: A review of psychological, social, and developmental impacts[J]. J Surg Nurs, 2025, 14(1): 19-21.
[24] Ma CF, Chan SKW, Chien WT, et al. Cognitive behavioural family intervention for people diagnosed with severe mental illness and their families: A systematic review and meta-analysis of randomized controlled trials[J]. J Psychiatr Ment Health Nurs, 2020, 27(2): 128-139.
[25] Hards E, Loades ME, Higson-Sweeney N, et al. Loneliness and mental health in children and adolescents with pre-existing mental health problems: A rapid systematic review[J]. Br J Clin Psychol, 2022, 61(2): 313-334.
[26] DuPaul GJ, Daffner MS, Jaffe AR. School reintegration after illness[M]//Forman SG, Shahidullah JD. Handbook of pediatric behavioral healthcare: An interdisciplinary collaborative approach. Cham: Springer International Publishing, 2018: 287-300.
[27] Rohan JM, Verma T. Psychological considerations in pediatric chronic illness: Case examples[J]. Int J Environ Res Public Health, 2020, 17(5): 1644.
[28] 张建奎, 李晓捷, 唐久来, 等. 中国脑性瘫痪康复指南(2022)核心内容解读[J].中华实用儿科临床杂志, 2022, 37(24): 1841-1853.
Zhang JK, Li XJ, Tang JL, et al. Interpretation of the core content of Chinese rehabilitation guidelines for cerebral palsy(2022)[J]. Chin J Appl Clin Pediatr, 2022, 37(24): 1841-1853. (in Chinese)
[29] Forsyth R. The difference rehabilitation can make after acquired brain injury[J].Develop Med Child Neuro, 2022, 64(1): 7.
[30] Royeen CB, Gorga D. Occupational therapy in pediatric rehabilitation[J]. Pediatrician, 1990, 17(4): 278-282.
[31] 赵启君, 刘莉莉, 王永军, 等. 早期呼吸康复训练在难治性支原体肺炎患儿中的应用效果[J]. 中国妇幼保健, 2023, 38(12): 2196-2199.
[32] 李梅, 冯君, 黄家云, 等. 口腔功能训练对发育障碍儿童进食能力康复疗效的影响[J]. 医药前沿, 2023, 13(6): 94-96.