International Journal of Nursing Research

Analysis of Nursing Care for a Case of Mandibular Distraction Osteogenesis in a Child with Pierre Robin Sequence. Children with Pierre Robin Sequence (PRS) are prone to pneumonia due to congenital airway malformations, which significantly increases the difficulty of perioperative management. This study adopted a multidisciplinary collaboration model and utilized the “Five-Dimensional Advanced Health Assessment” framework (diseases/conditions, holistic health, physiological function, self-care capacity, risks/complications) to develop an evidence-based care plan. Key interventions include: airway and positioning management, infection prevention, intraoperative precise temperature protection, and fluid management. Results demonstrated successful ventilator weaning on postoperative day 5, full oral feeding achieved by day 10, with zero aspiration events or surgical site infections. This case confirms the clinical value of systematic perioperative management for complex PRS patients and provides practical references for standardizing rare disease care.

Pierre Robin sequence; Mandibular distraction osteogenesis; Evidence-based nursing; Multidisciplina-ry collaboration; Perioperative management