The effect of refined nursing intervention on patients with severe pneumonia complicated with respiratory failure
精细化护理干预在重症肺炎合并呼吸衰竭患者中的应用效果

摘要

目的 探讨精细化护理干预在重症肺炎合并呼吸衰竭患者中的应用效果。方法 选择2024年5月-2025年5月期间接收的重症肺炎合并呼吸衰竭患者80例，采用随机数字表法将80例患者分成对照组（40例，采取常规护理方法），和观察组（40例，在对照组护理基础上采用精细化护理干预）。对两组的临床恢复情况（ICU住院时间、住院天数、机械通气时间）、心理状态（焦虑、抑郁）评分、血气指标水平、不良事件发生率及护理满意度进行对比和评估。结果 在护理前，两组患者的心理状态评分、血气指标水平之间的差异并不显著（P＞0.05）。护理干预后观察组焦虑、抑郁评分低于对照组（P＜0.05），血气指标水平优于对照组（P＜0.05）。此外，观察组住院天数、ICU入住时间及机械通气时间短于对照组（P＜0.05），不良事件发生率低于对照组（P＜0.05）；观察组护理满意度高于对照组（P＜0.05）。结论 在对重症肺炎合并呼吸衰竭患者实施精细化护理干预取得明显效果，可有效改善患者血气指标水平和心理状态，促进患者恢复，降低不良事件发生率，提高其护理满意度，有较高应用价值。

Abstract

Objective To explore the application effect of refined nursing intervention in patients with severe pneumonia combined with respiratory failure.
Methods A total of 80 patients with severe pneumonia combined with respiratory failure admitted during May 2024 to May 2025 were selected. Using the random number table method, the 80 patients were divided into a control group (40 cases, receiving routine nursing methods) and an observation group (40 cases, receiving refined nursing intervention on the basis of the control group's nursing). The clinical recovery status (ICU length of stay, hospitalization days, mechanical ventilation time), psychological status (anxiety, depression) scores, blood gas index levels, incidence of adverse events, and nursing satisfaction of the two groups were compared and evaluated.
Results Before nursing intervention, there was no significant difference in psychological status scores and blood gas index levels between the two groups (P > 0.05). After nursing intervention, the anxiety and depression scores of the observation group were lower than those of the control group (P < 0.05), and the blood gas index levels were better than those of the control group (P < 0.05). In addition, the hospitalization days, ICU length of stay, and mechanical ventilation time of the observation group were shorter than those of the control group (P < 0.05), the incidence of adverse events was lower than that of the control group (P < 0.05), and the nursing satisfaction of the observation group was higher than that of the control group (P < 0.05).
Conclusion   Refined nursing intervention for patients with severe pneumonia combined with respiratory failure has obvious effects. It can effectively improve patients' blood gas index levels and psychological status, promote patient recovery, reduce the incidence of adverse events, and improve nursing satisfaction, thus having high application value.