The effect of clustered care based on Nel Noddings' caring theory in patients with severe pneumonia complicated by respiratory failure and endotracheal intubation
以尼尔•诺丁斯关怀理论为基础的集束化护理在重症肺炎合并呼吸衰竭气管插管患者中的应用效果

摘要

目的 本文探讨将尼尔•诺丁斯关怀理论的集束化护理用于重症肺炎合并呼吸衰竭气管插管患者，看能否提高护理质量。方法 选取2024年12月至2025年12月收治的40例重症肺炎合并呼吸衰竭气管插管患者，随机分为两组，每组20例，对照组行常规护理，实验组实施以尼尔•诺丁斯关怀理论为基础的集束化护理，比较两组临床指标和血气指标差异。结果 实验组的肺部啰音消失、呼吸困难缓解、发绀消退及退热时间分别为（4.14±0.23）d、（1.53±0.27）d、（0.85±0.11）d、（3.44±0.69）d，均短于对照组（P<0.01）；干预后实验组血气指标改善更显著，PaCO₂（42.18±1.74）mmHg、PaO₂（91.87±3.87）mmHg、SaO₂（93.87±4.01）%均优于对照组（P<0.01）。结论 将尼尔•诺丁斯的关怀理论作为基础的集束化护理，用在重症肺炎伴有呼吸衰竭且进行了气管插管的患者身上，能使通气功能得到改善，使患者的康复进程加快。

Abstract

Objective This study explores the application of bundled care based on Nel Noddings' care theory in patients with severe pneumonia complicated by respiratory failure and endotracheal intubation, aiming to assess its impact on improving nursing quality.
Methods A total of 40 patients with severe pneumonia and respiratory failure requiring endotracheal intubation were selected from December 2024 to December 2025 and randomly divided into two groups (20 cases each). The control group received routine nursing care, while the experimental group was administered bundled care based on Nel Noddings' care theory. Clinical and blood gas indicators were compared between the two groups.
Results The experimental group exhibited shorter durations for the disappearance of lung rales, alleviation of dyspnea, regression of cyanosis, and fever reduction, at (4.14±0.23) days, (1.53±0.27) days, (0.85±0.11) days, and (3.44±0.69) days, respectively, all significantly shorter than those in the control group (P<0.01). Post-intervention, the experimental group showed more pronounced improvements in blood gas indicators, with PaCO₂ (42.18±1.74) mmHg, PaO₂ (91.87±3.87) mmHg, and SaO₂ (93.87±4.01)% all superior to the control group (P<0.01).
Conclusion   Implementing bundled care grounded in Nel Noddings’ care theory for patients with severe pneumonia accompanied by respiratory failure and endotracheal intubation can enhance ventilatory function and accelerate recovery.