The influence of advanced rehabilitation nursing based on target strategies on the rehabilitation effect of patients with severe pneumonia and respiratory failure undergoing mechanical ventilation
基于目标策略的进阶式康复护理对重症肺炎伴呼吸衰竭机械通气患者康复效果的影响

摘要

目的 分析在重症肺炎伴呼吸衰竭机械通气患者中开展基于目标策略的进阶式康复护理对其康复效果的影响。方法 选取2023年10月至2025年10月期间我院接收的重症肺炎伴呼吸衰竭患者60例作为分析对象，所有患者均接受机械通气辅助治疗。通过随机数字表法将入选病例分成观察组30例和对照组30例，给予对照组常规护理，给予观察组基于目标策略的进阶式康复护理，对比分析两组取得的护理效果。结果 护理后，观察组患者的护理治疗依从性与对照组相比明显提高，血气指标改善效果均优于对照组，机械通气时间短于对照组，最终发生的并发症少于对照组（P＜0.05）。结论 在重症肺炎伴呼吸衰竭患者中开展基于目标策略的进阶式康复护理，能够进一步提高临床护理质量，增强患者的身心舒适度与配合度，促进患者身体恢复，缩短机械通气时间，减少并发症发生。

Abstract

Objective To analyze the impact of advanced rehabilitation nursing based on goal-oriented strategies on the rehabilitation effect of patients with severe pneumonia and respiratory failure undergoing mechanical ventilation.
Methods Sixty patients with severe pneumonia accompanied by respiratory failure who were admitted to our hospital from October 2023 to October 2025 were randomly selected as the analysis subjects. All patients received mechanical ventilation-assisted treatment. The selected cases were divided into an observation group of 30 cases and a control group of 30 cases by the random number table method. The control group was given routine care, while the observation group was given advanced rehabilitation care based on the target strategy. The nursing effects achieved by the two groups were compared and analyzed.
Results After the nursing care, the compliance of patients in the observation group with nursing treatment was significantly improved compared with the control group. The improvement effect of blood gas indicators was better than that of the control group. The mechanical ventilation time was shorter than that of the control group, and the final complications were fewer than those of the control group (P < 0.05).
Conclusion   Implementing advanced rehabilitation nursing based on goal-oriented strategies in patients with severe pneumonia and respiratory failure can further improve the quality of clinical nursing, enhance the physical and mental comfort and cooperation of patients, promote their physical recovery, shorten the duration of mechanical ventilation, and reduce the occurrence of complications.