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Contemporary Nursing. 2026; 7: (7) ; 10.12208/j.cn.20260368 .

Application effect of fine nursing intervention in 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

作者: 马榕, 张玲萍 *

南京医科大学姑苏学院,苏州市立医院 江苏苏州

*通讯作者: 张玲萍,单位:南京医科大学姑苏学院,苏州市立医院 江苏苏州; ;

引用本文: 马榕, 张玲萍 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[J]. 当代护理, 2026; 7: (7) : 72-74.
Published: 2026/7/7 11:40:11

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 选取2025年1月至2025年12月,医院收治68例重症肺炎合并呼吸衰竭患者为例,通过电脑随机数表法分组,每组34例。对照组给予常规护理,观察组在常规护理基础上实施精细化护理干预。比较两组患者的护理成效。结果 护理前,两组患者血气分析指标比较无差异(P>0.05)。护理后,观察组pH值、PaO2、SaO2高于对照组,PaCO2低于对照组,差异有意义(P<0.05)。观察组并发症发生率低于对照组,差异有意义(P<0.05)。结论 将精细化护理干预模式应用在重症肺炎合并呼吸衰竭患者中,可以改善血气指标,大大减少并发症发生。

关键词: 精细化护理干预;重症肺炎;呼吸衰竭;血气指标

Abstract

Objective To explore the application effect of fine nursing intervention in patients with severe pneumonia complicated with respiratory failure.
Methods From January 2025 to December 2025, 68 patients with severe pneumonia complicated with respiratory failure admitted to the hospital were selected as examples and divided into groups by computer-generated random number table method, with 34 cases in each group. The control group was given routine nursing, while the observation group was given fine nursing intervention on the basis of routine nursing. The nursing effects of the two groups were compared.
Results Before nursing, there was no significant difference in blood gas analysis indicators between the two groups (P > 0.05). After nursing, the pH value, PaO2, and SaO2 in the observation group were higher than those in the control group, and PaCO2 was lower than that in the control group, with significant differences (P < 0.05). The incidence of complications in the observation group was lower than that in the control group, with significant differences (P < 0.05).
Conclusion   The application of fine nursing intervention in patients with severe pneumonia complicated with respiratory failure can improve blood gas indicators and significantly reduce the incidence of complications.

Key words: Fine nursing intervention; Severe pneumonia; Respiratory failure; Blood gas indicators

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