陆婷

【摘要】目的：探討专项护理在重症肺炎合并呼吸衰竭患者中的应用效果。方法：选取92例重症肺炎合并呼吸衰竭患者，入院后根据住院号尾号完成分组，尾号<5的患者为对照组（n=46），实施常规护理；尾号>5的患者为观察组（n=46），开展专项护理。比较两组干预效果。结果：与对照组相比，观察组ICU治疗时间、住院时间以及机械通气时间均更短（P<0.05）。干预前，两组患者肺功能比较没有显著性差异（P>0.05）；干预后，两组肺功能有明显的好转，观察组好转的效果更佳（P<0.05）。观察组并发症发生率为6.52%，低于对照组的23.91%，具有显著性差异（P<0.05）。干预前，两组患者的心理韧性评分比较没有显著性差异（P>0.05）；干预后，两组心理韧性评分均有明显提升，且观察组更高（P<0.05）。观察组服务质量好评率为95.65%，高于对照组的78.26%，具有显著性差异（P<0.05）。结论：对重症肺炎合并呼吸衰竭患者实施专项护理能够加速患者的康复，预防并发症的发生，明显改善肺功能，应用效果显著。

【关键词】重症肺炎；呼吸衰竭；专项护理；肺功能；并发症

Analysis of the application effect of special nursing in patients with severe pneumonia complicated with respiratory failure

LU Ting

Guanyun Peoples Hospital， Lianyungang， Jiangsu 222200， China

【Abstract】Objective：To explore the application effect of special nursing in patients with severe pneumonia complicated with respiratory failure.Methods：92 patients with severe pneumonia complicated with respiratory failure were selected.After admission，they were divided into groups according to the tail number of the hospitalization number.Patients with a tail number<5 were selected as the control group （n=46），and received routine nursing；Patients with a tail number>5 were selected as the observation group（n=46），and received special nursing.The intervention effects of the two groups were compared.Results：Compared with the control group，the ICU treatment time，hospitalization time，and mechanical ventilation time in the observation group were shorter （P<0.05）.Before intervention，there was no significant difference in lung function between the two groups of patients （P>0.05）；After intervention，there was a significant improvement in lung function in both groups，and the observation group had a better improvement effect （P<0.05）.The incidence of complications in the observation group was 6.52%，which was lower than 23.91% in the control group，with a significant difference （P<0.05）.There was no significant difference in psychological resilience scores between the two groups of patients before intervention （P>0.05）；After intervention，the psychological resilience scores of both groups were significantly improved，and the observation group had higher levels（P<0.05）.The positive rate of service quality in the observation group was 95.65%，which was higher than 78.26% in the control group（P<0.05）.Conclusion：Carrying out special nursing in patients with severe pneumonia complicated with respiratory failure can accelerate the recovery of patients，prevent the occurrence of complications，significantly improve lung function，and have significant application effect.

【Key Words】Severe pneumonia； Respiratory failure； Special nursing； Lung function； Complications

重症肺炎具有较高的致死率，是目前全球第三大危重疾病，症状包括气喘、咳嗽、咳痰等各种呼吸系统症状，还会伴有呼吸衰竭，同时会累及其他系统，发病比较急促，且病情发展速度快，对患者的生命安全造成严重威胁[1]。重症监护室（ICU）主要是为重症患者提供治疗的一个重要科室，具备更加先进的设备，护理人员的护理技能也更高，能够为重症患者提供有效的、针对性的护理措施，帮助患者改善病情，提高ICU的护理质量，为治疗提供可靠保障，对于重症患者具有重要意义[2]。鉴于此，本研究选取92例重症肺炎合并呼吸衰竭患者展开讨论，报道如下。

1资料与方法

1.1一般资料 选取2021年5月—2023年5月本院接收的92例重症肺炎合并呼吸衰竭患者为研究对象。患者入院后根据住院号尾号完成分组，尾号<5的患者为对照组（n=46），包括29例男患者，17例女患者，年龄38～69岁，平均年龄（54.37±10.48）岁；尾号>5的患者为观察组（n=46），包括26例男患者，20例女患者，年龄39～68岁，平均年龄（55.21±10.71）岁。两组一般资料比较差异不大，P>0.05，具有可比性。

1.2研究……