Application effect of specialized nursing intervention in patients with severe pneumonia comorbid with respiratory failure
Objective To explore the application effect of specialized nursing intervention in patients with severe pneumonia comorbid with respiratory failure.Methods A total of 75 patients with severe pneumonia comorbid with respiratory failure admitted to Beijing Luhe Hospital,Capital Medical University from February 2020 to November 2022 were selected as the study subjects,who were assigned to an observation group(n=39)and a control group(n=36)following different nursing intervention methods.The control group received routine nursing intervention,while the observation group received special-ized nursing intervention based on the control group.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores,Pittsburgh Sleep Quality Index(PSQI)scores,World Health Organization Quality of Life-BREF(WHO-QOL-BREF)scores,and the incidence of complications during the intervention period were compared between the two groups.Results No significant difference was observed in HAMA and HAMD scores between the two groups before inter-vention(P>0.05).After intervention,the HAMA and HAMD scores in both groups were lower than before intervention,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).No significant difference was observed in the scores of the 7 subscale and total scores of the PSQI scale between the two groups before intervention(P>0.05).The scores of the subscale(sleep duration,sleep efficiency,sleep latency,sleep quality,sleep medication,sleep disturbances,and daytime dysfunction)and total scores of the PSQI scale were signifi-cantly decreased after intervention,and the scores in the observation group were significantly lower than those in the control group(P<0.05).No significant difference was noted in the scores of each dimension of the WHOQOL-BREF scale be-tween the two groups before intervention(P>0.05).The subscale scores(physical health,psychological status,bodily pain,and social functioning)of the WHOQOL-BREF scale were significantly increased after intervention,and the scores in the observation group were significantly higher than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group[7.69%(3/39)vs.27.78%(10/36);χ2= 5.271,P=0.022].Conclusion The application of specialized nursing intervention in the nursing of patients with severe pneumonia comorbid with respiratory failure can effectively promote the patients'psychological status and sleep quality,raise their quality of life,and reduce the risk of complications.
Severe pneumoniaRespiratory failureSpecialized nursing interventionQuality of lifeSleep qualityPsycho-logical status
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