Application of predictive nursing combined with fine intervention in neonatal severe pneumonia complicated with respiratory failure
预见性护理结合精细化干预在新生儿重症肺炎合并呼吸衰竭中的应用

摘要

目的 预见性护理结合精细化干预在新生儿重症肺炎合并呼吸衰竭中的应用。方法 选取2025年1月-2025年12月于我院接受治疗的新生儿重症肺炎合并呼吸衰竭患儿60例，以随机数字表法均分两组，对其实施前瞻性分析。对照组患儿30例，接受常规护理；观察组患儿30例，接受预见性护理结合精细化干预。对比两组患儿症状及体征缓解时间、血气指标以及治疗期间并发症发生率。结果 护理后，观察组咳嗽缓解时间、哮鸣音缓解时间、发热缓解时间、气促缓解时间、呼吸困难缓解时间显著低于对照组（P＜0.05）；观察组患者的PaCO2的值显著低于对照组，观察组患者的PaO2、PaO2/FiO2的值显著高于对照组（P＜0.05）；观察组总并发症发生率显著低于对照组（P＜0.05）。结论 新生儿重症肺炎合并呼吸衰竭患儿接受预见性护理结合精细化干预后，症状及体征缓解时间缩短，血气指标提升，治疗期间并发症发生率显著降低。

Abstract

Objective To explore the application of predictive nursing combined with fine intervention in neonatal severe pneumonia complicated with respiratory failure.
Methods Sixty neonates with severe pneumonia complicated with respiratory failure who were treated in our hospital from January 2025 to December 2025 were selected. They were randomly divided into two groups by the random number table method and were subjected to prospective analysis. There were 30 cases in the control group, who received routine care; and 30 cases in the observation group, who received predictive nursing combined with fine intervention. The symptom and sign relief time, blood gas indicators, and the incidence of complications during treatment were compared between the two groups.
Results After nursing, the cough relief time, wheezing relief time, fever relief time, shortness of breath relief time, and respiratory distress relief time of the observation group were significantly shorter than those of the control group (P < 0.05); the PaCO2 value of the observation group was significantly lower than that of the control group, and the PaO2 and PaO2/FiO2 values of the observation group were significantly higher than those of the control group (P < 0.05); the total complication rate of the observation group was significantly lower than that of the control group (P < 0.05).
Conclusion   After neonates with severe pneumonia complicated with respiratory failure received predictive nursing combined with fine intervention, the symptom and sign relief time was shortened, the blood gas indicators were improved, and the incidence of complications during treatment was significantly reduced.