Clinical study on the early systemic nursing care intervention in patients with severe pulmonary infection.

Objective: To explore the clinical value of early systematic nursing care intervention in patients with severe pulmonary infection.

Methods: 100 severe patients treated in our hospital from March 2019 to April 2020 were selected. According to the principle of random distribution, they were divided into a control group (50 patients) and an intervention group (50 patients). The control group was given routine nursing intervention, and the intervention group was given early systematic care intervention. We analyzed the infection rate, mortality rate, quality of life, and complication incidence after intervention.

Results: The intervention group had significantly lower pulmonary infection rate and mortality rate as compared to the control group [10% vs 42%, 2% vs 20%, X = 13.31, 8.27, P<0.01]; the intervention group had better quality of life such as emotional conditional score, physical condition score, pain rating score and cognitive ability in comparison to the control group [(85.09 ± 16.33) vs (46.68 ± 14.01), (82.64 ± 16.82) vs (43.25 ± 13.71), (81.05 ± 12.95) vs (42.16 ± 13.56), (89.54 ± 17.56) vs (43.35 ± 14.03), t = 12.62, 12.84, 14.67, 14.53, P<0.001). The incidence of complications in the intervention group (6%) was significantly lower than 34% in the control group (x = 12.25, P<0.001). After intervention, FEV1, FVC, FEV1/FVC and 6-min walking distance of the intervention group were better than those of the control group (t = 4.77, 5.44, 4.39, 3.65, P<0.001).

Conclusion: Early systematic care intervention in severe patients in clinical care has a positive effect in reducing the pulmonary infection rate and mortality rate and improving the quality of life.