International Journal of Nursing Research

This article summarizes the experience of rehabilitation nursing for an overweight patient with acute respiratory failure and heart failure. Key Nursing Points: Implementing sequential respiratory muscle therapy: high-flow oxygen therapy → noninvasive ventilation → transition to home ventilator to optimize ventilation efficiency; implementing stepped exercise rehabilitation to improve activity tolerance; implementing precise nutritional management to control weight gain; implementing interdisciplinary risk management; and applying SMART targeted behavioral intervention to enhance treatment compliance. The coordinated management of sequential respiratory muscle therapy, stepped exercise rehabilitation, and weight control was the key and challenging aspect of this case. Following systematic intervention, the patient improved and was discharged after four days of hospitalization. Follow-up showed improved lung function, a 2kg weight loss, and an increase in self-care ability score to 85 points, with successful return to work.

Acute respiratory failure; Heart failure; Overweight; Rehabilitation nursing