International Journal of Nursing Research

This study focuses on the nursing practice of critically ill respiratory system patients in emergency internal medicine. Through retrospective analysis and prospective observation, the core difficulties in the nursing process are systematically identified, and the implementation effect of targeted strategies is evaluated. 32 respiratory emergency patients who meet the criteria for severe illness were included. Research has found that targeted strategies include standardized airway assessment processes, refined individualized oxygen therapy plans, enhanced application of early warning scoring systems (EWS), and introduction of structured communication tools. After implementation, the unplanned intubation rate decreased, the incidence of severe hypoxemia decreased, and the time for medical staff to identify the deterioration of the condition was significantly shortened (all P<0.05). These results suggest that a systematic and predictive nursing intervention framework plays a crucial role in improving the prognosis of such patients, with the core being risk pre management and efficient team collaboration.

Emergency Internal Medicine; Severe respiratory system illness; Nursing difficulties; Coping strategies; Airway management; Oxygenation; Disease monitoring; Team collaboration; Communication