Contemporary Nursing

Objective To explore the application effect of refined nursing intervention in patients with severe pneumonia combined with respiratory failure. Methods A total of 80 patients with severe pneumonia combined with respiratory failure admitted during May 2024 to May 2025 were selected. Using the random number table method, the 80 patients were divided into a control group (40 cases, receiving routine nursing methods) and an observation group (40 cases, receiving refined nursing intervention on the basis of the control group's nursing). The clinical recovery status (ICU length of stay, hospitalization days, mechanical ventilation time), psychological status (anxiety, depression) scores, blood gas index levels, incidence of adverse events, and nursing satisfaction of the two groups were compared and evaluated. Results Before nursing intervention, there was no significant difference in psychological status scores and blood gas index levels between the two groups (P > 0.05). After nursing intervention, the anxiety and depression scores of the observation group were lower than those of the control group (P < 0.05), and the blood gas index levels were better than those of the control group (P < 0.05). In addition, the hospitalization days, ICU length of stay, and mechanical ventilation time of the observation group were shorter than those of the control group (P < 0.05), the incidence of adverse events was lower than that of the control group (P < 0.05), and the nursing satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion Refined nursing intervention for patients with severe pneumonia combined with respiratory failure has obvious effects. It can effectively improve patients' blood gas index levels and psychological status, promote patient recovery, reduce the incidence of adverse events, and improve nursing satisfaction, thus having high application value.

Severe pneumonia; Respiratory failure; Refined nursing intervention; Blood gas index