International Journal of Clinical Research

Objective: To explore the effect of optimizing individual nursing on coagulation indexes of patients with severe pneumonia in icu. Methods: A total of 40 patients with severe pneumonia in the icu of our hospital from December 2019 to December 2021 were divided into two groups by double-blind random method. The control group was given routine nursing, and the experimental group was given optimized individual nursing. Coagulation indexes, length of stay in intensive care unit, total length of stay and incidence of adverse events were compared between the two groups before and after nursing. Results: The coagulation index of the two groups before nursing, P > 0.05, after nursing, the two groups were significantly reduced, and the experimental group was significantly lower than the control group, P < 0.05. The duration of icu hospitalization in the experimental group (7.24±1.41d) and total length of stay (12.34±1.78d) were shorter than those in the control group (10.45±1.45d and 15.64±3.56d), P < 0.05. The incidence of adverse events in experimental group was lower than that in control group (P < 0.05). There were no adverse events in the experimental group, while there were 6 adverse events in the control group (including 2 cases of pulmonary edema, 2 cases of cardiac insufficiency, 1 case of renal insufficiency and 1 case of septic shock), accounting for 30.0%. Conclusion: Optimizing individual nursing of patients with severe pneumonia in icu is effective.

Optimizing individual nursing; Icu patients with severe pneumonia; Coagulation index; The effect