Nursing difficulties and coping strategies for critically ill respiratory patients in emergency internal medicine
急诊内科中呼吸系统重症患者的护理难点与应对策略

摘要

本研究聚焦急诊内科呼吸系统重症患者护理实践，通过回顾性分析结合前瞻性观察，系统识别护理过程中的核心难点，并评价针对性策略的实施效果。纳入32例符合重症标准的呼吸系统急症患者。研究发现，针对性策略包括标准化气道评估流程、精细化个体化氧疗方案、早期预警评分系统（EWS）强化应用以及结构化沟通工具引入。实施后，非计划性插管率下降，严重低氧血症事件减少，医护对病情恶化的识别时间明显缩短（均P<0.05）。这些结果提示，系统化、预见性的护理干预框架对改善此类患者预后具有关键作用，其核心在于风险前置化管理与高效团队协作。

Abstract

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.