Study on respiratory support nursing intervention and its impact on maternal and infant outcomes in pregnant women with pneumonia
妊娠合并肺炎患者的呼吸支持护理干预及母婴结局影响研究

摘要

目的 探究针对性呼吸支持护理干预对妊娠合并肺炎患者病情控制及母婴结局的影响。方法 选取近2年收治的42例妊娠合并肺炎患者作为研究对象，采用随机数字表法分为对照组与实验组，各21例。对照组实施常规妊娠护理+肺炎基础护理，实验组在对照组基础上实施个体化呼吸支持护理干预。比较两组患者肺炎治愈时间、症状缓解时间、母婴不良结局发生率。结果 实验组肺炎治愈时间、咳嗽咳痰及胸闷气短缓解时间均显著短于对照组P均＜0.05）；实验组产后出血、新生儿窒息、新生儿肺炎发生率显著低于对照组（P均＜0.05）。结论 个体化呼吸支持护理干预可有效促进妊娠合并肺炎患者病情恢复，缩短症状缓解及治愈时间，降低母婴不良结局发生率，安全性高，值得临床推广应用。

Abstract

Objective To explore the impact of targeted respiratory support nursing intervention on disease control and maternal-infant outcomes in patients with pregnancy complicated by pneumonia.
Methods A total of 42 patients with pregnancy complicated by pneumonia admitted in the past 2 years were selected as the study subjects and divided into a control group and an experimental group using a random number table method, with 21 patients in each group. The control group received conventional pregnancy care plus basic pneumonia care, while the experimental group received individualized respiratory support nursing intervention on top of the control group's care. The pneumonia cure time, symptom relief time, and incidence of adverse maternal-infant outcomes were compared between the two groups.
Results The pneumonia cure time, cough and expectoration relief time, and chest tightness and shortness of breath relief time in the experimental group were significantly shorter than those in the control group (all P<0.05); the incidence of postpartum hemorrhage, neonatal asphyxia, and neonatal pneumonia in the experimental group was significantly lower than that in the control group (all P<0.05).
Conclusion   Individualized respiratory support nursing intervention can effectively promote disease recovery in patients with pregnancy complicated by pneumonia, shorten symptom relief and cure time, reduce the incidence of adverse maternal-infant outcomes, and is safe and worthy of clinical promotion and application.