Observation on the effect of individualized nursing measures for patients with pulmonary infection

Observation on the effect of individualized nursing measures for patients with pulmonary infection

【Author】 Wei Shuqiong, head nurse, Qilin Town Health Center, Puning City

Pulmonary infection is an inflammation of the lungs caused by a variety of pathogens, manifested as fever, cough, etc. Common lung infections are divided into two categories. One is that the lesions of lung parenchymal infection can be seen in the film. The other is that there is no obvious consolidation in the lungs in the film, but the infection is also serious, and there are also airway infections. Pulmonary infections are prone to complications, such as respiratory failure. The following is an example of my practical experience in individualized nursing measures for lung infections.

Patient Lu, female, 57 years old, came to the clinic on February 7, 2023 due to high fever for 5 days, cough, and sticky sputum that was difficult to cough up for 20 days. Routine blood tests, C-reactive protein, chest X-ray, etc., combined with clinical symptoms, diagnosed her with bacterial lung infection. The doctor gave her antibiotics and cough suppressants and expectorants for symptomatic treatment. During the observation period, the nursing measures implemented by the nursing team led by me included:

1. Help patients to cough up phlegm by patting their backs. Because antibiotics alone cannot promote the patient's recovery, it is more important to help patients to cough up phlegm on their own. After the phlegm is coughed up, the lung infection will improve, which is helpful to the patient's condition.

2. Reasonable diet During the treatment period, the daily diet of the individual should be reasonably adjusted to ensure that the diet is easy to digest, light, high in vitamins, high in protein and high in calories. In addition, if the patient has symptoms of high fever, light semi-liquid food should be given, and the patient should be encouraged to drink more water to promote the discharge of various toxins in the body.

3. To prevent infection, put off eating when coughing, and avoid choking on food so as not to aggravate lung infection.

4. Physical exercise: Choose appropriate exercise methods based on the patient's condition and cardiopulmonary function, gradually taking walking and doing fitness gymnastics to enhance the patient's immunity and resistance, which can reduce the onset of symptoms to a certain extent.

5. Pay attention to body position. Patients with lung infection should ensure that they stay in a semi-recumbent position for about an hour 4-6 times a day, which is conducive to coughing and expectoration.

6. Keep the respiratory tract moist by performing ultrasonic nebulization inhalation on the patient and replenishing sufficient water to dilute respiratory secretions and make them easier to cough out.

7. Monitoring body temperature Monitoring body temperature can help doctors understand changes in the condition and treatment effects. If the body temperature is below 38.5℃, patients can use physical cooling methods such as warm water sponge baths to reduce fever and improve symptoms.

8. Pay attention to the environment. Provide patients with a quiet and comfortable environment to avoid the effects of smoke, dust and irritating gases on the respiratory tract. In addition, more breathing exercises can effectively reduce chest movement and reduce the discomfort of asthma in patients. You can choose abdominal breathing exercises and other methods.

9. Psychological care: The occurrence of lung infection will cause patients to experience a variety of negative emotions such as irritability, fear, anxiety, and sadness. The occurrence of these negative emotions will not only affect the patient's mental health, but also affect the treatment of the disease, leading to worsening of the condition. Therefore, patients with lung infection must attach importance to psychological care and health care, and eliminate and stay away from various negative emotions in a timely manner.

After three days of observation and treatment, the patient's body temperature returned to normal levels, his cough was not severe, his sputum was clear and easy to cough up, his blood routine and C-reverse protein returned to normal range, and his chest X-ray showed only a small amount of lesions remained. He was allowed to be discharged from the hospital with his medication.

This case suggests that patients with lung infections usually benefit more from individualized nursing measures than from conventional care alone, and also more from drug treatment alone. Therefore, individualized nursing measures for patients with lung infections are worth promoting.