Abstract
OBJECTIVE: This study evaluates the effectiveness of optimized individualized nursing interventions on clinical outcomes in intensive care unit (ICU) patients with severe pneumonia. METHODS: In this randomized controlled trial, 76 patients with severe pneumonia were randomized into a control group and an experimental group. Both groups received routine nursing care. On this basis, the experimental group received optimized individualized nursing. After the nursing intervention, clinical outcomes, respiratory function, coagulation function, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and St. George's Respiratory Problems Questionnaire (SGRQ) score were assessed, and the complication and mortality rates were counted. RESULTS: After the intervention, compared with the control group, the experimental group exhibited shorter times of fever reduction, white blood cell count recovery, and off-boarding and ICU stay, higher oxygenation index, lower rapid shallow breathing index, respiratory rate, activated partial thromboplastin time, prothrombin time, fibrinogen, and D-Dimer levels, lower APACHE II scores and SGRQ scores (p < 0.05). Additionally, the experimental group possessed a lower complication rate and mortality rate than the control group (p < 0.05). CONCLUSION: Implementing optimized individualized nursing can significantly enhance recovery and reduce complications in ICU patients with severe pneumonia.