Abstract
Objective To explore the influences of individual care on the physiological indexes improvement and prognosis effects of ICU severe pneumonia patients. Methods There were 94 sever pneumonia patients were divided into control group and observation group by the sequence of ICU admission from March 2008 to March 2014.We compared lactic acid (LAC), lactate clearance rate, acute physiology, APACHE Ⅱ and so on other physiological indexes, and prognosis effects 6 and 12 months after discharge. Results After intervention, LAC of the observation group was lower than that of the control group (P<0.05), but lactate clearance rate of the observation group was higher compared with that of the control group (P<0.05). After the intervention, the APACHE Ⅱ scores and predicted mortality in the observation group were lower than those in the control group(P<0.05). After 6 and 12 months′ intervention in the observation group, the scores of restricted activities, angina pectoris attacks, and quality of life were better than those of the control group (P<0.05). Conclusions The individual care can contribute to patients′ physiological indexes of LAC and APACHE Ⅱ, improve the prognosis quality of life, and promote patients to recover. Key words: Intensive care unit; Severe pneumonia; Individualized care; Physiological index; Prognosis
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