JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i5.10631ArticleApplication of Responsibility-based Holistic Nursing in Elderly Patients with Severe Pneumoniahttps://artdesignp.com/journal/JCNR/9/5/10.26689/jcnr.v9i5.10631CuiYing2025952025-05-30Objective: To explore the clinical effects of applying responsibility-based holistic nursing in elderly patients with severe pneumonia. Methods: Ninety-six elderly patients with severe pneumonia admitted to a hospital from January 2023 to December 2024 were selected and divided into an observation group (52 cases) and a control group (44 cases) based on a random number table method. The observation group received responsibility-based holistic nursing, while the control group received basic nursing. The clinical effects (time to normalize body temperature, disappearance of cough, disappearance of dyspnea symptoms, disappearance of lung rales, changes in oxygenation index) and nursing satisfaction were observed in both groups. Results: The observation group showed superior results compared to the control group in terms of time to normalize body temperature, disappearance of cough, disappearance of dyspnea symptoms, disappearance of lung rales, and changes in oxygenation index, with statistically significant differences (P < 0.05). The satisfaction rate with nursing services in the observation group (92.31%) was significantly higher than that in the control group (86.36%) (P < 0.05). Conclusion: Implementing responsibility-based holistic nursing in elderly patients with severe pneumonia can improve their oxygenation function, enhance quality of life, and increase nursing satisfaction.

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