A Comparative Case Study of Nursing Management for Neonates with Respiratory Syncytial Virus (RSV) Infection and Comorbid Pneumonia.

Abstract

      This study was study aimed to study and compare nursing care using the nursing process for caring for two newborn patients diagnosed with RSV and pneumonia (Cases Study). The data from the patient's history was studied and compared according to Gordon's health model and the nursing process in nursing planning.

      Results: The results showed that both infants, aged 14 and 18 days, presented with fever, tachypnea, respiratory distress, and a history of close contact with symptomatic household members. Case 1 had documented exposure to a cousin with confirmed RSV infection, while Case 2 had exposure to an older sibling with undiagnosed respiratory symptoms. A notable difference was that Case 1 exhibited mild dehydration and undernutrition. Both infants required hospitalization and received oxygen therapy high-flow nasal cannula (HFNC) and an oxygen box and were provided with fluid and nutritional supplementation to maintain hydration and metabolic stability. Nursing outcomes indicated similar clinical presentations; however, Case 1 required high-concentration non-invasive oxygen support (HFNC), continuous airway management due to thick secretions, and a change in antibiotic regimen after persistent fever beyond seven days. The mother was anxious but cooperative throughout the treatment. Case 2 adhered well to oxygen and antibiotic therapy as prescribed and maintained close maternal contact. Both infants were ultimately discharged, though their lengths of hospital stay differed.