基于人文护理理念的护理,用于在重症监护室治疗严重败血症患者的持续血液净化
Alternative therapies in health and medicine
|March 29, 2024
概括
人文护理显著改善了重症败血症患者在ICU中接受持续血液净化 (CBP) 的结果. 这种方法减少了负面情绪和并发症,同时增强了希望和治疗遵守.
科学领域:
- 临界护理医学 临界护理医学
- 护理科学 护理科学
- 败血症管理管理
背景情况:
- 严重的败血症仍然是ICU死亡的主要原因,尽管下降趋势.
- 高质量的护理,特别是在持续的血液净化 (CBP) 期间,对于患者的康复至关重要.
- 人文关怀概念提供了一个潜在的框架,以改善重症监护机构患者的治疗结果.
研究的目的:
- 研究以人文关怀为基础的护理对在ICU接受CBP的严重败血症患者的影响.
- 评估人文护理对患者心理状态,希望水平和整体健康状况的影响.
- 评估人文护理对严重败血症患者并发症率和治疗遵从性的影响.
主要方法:
- 进行了一项前性随机对照研究,80名严重败血症患者在ICU接受CBP治疗.
- 参与者被分为两个组:人文护理组和例行护理控制组.
- 测量结果包括焦虑,抑郁,希望水平,健康状况 (APACHE-II),并发症率和治疗遵守.
主要成果:
- 人文关怀组的焦虑 (SAS) 和抑郁 (SDS) 评分显著降低 (P < .001).
- 在人文护理组,希望水平 (HHI) 显著高于人文护理组 (P < .001).
- 人文护理组的健康状况得分 (APACHE-II) 和并发症率 (P < .001) 显著降低,治疗遵守率提高 (P = .0186).
结论:
- 基于人文关怀的护理有效地减轻了接受CBP的严重败血症患者的负面情绪.
- 人道主义护理增强了希望,改善了健康状况,并增加了这种患者群体的治疗遵从性.
- 在ICU中实施人文护理可以减少并发症,并改善接受CBP的严重败血症患者的整体结果.
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