Investigation and Analysis of the Humanistic Care Needs of Intensive Care Unit Patients
DOI:
https://doi.org/10.54097/bd0pkb38Keywords:
Intensive Care Unit, Humanistic Care, NeedsAbstract
Objective: To explore the current status and related factors of humanistic care needs among patients in the intensive care unit (ICU), and to implement targeted humanistic care measures based on patient needs. Methods: From September 2023 to February 2024, this study involved 141 hospitalized patients at a Grade A tertiary general hospital in Xi 'an City. The study analyzed the factors influencing these needs using a questionnaire for general patient information and a questionnaire for ICU humanistic care needs. Data processing was conducted using SPSS27.0, with one-way ANOVA and independent samples t-tests used to analyze the data. P<0.05 was considered statistically significant. Results: Among the scores for humanistic care needs in the ICU, the highest score was for the need for a monitoring environment. The dimensions, from highest to lowest, were: the need for a monitoring environment (22.48±5.51), basic nursing needs (18.88±4.28), the need for care from nursing staff (18.57±4.46), communication needs between nurses and patients (18.45±4.81), psychological intervention needs (14.74±3.57), and visitation needs (11.42±2.65). The total score for each item of nursing humanistic care needs was (104.54±23.63). One-way ANOVA showed that educational level had a statistically significant difference in humanistic care needs (P<0.05). Conclusion: (1) Among the humanistic care needs, the highest score was for the need for a monitoring environment, indicating that improving the monitoring environment is the most urgent need for patients. (2) There is a positive correlation between patients' educational level and their humanistic care needs, with higher educational levels leading to higher humanistic care needs. (3) Patients have a high demand for humanistic care in holistic nursing, and show different characteristics, indicating that patients with different characteristics in intensive care units have different needs for humanistic care.
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[1] Wang Xiaoyan. Transformation of medical model promotes the updating of health concept [J]. Journal of Shandong Medical University (Social Sciences Edition), 2000, (01):1-4.
[2] Liu Yilan, Yang Xuejiao, Hu Deying et al. Research progress on nursing humanistic care standards [J]. Chinese Journal of Nursing, 2014,49 (12):1500-1505.
[3] Yang Liwei, Li Wentao, Zheng Nan. Research progress on the visiting system in intensive care units [J]. Chinese Journal of Nursing, 2014,49 (07):871-874.
[4] Zhang Renchuan. Discussion on the Integration of Humanistic Care in ICU Nursing [D]. Heilongjiang University of Traditional Chinese Medicine, 2017.
[5] Zhang L, Sha Y S, Kong Q Q, et al.Factors that affect sleep quality :perception made by patients in the intensive care unit after thoracic surgery[J].Support Care Cancer,2013, 21(8): 2091-2096.
[6] Tembo A C, Parker V, Higgins I.The experience of sleep deprivation in intensive care patients:findings from a larger hermeneutic phenomenological study[J].Intensive Crit Care Nurs,2013,29(6):310-316.
[7] Tembo Y, Oding H,Jennum P.Sleep disturbances in critically ill patients in ICU:hue much do we know?[J]. Acta Anaesthesiol Scand,2012,56(8):950-958.
[8] Ma Penglin, Li Qin, Liu Jingtao, et al., A Multicenter Investigation on the Relationship between Sedation-Pain Management Strategies and ICU Discomfort Experiences in Mechanical Ventilation Patients [J]. PLA Medical Journal, 2008, (8):957-959.
[9] Hu R F. Jiang X Y, Hegadoren K M, Hu R F. Jiang X Y, Hegadoren K M, et al. Effects of earplugs and eye masks combined with relaxing music on sleep, melatonin and cortisol levels in ICU patients: a randomized controlled trial[J]. Crit Care, 2015.19:115.
[10] Yang Guoqing and Zheng Anlong. The Application Value of Prospective Nursing in Alleviating the Negative Emotions of Awake Patients in ICU and Improving Their Sleep Quality [J]. Practical Clinical Nursing, 2019,4(31):32+194.
[11] Wang Jianhua, Hu Guifang, Jiang Shibei et al. The effects of non-invasive mechanical ventilation on sleep and cognitive function in patients with chronic obstructive pulmonary disease complicated by respiratory failure [J]. International Respiratory Journal, 2018,38(19):1465-1469.
[12] Chen Rujuan. Analysis on the influence of prospective nursing on sleep quality of conscious patients in ICU [J]. World Journal of Sleep Medicine, 2018,5(04):465-467.
[13] Tsay S F, Mu P F, Lin S, Tsay S F, Mu P F, Lin S, et al. The experiences of adult ventilatordependent patients: a metasynthesis review[J]. Nurs Health Sci,2013,15(4):525-533.
[14] Kieldsen C L. Hansen M S. Jensen K. Kieldsen C L. Hansen M S. Jensen K. et al. Patientsi experience of thirst while being conscious and mechanically ventilated in the intensive care unit[J]. Nurs Crirt Care.2018.23(2):75-78.
[15] Guo Suyun, Ye Deqin. Effects of non-verbal communication and educational picture book on conscious patients under endotracheal intubation in ICU [J]. Nursing Research, 2014, 28 (36): 4567-4568.
[16] Wang Chunxia, Chen Jianxin, Zheng Ai Hua. Experiences of integrating humanistic care into nursing work [J]. China Contemporary Medicine, 2013,20 (30):156-157.
[17] Fumagalli S. Boncinelli L,Nostro AL, Fumagalli S. Boncinelli L,Nostro AL, et al. Reduced cadiocirculatory complications with unrestricted visiting policy in an intensive care unit: results from a pilot,randomized trial [J]. Circulation, 2006, 113(7): 946-952.
[18] Edvardsson D, Watt E, Pearce F. Patient experiences of caring and person-centredness are assciated with perceived nursing care quality[J]. J Adv Nurs, 2017,73(1):217-227.
[19] Wu Wei, Lu Chufeng, Liu Yilan, et al. Research Progress on the Humanistic Care Experience of Inpatients [J]. Nursing Journal, 2016,31(23):96-99.
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