Humanistic nursing and nursing ethics for critically ill patients
重症患者人文护理及护理伦理

摘要

目的 探讨人文护理伦理对 ICU 重症患者的价值。方法 通过回顾和分析我院 2020 年 4 月到 2021 年 7 月所接收的 ICU 重症住院患者共 100 例，按照入院的时间顺序进行分组护理，对照组，男性和女性患者的数 量分别为 27 例和 23 例，年龄范围为 26~47 岁，平均年龄为（35.53±5.78）岁；观察组，男性病患人数为 21 例， 女性病患人数为 29 例，年龄范围为 28~46 岁，平均年龄为（35.25±5.17）岁。对照组（50 例）住院患者采用常 规的护理方式，观察组（50 例）住院患者在对照组基础上使用人文护理的方式，比较两组住院患者的护理满意 程度。结果 观察组的护理满意度为 96%，对照组的护理满意度为 60%，观察组的护理满意度明显高于对照组，2 组相比，差异具有统计学意义（P<0.05）。观察组的依从性为 100%，对照组的依从性为 88%，观察组的依从性 明显高于对照组，2 组相比，差异具有统计学意义（P<0.05）。观察组的生活质量评分明显高于对照组，2 组相 比，差异具有统计学意义（P<0.05）。观察组焦虑情绪评分与抑郁情绪评分均低于对照组，2 组相比，差异具有 统计学意义（P<0.05）。结论 ICU 重症患者常常会因为对自己疾病的恐惧、对手术的担忧以及医疗费用负担等 种种因素而产生担忧、孤独、抑郁的情绪。人文护理以其全面优质的护理服务受到越来越多患者和家属的青睐、 认可，对于 ICU 重症患者来说，在常规护理的基础上应用人文护理，会提高患者的护理满意度，能够有效提高患 者治疗的依从性，在临床上具有极大的应用价值。

Abstract

Objective To explore the value of humanistic nursing ethics for critically ill patients in the ICU. Method A total of 100 ICU critically ill inpatients admitted to our hospital from April 2020 to July 2021 were reviewed and analyzed. Nursing was divided into groups according to the chronological order of admission. The control group consisted of 27 male and 23 female patients, with an age range of 26-47 years and an average age of (35.53 ± 5.78) years; In the observation group, there were 21 male patients and 29 female patients, with an age range of 28-46 years and an average age of (35.25 ± 5.17) years. The control group (50 cases) of hospitalized patients used conventional nursing methods, while the observation group (50 cases） of hospitalized patients used humanistic nursing methods on the basis of the control group. The nursing satisfactio n of the two groups of hospitalized patients was compared. Result The nursing satisfaction of the observation group was 96%, while the nursing satisfaction of the control group was 60%. The nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant (P<0.05). The compliance of the observation group was 100%, while the compliance of the control group was 88%. The compliance of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant (P<0.05). The quality of life score of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant (P<0.05). The anxiety and depression scores of the observation group were lower than those of the control group, and the difference between the two groups was statistically significant (P<0.05).
Conclusion   ICU critically ill patients often experience feelings of worry, loneliness, and depression due to various factors such as fear of their own diseases, concerns about surgery, and the burden of medical expenses. Humanistic nursing, with its comprehensive and high-quality nursing services, is increasingly favored and recognized by patients and their families. For ICU critically ill patients, applying humanistic nursing on the basis of routine nursing can improve their nursing satisfaction, effectively improve patient treatment compliance, and have great clinical application value.