Cao Fang
Intensive Care Unit, Henan Provincial People's Hospital, Zhengzhou, Henan Province, China.
Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan Province, China.
Sci Rep. 2025 Jul 1;15(1):21474. doi: 10.1038/s41598-025-04794-8.
To explore the impact of a holistic nursing model, integrating medical and nursing care, on intensive care unit (ICU) patients, focusing on nursing outcomes, serious adverse reactions, and overall effectiveness.This research comprised 287 ICU individuals who were admitted to our hospital between January 2018 and January 2023. Of these, 200 individuals were assigned to the research group (RG), while 200 individuals with comparable baseline characteristics were allocated to the control group (CG). The RG received holistic nursing with an integration of medical care approach (n = 100), whereas the CG obtained standard nursing (n = 100). The key outcomes measured included mortality within 28 days, ICU length of stay, hospital infection rate, incidence of adverse reactions, quality of life at 3 months post-discharge, rate of re-admission to the ICU, and the difference of collaboration scores involving the two groupings.Within 28 days, the RG showed significantly lower mortality than the CG (10.00% vs. 23.00%; χ²=6.133, P < 0.05) and shorter ICU stays (t = 4.026, P < 0.05). While nosocomial infection rates (11.00% vs. 18.00%; χ²=3.092) and adverse reaction incidence (20% vs. 30%; χ²=2.667) were lower in the RG, these differences were not statistically significant (both P > 0.05). At 3-month follow-up, the RG demonstrated significantly better SF-36 scores across all domains (t = 5.121-11.835, P < 0.05) and lower ICU readmission rates (5.00% vs. 15.00%; χ²=5.556, P < 0.05). Additionally, the RG scored higher on all measures of interprofessional collaboration, including information exchange, nurse-doctor relationships, and joint decision-making (t = 13.070-22.780, P < 0.05). The holistic nursing mode, centered around the integration of medical care, demonstrates significant benefits for ICU patients. It effectively reduces serious adverse reactions, enhances patient quality of life, and improves collaboration among medical staff. These positive outcomes suggest that this approach is highly valuable and warrants broader implementation.
为探讨整合医疗与护理的整体护理模式对重症监护病房（ICU）患者的影响，重点关注护理结局、严重不良反应和整体效果。本研究纳入了2018年1月至2023年1月期间我院收治的287例ICU患者。其中，200例患者被分配至研究组（RG），另外200例具有可比基线特征的患者被分配至对照组（CG）。研究组接受整合医疗护理方法的整体护理（n = 100），而对照组接受标准护理（n = 100）。所测量的关键结局包括28天内的死亡率、ICU住院时长、医院感染率、不良反应发生率、出院后3个月的生活质量、再次入住ICU的比率以及两组间协作评分的差异。在28天内，研究组的死亡率显著低于对照组（10.00% 对23.00%；χ² = 6.133，P < 0.05），且ICU住院时长更短（t = 4.026，P < 0.05）。虽然研究组的医院感染率（11.00% 对18.00%；χ² = 3.092）和不良反应发生率（20% 对30%；χ² = 2.667）较低，但这些差异无统计学意义（均P > 0.05）。在3个月随访时，研究组在所有领域的SF - 36评分均显著更好（t = 5.121 - 11.835，P < 0.05），且再次入住ICU的比率更低（5.00% 对15.00%；χ² = 5.556，P < 0.05）。此外，研究组在所有跨专业协作指标上得分更高，包括信息交流、医护关系和共同决策（t = 13.070 - 22.780，P < 0.05）。以整合医疗为核心的整体护理模式对ICU患者显示出显著益处。它有效减少严重不良反应，提高患者生活质量，并改善医护人员之间的协作。这些积极结果表明该方法具有很高价值，值得更广泛地实施。
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