Analysis of the effect of personalized nursing supported by evidence for patients with bedside blood purification in the intensive care unit
重症监护病房床边血液净化患者实施循证支持下个性化护理的效果分析

摘要

目的 评估基于循证支持的个性化护理对重症监护病房床旁血液净化患者生活质量及负性情绪和疼痛程度的影响。方法 选择2024年1月-2025年1月在我院ICU接受床旁血液净化的88例急危重症患者为研究对象，基于随机双盲原则分为对照组和研究组，各44例。予对照组常规护理，研究组采用基于循证支持的个性化护理方案，对两组患者的生活质量、负性情绪和疼痛程度进行比较。结果 两组干预前各项生活质量评分均未观察到显著性差异（P>0.05），干预后均提升且研究组提升幅度大于对照组（P<0.05）；干预后，研究组患者HAMA、HAMD评分较前均明显下降且低于同期对照组（P<0.05）。结论 对重症监护病房床旁血液净化患者实施循证支持的个性化护理，能有效改善患者生活质量，缓解其焦虑、抑郁情绪，临床效果显著，值得推广应用。

Abstract

Objective To evaluate the impact of evidence-based personalized care on the quality of life, negative emotions and pain levels of patients undergoing bedside blood purification in the intensive care unit.
Methods A total of 88 critically ill patients who received bedside blood purification in the ICU of our hospital from January 2024 to January 2025 were selected as the research subjects. Based on the principle of random double-blind, they were divided into the control group and the study group, with 44 cases in each group. The control group was given routine care, while the study group adopted an individualized care plan based on evidence-based support. The quality of life, negative emotions and pain degree of the two groups of patients were compared.
Results No significant differences were observed in the quality of life scores of both groups before the intervention (P>0.05), but they all improved after the intervention, and the improvement in the study group was greater than that in the control group (P<0.05). After the intervention, the HAMA and HAMD scores of the patients in the study group decreased significantly compared with those before and were lower than those of the control group in the same period (P<0.05).
Conclusion   Implementing evidence-based personalized care for patients with bedside blood purification in the intensive care unit can effectively improve the quality of life of patients, alleviate their anxiety and depression, and has significant clinical effects, which is worthy of promotion and application.