The impact of comprehensive nursing intervention on self-management ability and quality of life of ICU blood purification patients
全方位护理干预对ICU血液净化患者自我管理能力及生活质量的影响

摘要

目的 分析在ICU血液净化患者的临床护理方案中应用全方位护理干预的医学意义。方法 将2022年10月-2023年10月内于银川市第一人民医院就诊且入住ICU的血液净化患者60例分30例对照组常规护理，30例观察组全方位护理干预。以ESCA自护能力评分、SF-36生活质量评分等对比护理影响效力，以护理满意评分对比两组患者对护理的认可度。结果 护理前，护理指标对比无统计学意义（P﹥0.05）。而护理后，观察组ESCA自护能力评分更高，SF-36生活质量评分更高，对比有统计学意义（P﹤0.05）。同时护理后，观察组的护理满意评分高于对照组，差异对比对比有统计学意义（P﹤0.05）。结论 全方位护理干预对ICU血液净化患者，有积极的影响效力，可促进自护意识和自护技能的提高，改善患者的生活质量，让患者受益，患者有较好的护理体验，认可护理服务。

Abstract

Objective To analyze the medical significance of applying comprehensive nursing intervention in the clinical nursing plan for patients undergoing blood purification in the ICU.
Methods Sixty patients who received blood purification treatment and were admitted to the ICU of the First People's Hospital of Yinchuan from October 2022 to October 2023 were divided into a control group of 30 cases receiving routine care and an observation group of 30 cases receiving comprehensive nursing intervention. The effectiveness of the nursing was compared using the ESCA self-care ability score, SF-36 quality of life score, etc., and the satisfaction score of the nursing was used to compare the recognition of the nursing by the two groups of patients.
Results Before the nursing, there was no statistically significant difference in the nursing indicators (P > 0.05). However, after the nursing, the ESCA self-care ability score and SF-36 quality of life score of the observation group were higher, and the difference was statistically significant (P < 0.05). After the nursing, the nursing satisfaction score of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05).
Conclusion   Comprehensive nursing intervention has a positive impact on patients undergoing blood purification in the ICU, promoting the improvement of self-care awareness and skills, improving the quality of life of patients, benefiting patients, and providing a better nursing experience and recognition of the nursing service.