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Journal Article
Cohort study on Medical-Integrated holistic nursing’s impact on intensive care unit patients’ outcomes, complications, and comprehensive health care
2025
Overview
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.
Publisher
Nature Publishing Group UK,Nature Portfolio
Subject
