基于峰终定律的人文关怀护理对ICU患者及家属满意度的影响研究

doi:10.3761/j.issn.2096-7446.2026.07.001

Abstract

Abstract:

Objective To observe the intervention effects of humanistic care nursing based on the peak-end rule on clinical outcomes，psychological status，and family satisfaction in ICU patients. Methods One hundred patients admitted to the ICU ward of a tertiary hospital in Beijing from July 2024 to July 2025 were selected and randomly divided into an experimental group（n=50） and a control group（n=50） using a random number table. The experimental group received humanistic care nursing based on the peak-end rule，while the control group received routine ICU care. Primary outcome measures included clinical outcomes（length of ICU stay，incidence of delirium） and patient satisfaction. Secondary outcome measures included patient psychological status and family experience. Results The average length of ICU stay in the experimental group was shorter than that in the control group[（9.12±1.89） days vs. （10.45±2.10） days，t=3.329，P=0.001]. The incidence of delirium in the experimental group was lower than that in the control group（14.00% vs. 34.00%，χ²=5.482，P=0.019）. The experimental group scored higher than the control group in the dimensions of understanding needs，communication and decision-making，respect and privacy protection，comfort care，caring and support，and transfer and follow-up（all P<0.001）. Scores for Hospital Anxiety and Depression Scale-Anxiety（HADS-A） and Hospital Anxiety and Depression Scale-Depression（HADS-D），and Impact of Event Scale-Revised（IES-R） in the experimental group were all lower than those in the control group（all P<0.05）. The Chinese version of the Critical Care Family Satisfaction Survey（C-CCFSS） score in the experimental group[（97.35±10.26） points] was higher than that in the control group[（84.31±11.54） points]，and this difference was statistically significant（t=5.971，P<0.001）. Conclusion Humanistic care nursing based on the peak-end rule can improve patient satisfaction and family experience，reduce the risk of psychological stress in patients，and enhance the quality of nursing care.

Key words: Peak-End Rule, Humanistic Care, Critical Care Nursing, Intensive Care Unit, Quality of Care

GUO Miao, YANG Yanjun, QIAO Li, YANG Tingting, ZHANG Ping. Study on the impact of humanistic care nursing based on the peak-end rule on satisfaction of ICU patients and their families[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 773-779.

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References 23

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Study on the impact of humanistic care nursing based on the peak-end rule on satisfaction of ICU patients and their families

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