The effect of centralized nursing on the stability of vital signs and prognosis improvement in traumatic brain injury patients
集中护理对脑外伤患者生命体征稳定性及预后改善的效果

摘要

目的 探究集中护理模式在脑外伤（TBI）患者中的应用效果，及其对生命体征稳定性及神经功能、运动功能预后的影响。方法 收集本院就诊且符合筛选标准的64例TBI患者，随机分为观察组（实施集中护理，n=32）和对照组（实施常规护理，n=32）。对比2组干预后基础生命体征指标、以及神经功能缺损评分（NIHSS）、Fugl-Meyer运动功能评分（FMA）、Barthel指数的变化，并发症发生率差异。结果 干预7d后，观察组体温、脉搏和平均动脉压明显优于对照组（P＜0.05）。出院时，观察组神经功能缺损、FMA下肢评分和Barthel指数均显著优于对照组（P＜0.05）。观察组总并发症发生率（6.25%）明显低于对照组（25.00%）（P＜0.05），风险显著降低。结论 集中护理能有效稳定TBI患者生命体征，降低并发症，并显著促进神经和运动功能恢复。

Abstract

Objective To explore the application effect of centralized nursing mode in patients with traumatic brain injury (TBI), and its impact on the stability of vital signs and the prognosis of neurological and motor function.
Methods 64 TBI patients who met the screening criteria and visited our hospital were randomly divided into an observation group (receiving centralized nursing, n=32) and a control group (receiving routine nursing, n=32). Compare the changes in basic vital signs, neurological deficit score (NIHSS), Fugl Meyer motor function score (FMA), Barthel index, and incidence of complications between two groups after intervention.
Results After 7 days of intervention, the temperature, pulse, and mean arterial pressure of the observation group were significantly better than those of the control group (P<0.05). At discharge, the observation group showed significantly better neurological deficits, FMA lower limb scores, and Barthel index than the control group (P<0.05). The total incidence of complications in the observation group (6.25%) was significantly lower than that in the control group (25.00%) (P<0.05), indicating a significant reduction in risk.
Conclusion   Centralized nursing can effectively stabilize the vital signs of TBI patients, reduce complications, and significantly promote the recovery of neurological and motor functions.