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Clinical Effect of Intelligent Emergency Nursing Mode in Patients with Severe Traumatic Brain Injury

DOI: 10.4236/ojn.2022.124018, PP. 271-278

Keywords: Severe Traumatic Brain Injury, Intelligent Emergency Nursing Mode, Curative Effect, Randomized Controlled Trial

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Abstract:

Objective: Severe traumatic brain injury (sTBI) is one of the common acute and critical diseases in neurosurgery. So we aim to explore the clinical effectiveness of an intelligent emergency care model in patients with severe traumatic brain injury. Methods: Eighty patients with severe traumatic brain injury (sTBI) who were treated in Zhuji People’s Hospital of Zhejiang Province from January 2019 to December 2021 were selected as the study subjects. The patients were divided into an observation group and a control group with 40 patients in each group according to the random number table method. Patients in the control group received conventional first-aid nursing mode intervention, and the intelligent emergency nursing mode was used for the observation group based on the control group. Comparisons were conducted between the two groups on the time of arrival to the emergency room, the time from the emergency room to the operating room, Glasgow Coma Scale (GCS) score before surgery, GCS score when leaving the Intensive Care Unit (ICU), the average length of ICU stay, the average length of hospital stay, the total hospital costs. Results: The time of arrival to the emergency room, the time from the emergency room to the operating room, the average length of ICU stay, the average length of hospital stay, and the total hospital costs in the observation group were significantly lower than those in the control group, and the differences were statistically significant (All P < 0.05). At the same time, the GCS score before surgery and the GCS score when leaving the ICU of the observation group was better than the control group, and the difference was statistically significant (P < 0.05). Conclusion: Intelligent emergency nursing mode can shorten the time of sTBI rescue, the length of ICU stay, and the average length of hospital stay, reduce the total hospitalization cost, improve the prognosis, with good efficacy, reduce the total cost of hospitalization, and improve the prognosis with better efficacy.

References

[1]  Li, J. and Jiang, J.Y. (2012) Chinese Head Trauma Data Bank: Effect of Hyperthermia on the Outcome of Acute Head Trauma Patients. Journal of Neurotrauma, 29, 96-100.
https://doi.org/10.1089/neu.2011.1753
[2]  Carney, N., Totten, A.M., O’Reilly, C., et al. (2017) Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery, 80, 6-15.
https://doi.org/10.1227/NEU.0000000000001432
[3]  Jiang, J.Y., Gao, G.Y., Feng, J.F., et al. (2019) Traumatic Brain Injury in China. The Lancet Neurology, 18, 286-295.
https://doi.org/10.1016/S1474-4422(18)30469-1
[4]  Rosenfeld, J.V., Maas, A.I., Bragge, P., Morganti-Kossmann, C., Manley, G.T. and Gruen, R.L. (2012) Early Management of Severe Traumatic Brain Injury. The Lancet, 380, 1088-1098.
https://doi.org/10.1016/S0140-6736(12)60864-2
[5]  Mccrea, M.A., Giacino, J.T., Barber, J., et al. (2021) Functional Outcomes over the First Year after Moderate to Severe Traumatic Brain Injury in the Prospective, Longitudinal TRACK-TBI Study. JAMA Neurology, 78, 982-992.
https://doi.org/10.1001/jamaneurol.2021.2043
[6]  Mei, C.M., Hua, S.P. and Shao, S.L. (2021) Effect of Improved Emergency Nursing Interventions on Wake-Up Promotion, Complications and Prognosis of Traumatic Craniocerebral Injury Patients. General Practice Nursing, 19, 4410-4414.
[7]  Liu, J.Q. and Zhang, Y.H. (2021) Analysis of Clinical Effects of Emergency Care for Patients with Acute Severe Craniocerebral Injury. Heilongjiang Traditional Chinese Medicine, 50, 326-327.
https://doi.org/10.4103/wjtcm.wjtcm_22_21
[8]  Yang, H.Y. (2014) Study on the Effect of Clinical Quick Care Pathway in the Application of Heavy Craniocerebral Trauma Patients. International Journal of Nursing, 33, 337-339.
[9]  Wang, N., Wan, Y.D., Du, G.S., et al. (2020) Study on the Effect of Internet + Wisdom Emergency in the Preoperative Application of Craniotomy for Patients with Heavy Craniocerebral Trauma. Chinese Journal of Emergency Medicine, 29, 1554-1558.
[10]  Feng, F.J., Xu, L.B., Wen, G.f., et al. (2021) Impact of Intelligent Emergency Care on the Prognosis of Patients Treated Surgically for Craniocerebral Trauma. Chinese Modern Physician, 59, 5-8.
[11]  Bossers, S.M., Boer, C., Bloemers, F.W., et al. (2021) Epidemiology, Prehospital Characteristics and Outcomes of Severe Traumatic Brain Injury in the Netherlands: The BRAIN-PROTECT Study. Prehospital Emergency Care, 25, 644-655.
https://doi.org/10.1080/10903127.2020.1824049
[12]  Mauritz, W., Brazinova, A., Majdan, M., et al. (2014) Epidemiology of Traumatic Brain Injury in Austria. Wiener klinische Wochenschrift, 126, 42-52.
https://doi.org/10.1007/s00508-013-0456-6
[13]  Ding. L. (2019) Exploration of Pre-Hospital Emergency Countermeasures and Nursing Care Effects in Patients with Acute Heavy Craniocerebral Injury. Primary Medical Forum, 23, 3921-3923.
[14]  Liang, M.Y. and Luo, Y.Q. (2013) Evaluation of the Effect of Pre-Hospital Emergency Care for Patients with Acute Craniocerebral Injury. Everybody’s Health (Academic Edition), 7, 40-41.
[15]  Hu, J.H. and Gu, X.J. (2011) Evaluation of the Effect of Pre-Hospital Emergency Care for Patients with Acute Heavy Craniocerebral Injury. Chinese Journal of Practical Nursing, 36, 21-22.
[16]  Butler, M., Schultz, T.J., Halligan, P., et al. (2019) Hospital Nurse-Staffing Models and Patient- and Staff-Related Outcomes. Cochrane Database of Systematic Reviews, 4, CD007019.
https://doi.org/10.1002/14651858.CD007019.pub3
[17]  Cañadas-de la Fuente, G.A., Albendín-García, L.R., Cañadas, G., et al. (2018) Nurse Burnout in Critical Care Units and Emergency Departments: Intensity and Associated Factors. Emergencias, 30, 328-331.
[18]  Zhang, T., Li, X., Sun, G., Wang, J. and Chen, H. (2021) Establishment of Emergency-Nursing Pathway of Interventional Thrombectomy in Acute Ischemic Stroke. American of Journal Translational Research, 13, 11966-11973.
[19]  Huang, L.B., Liu, J., Hong, J.F., et al. (2021) Application of Intelligent First Aid System in Quality Control of Pre-Hospital First Aid Nursing. Fujian Journal of Medicine, 43, 177-178
[20]  Lu, M. and Zhang, J. (2018) Correlation between Entropy Index and Glasgow Coma Score in Patients with Acute Brain Injury. Chinese Journal of Critical Care Medicine, 30, 47-50
[21]  Wang, X.G., Gao, D., Li, T., et al. (2015) Correlation Analysis between Pre-Hospital Glasgow Coma Rating Scale and Prognosis of Patients with Craniocerebral Injury. Chinese Journal of Clinicians, 43, 36-39
[22]  Yu, F. and Zhang, L. (2019) Clinical Value of Glasgow Coma Pupil Response Score in Patients with Severe Craniocerebral Injury in ICU. Journal of Clinical and Pathology, 39, 104-109.

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