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| Effect of systemic nursing intervention on the activities of daily living during postoperative rehabilitation in patients with acute severe craniocerebral trauma |
| ZHANG Xiaojia1 SHANG Helan2 WANG Ligang3 |
1.Department of Outpatient Central Operating Room, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China; 2.Department of Vascular Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China;
3.Department of Neurosurgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore and analyze the effect of systemic nursing intervention on the activities of daily living during postoperative rehabilitation in patients with acute severe craniocerebral trauma. Methods Ninety cases of patients with acute severe craniocerebral trauma admitted to the First Affiliated Hospital of Harbin Medical University from January 2015 to January 2017 were selected and divided into routine nursing group and systemic nursing group by random number table, with 45 cases in each group. The nursing satisfaction of relatives of the patients, the scores of national institute of health stroke scale (NIHSS), activity of daily living (Barthel index), the scores of clinical neurological function of craniocerebral trauma and the incidence of complications between the two groups were compared. Results The nursing satisfaction rate of relatives of the patients in the systemic nursing group (93.33%) was higher than that of routine nursing group (77.78%), with statistically significant difference (P ＜ 0.05). After nursing intervention, the scores of NIHSS and clinical neurological function of craniocerebral trauma in the two groups were all lower than those before nursing intervention, the Barthel index was higher than that before nursing intervention, the differences were all statistically significant (all P ＜ 0.05), the indexes above in the systemic nursing group were improved more significantly compared with those of routine nursing group, the differences were all statistically significant (all P ＜ 0.05). The incidence of complications in the systemic nursing group (6.67%) was lower than that of routine nursing group (17.78%), with statistically significant difference (P ＜ 0.05). Conclusion The systemic nursing intervention can increase the nursing satisfaction of relatives of patients with acute severe craniocerebral trauma, improve the neurologic impairment, promote the activity of daily living, reduce the incidence of complications.
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