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| Effect of Seamless Integrated Emergency Nursing on the Coma Degree of Patients with Severe Craniocerebral Trauma |
| WEI Hailong, WANG Lei |
| Department of Emergency, Shangqiu First People's Hospital, Shangqiu Henan 476100 |
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Abstract 【Objective】 To investigate the effect of seamless integrated emergency nursing on coma in patients with severe craniocerebral trauma.【Methods】 A total of 96 patients with severe craniocerebral trauma were randomly divided into an observation group and a control group, with 48 cases in each group. The control group received routine emergency nursing, while the observation group received seamless integrated emergency nursing. Emergency outcomes, vital signs before and after intervention, coma degree [Glasgow Coma Scale (GCS) score], neurological function [National Institutes of Health Stroke Scale (NIHSS) score], and the incidence of complications were compared between the two groups.【Results】 After the intervention, the pre-hospital emergency response time, time from admission to surgical resuscitation, and operation time in the observation group were all shorter than those in the control group. The observation group had lower heart rate, systolic blood pressure, and diastolic blood pressure compared to the control group. The GCS score was higher and the NIHSS score was lower in the observation group than in the control group (P<0.05). The overall incidence of complications in the observation group was also lower than that in the control group (P<0.05).【Conclusion】 Seamless integrated emergency nursing can significantly shorten the emergency response and surgical resuscitation time for patients with severe craniocerebral trauma, reduce heart rate and blood pressure, improve GCS scores, lower NIHSS scores, and reduce the incidence of complications, thereby effectively improving patient prognosis.
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Received: 28 May 2025
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[1] 王晓丹,陈娅,徐莹萤,等. 危机理论指导下创伤急救护理在急诊颅脑外伤患者中的应用[J].国际护理学杂志,2023,42(17):3220-3223.
[2] 周婷, 戴霏雯, 郑瑾,等.不同急诊护理路径对重型颅脑损伤患者抢救效果及预后情况的比较[J].中西医结合护理(中英文),2021,7(9):33-36.
[3] 刘勤,黄桂先. 无缝衔接一体化急救护理对急诊脑卒中患者神经功能及运动功能的影响[J].中西医结合护理(中英文),2024,10(3):154-156.
[4] 焦保华,赵宗茂. 《第4版美国重型颅脑损伤诊疗指南》解读[J].河北医科大学学报,2018,39(2):125-128.
[5] 陆敏,张静. 急性脑损伤患者熵指数与格拉斯哥昏迷评分的相关性研究[J].中华危重病急救医学,2018,30(1):47-50.
[6] 刘芹,陈娟,刘成,等. NIHSS评分指引下的分层护理干预在抢救急性脑卒中患者中的应用[J].实用医院临床杂志,2020,17(5):231-233.
[7] 陈连,吴琼,马艳红. 基于临床实例分析的循环-改进护理流程在重型颅脑损伤患者急救中的应用[J].齐鲁护理杂志,2023,29(20):143-145.
[8] 文晓箭,魏建玲. 改进急救护理模式对重型颅脑损伤术后患者应激障碍程度及预后情况的影响[J].贵州医药,2021,45(9):1506-1507.
[9] 李慧,徐金强. 基于应急预案的无缝衔接一体化急救护理模式在急诊内科临床救治中的应用价值[J].临床医学研究与实践,2022,7(2):166-168.
[10] 董幸幸. 无缝衔接一体化急救护理模式在严重创伤患者中的应用[J].当代护士(中旬刊),2018,25(4):110-111.
[11] 张华,周玉,徐佳韵.“互联网+”急救护理模式对重型颅脑创伤患者救治效果的影响[J].齐鲁护理杂志,2024,30(2):39-41.
[12] 陈小丽,王英,肖艳. 危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能及生命体征的影响[J].中外医学研究,2024,22(7):83-87.
[13] 张新玲,陈俊华,李媛. 应急预案急救护理干预在重型颅脑损伤患者术后颅内感染中的预防作用[J].国际护理学杂志,2024,43(3):467-470.
[14] 李敏,张莉,陶红伟,等. 多科协助的急救护理结合创伤救治原则在颅脑损伤合并多发伤患者中的应用[J].齐鲁护理杂志,2021,27(5):90-92. |
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