The Effect of Implementing Evidence-Based Care Bundle on Traumatic Brain Injury Patients’ Physiological Parameter

Shimaa Awad, H. Ahmed, Nahed Kandeel
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Abstract

Background: Traumatic brain injury (TBI) is a prominent cause of death and disability globally, with long-term consequences. For the millions of TBI survivors, the implementation of new guidelines for neuroprotection and restoration may enhance TBI patient outcomes. Aim : This study aimed to assess the effect of care bundle implementation on TBI patients’ physiological parameters. Method : A quasi-experimental design was used to conduct this study in the emergency department of the Emergency Hospital at Mansoura University. A sample of 52 patients was randomly assigned to the bundle group (n = 26) or the control group (n = 26). The bundle group received the bundle and the control group received routine care. Data were collected using traumatic brain injury patients’ outcome tool. Results : The findings showed improvement in the bundle group patients’ physiological parameters, but not statistically significant, except for oxygen saturation ( P= 0.049). Conclusion: The application of the evidence-based care bundle can improve TBI patients’ physiological parameters. Recommendations: Nurses in emergency departments can integrate this bundle into TBI patient care. Moreover, assessment of the long-term impact of this bundle in intensive care units and rehabilitation centers is urged.
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实施循证护理包对创伤性脑损伤患者生理参数的影响
背景:外伤性脑损伤(TBI)是全球死亡和残疾的主要原因,具有长期后果。对于数以百万计的创伤性脑损伤幸存者来说,实施新的神经保护和恢复指南可能会提高创伤性脑损伤患者的预后。目的:本研究旨在评估护理包实施对脑外伤患者生理参数的影响。方法:采用准实验设计,在曼苏拉大学急救医院急诊科进行研究。52例患者被随机分为捆绑治疗组(n = 26)和对照组(n = 26)。捆绑组给予捆绑治疗,对照组给予常规护理。使用创伤性脑损伤患者预后工具收集数据。结果:捆绑组患者各项生理指标均有改善,除血氧饱和度外,无统计学意义(P= 0.049)。结论:循证护理包的应用可改善创伤性脑损伤患者的生理指标。建议:急诊科的护士可以将这个包整合到TBI患者的护理中。此外,迫切需要评估这一组合在重症监护病房和康复中心的长期影响。
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