Enhancing traumatic brain injury emergency care: the impact of grading and zoning nursing management.

IF 1.5 4区医学 Q4 NEUROSCIENCES Brain injury Pub Date : 2024-10-14 Epub Date: 2024-06-06 DOI:10.1080/02699052.2024.2361631

Yan-Qian Ge, Si-Yuan Ma, Hui Yu, Xing Lu, Li Ding, Jia-Yan Zhang

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Abstract

Objective: This research aimed to evaluate the impact of grading and zoning nursing management on traumatic brain injury (TBI) patients' emergency treatment outcomes.

Methods: This randomized controlled trial included 200 TBI patients. They were treated with a conventional care (control group, n = 100) and a novel grading and zoning approach (study group, n = 100), respectively. This innovative model organized care into levels based on urgency and complexity, facilitating targeted medical response and resource allocation. Key metrics compared included demographic profiles, consultation efficiency (time metrics and emergency treatment rates), physiological parameters (HR, RR, MAP, SpO₂, RBS), and patient outcomes (hospital and ICU stays, complication rates, and emergency outcomes).

Results: The study group demonstrated significantly improved consultation efficiency, with reduced times for physician visits, examinations, emergency stays, and specialist referrals (all p < 0.001), alongside a higher emergency treatment rate (93% vs. 79%, p = 0.004), notably better physiological stability, improved HR, RR, MAP, SpO₂ and RBS (p < 0.001), shorter hospital and ICU stays, fewer complications, and superior emergency outcomes.

Conclusion: Grading and zoning nursing management substantially enhances TBI patients' emergency care efficiency and clinical outcomes, suggesting a viable model for improving emergency treatment protocols.

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加强脑外伤急救护理：分级和分区护理管理的影响。

研究目的本研究旨在评估分级和分区护理管理对创伤性脑损伤（TBI）患者急救结果的影响：这项随机对照试验包括 200 名创伤性脑损伤患者。他们分别接受了传统护理（对照组，n = 100）和新颖的分级分区护理（研究组，n = 100）。这种创新模式根据紧急程度和复杂程度将治疗划分为不同等级，便于有针对性地采取医疗应对措施和分配资源。比较的主要指标包括人口统计学特征、会诊效率（时间指标和急诊治疗率）、生理参数（心率、脉率、血压、血氧饱和度、血氧饱和度和血氧饱和度）和患者预后（住院和重症监护室停留时间、并发症发生率和急诊预后）：研究组的就诊效率明显提高，就诊时间、检查时间、急诊住院时间和专家转诊时间均有所缩短（所有 p p = 0.004），生理稳定性明显提高，HR、RR、MAP、SpO2 和 RBS 均有所改善（p 结论：分级和分区护理管理大大提高了患者的就诊效率，缩短了就诊时间、检查时间、急诊住院时间和专家转诊时间（所有 p p = 0.004）：分级和分区护理管理大大提高了创伤性脑损伤患者的急救效率和临床效果，为改进急救治疗方案提供了一种可行的模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.