Association of Comprehensive Nursing with Respiratory Outcomes in Patients Undergoing Tracheostomy After Traumatic Brain Injury

综合护理与创伤性脑损伤后气管切开术患者呼吸系统结局的关系

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Abstract

OBJECTIVE: To analyze the application of comprehensive nursing in patients undergoing tracheostomy after traumatic brain injury. METHODS: A retrospective analysis was conducted on 87 patients with traumatic brain injury who underwent tracheostomy in our hospital, divided into a control group (n=43), which received standard nursing care, and an intervention group (n=44), which received comprehensive nursing care. The intervention effects of the two groups were compared. RESULTS: The perioperative indicators in the intervention group were lower than those in the control group. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the intervention group decreased 2 weeks after surgery, while peripheral capillary oxygen saturation (SpO(2)) levels in the control group increased 2 weeks after surgery; the daily sputum volume in the intervention group was higher than that in the control group, and the suction frequency and duration were lower in the intervention group than in the control group; Glasgow Outcome Scale (GOS) score was higher and Neurological Deficit Scale (CSS) score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and Visual Analog Scale (VAS) score were lower in the intervention group than in the control group after intervention; the incidence of complications in the intervention group was lower than that in the control group (P<0.05). CONCLUSION: Comprehensive nursing for patients undergoing tracheostomy after traumatic brain injury can promote patient recovery.

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