Application Effect of Time Target Management combined with Trauma Emergency Nursing in Patients with severe craniocerebral Trauma
Objective To analyze the clinical effects of time target management combined with trauma emergency nursing in patients with severe craniocerebral trauma,in order to provide reference for future clinical nursing plans.Methods A retrospective analysis was conducted on 102 severe craniocerebral trauma patients admitted to Luohe Central Hospital from January 2021 to January 2023.According to different nursing measures,they were divided into control group and observation group,with 51 cases in each group.The control group received routine management combined with trauma emergency nursing,while the observation group received time target management combined with trauma emergency nursing.The emergency outcomes of the two groups of patients were recorded(pre hospital death,in-hospital death,and survival status),rescue efficiency(recording the time from admission to CT examination,total rescue time),rescue costs(nursing expenses during rescue),neurological function indicators[evaluated using the Glasgow Coma Scale(GCS)],daily activity ability(evaluated using the Barthel Index),and complications(including limb dysfunction,swallowing dysfunction,pulmonary infection,electrolyte disorders,and fever)were compared between groups.Results The survival rate of patients in the observation group(96.08%)was significantly higher than that in the control group(86.27%),and the difference was statistically significant(P＜0.05);The pre hospital mortality rate(1.96%)and in hospital mortality rate(1.96%)in the observation group were lower than those in the control group(7.84%)and in hospital mortality rate(5.88%),but the difference was not statistically significant(P＞0.05).The time from admission to CT examination and the total rescue time of the observation group patients were shorter than those of the control group,and the rescue cost was lower than that of the control group,with statistical significance(P＜0.05).After intervention,both groups of neurological function indicators improved,and the observation group had higher neurological function indicators than those in the control group,with a statistically significant difference(P＜0.05).After intervention,both groups showed an improvement in daily activity ability,and the observation group had higher daily activity ability scores than those in the control group,with a statistically significant difference(P＜0.05).The risk of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The combination of time target management mode and trauma emergency nursing can improve the survival rate of severe craniocerebral trauma,reduce the rescue cost,rescue time,and time from admission to CT examination,promote the recovery of neurological function in patients,and to some extent,reduce the complications during hospitalization.
severe craniocerebral traumatrauma emergency nursingtime goal managementrescue efficiency
万方数据
维普
