Analysis of application value of comprehensive intervention based on eCASH model combined with early four-level rehabilitation training in the rehabilitation of patients with severe brain trauma in ICU
Objective To explore the application value of comprehensive intervention based on the ECASH model combined with early-level rehabilitation training in the recovery of severe cerebral trauma patients in the intensive care unit(ICU).Methods 94 patients with severe brain trauma were divided into a conventional group and a combined group by coin tossing method,with 47 cases in each group.The conventional group received conventional nursing intervention,while the combined group received comprehensive intervention based on the eCASH model combined with early four-level rehabilitation training on the basis of the conventional group.The clinical indicators,complications,neurological function,state of consciousness and quality of life before and after the intervention were compared between the two groups.Results In the combined group,the mechanical ventilation time was(7.24±1.31)d,the extubation time was(8.07±1.48)d,the length of ICU stay was(10.39±1.98)d,and the hospitalization time was(13.36±2.03)d,which were shorter than(9.86±1.80),(10.18±1.96),(13.38±2.05),and(16.52±2.67)d in the conventional group(P<0.05).After the intervention,the scores of consciousness level,facial paralysis and sensation,gaze and visual field,upper and lower limb activities,language and dysarthria of both groups were significantly reduced compared with those before the intervention in this group;in the combined group,the score of consciousness level was(1.54±0.37)points,the score of facial paralysis and sensation was(1.36±0.32)points,the score of gaze and visual field was(0.92±0.24)points,the score of upper and lower limb activities was(3.12±0.80)points,and the score of language and dysarthria was(0.95±0.26)points,which were lower than(2.38±0.61),(2.07±0.57),(1.68±0.45),(6.54±1.28),and(1.72±0.47)points in the conventional group(P<0.05).After the intervention,the scores of eye opening,language response and body movement in both groups were significantly improved compared with those before the intervention;in the combined group,the eye opening score was(3.54±0.46)points,the language response score was(4.37±0.60)points and the limb movement score was(5.13±0.81)points,which were higher than(3.03±0.42),(3.86±0.57)and(4.38±0.69)points in the conventional group(P<0.05).After the intervention,the motor and cognitive scores in both groups were significantly improved compared with those before intervention;the combined group had motor score of(67.52±8.36)points and cognitive score of(28.59±5.66)points,which were higher than(60.63±7.59)and(23.65±4.92)points in the conventional group(P<0.05).Compared with 19.15%in the conventional group,the incidence of complications in the combined group was lower at 4.26%(P<0.05).Conclusion The application of comprehensive intervention based on the eCASH model combined with early four-level rehabilitation training in the rehabilitation of patients with severe brain trauma in ICU can significantly improve the patient's clinical indicators,neurological function,state of consciousness,quality of life,and reduce the incidence of complications.
eCASH modelFour-level rehabilitation trainingSevere brain traumaNeurological function
万方数据
维普
