Refined Nursing in Rehabilitation Training
- Conditions
- Brain Injuries
- Interventions
- Behavioral: Rehabilitation trainingBehavioral: Establishment of a hierarchical monitoring and management teamBehavioral: Assessment of pressure injuryBehavioral: introduction of the current patient's condition to family membersBehavioral: CommunicationBehavioral: maintaining appropriate temperature and humidity in the wardBehavioral: careful observation of vital signs in patientsBehavioral: Intervention for pressure ulcer
- Registration Number
- NCT06329934
- Lead Sponsor
- Xinxiang Central Hospital
- Brief Summary
This study is to explore the clinical effect of refined nursing in rehabilitation training for patients with brain injury during the recovery period. Patients in the control group were provided with routine nursing intervention, while patients in the study group adopted a nursing mode based on the concept of refinement treatment. Comparison was made in terms of the Glasgow Coma Scale (GCS) score, cognitive function score, functional independence score, nursing satisfaction, and incidence of complications.
- Detailed Description
This study is to explore the clinical effect of refined nursing in rehabilitation training for patients with brain injury during the recovery period. The subjects of the study were 96 patients with severe traumatic brain injury (TBI). According to the order of visits, there were 48 patients in the study group and the control group, respectively.Patients in the control group were provided with routine nursing intervention, while patients in the study group adopted a nursing mode based on the concept of refinement treatment. Comparison was made in terms of the Glasgow Coma Scale (GCS) score, cognitive function score, functional independence score, nursing satisfaction, and incidence of complications.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 96
- patients diagnosed with severe TBI through imaging examinations such as head CT and magnetic resonance imaging
- patients with surgical indications
- patients with Glasgow Coma Scale (GCS) ≤8 points
- patients with complete clinical data
- patients with written informed consent provided by family members
- patients with organic lesions of major organs such as liver and kidney
- patients with contraindications for surgery
- patients with primary diseases such as cerebral hemorrhage and cerebral infarction
- patients with combined or multiple injuries
- patients with respiratory failure
- patients whose family members had cognitive impairment or abnormal mental behaviors
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description the intervention group Assessment of pressure injury Establishment of a hierarchical monitoring and management team, Assessment of pressure injury, Communication, Intervention for pressure ulcer, Rehabilitation training the control group introduction of the current patient's condition to family members timely introduction of the current patient's condition to family members to alleviate their concerns, maintaining appropriate temperature (20 ℃\~22 ℃) and humidity (60.0%\~70.0%) in the ward, careful observation of vital signs such as heart rate, blood oxygen saturation, and blood pressure in patients, rehabilitation training the intervention group Communication Establishment of a hierarchical monitoring and management team, Assessment of pressure injury, Communication, Intervention for pressure ulcer, Rehabilitation training the control group Rehabilitation training timely introduction of the current patient's condition to family members to alleviate their concerns, maintaining appropriate temperature (20 ℃\~22 ℃) and humidity (60.0%\~70.0%) in the ward, careful observation of vital signs such as heart rate, blood oxygen saturation, and blood pressure in patients, rehabilitation training the control group maintaining appropriate temperature and humidity in the ward timely introduction of the current patient's condition to family members to alleviate their concerns, maintaining appropriate temperature (20 ℃\~22 ℃) and humidity (60.0%\~70.0%) in the ward, careful observation of vital signs such as heart rate, blood oxygen saturation, and blood pressure in patients, rehabilitation training the control group careful observation of vital signs in patients timely introduction of the current patient's condition to family members to alleviate their concerns, maintaining appropriate temperature (20 ℃\~22 ℃) and humidity (60.0%\~70.0%) in the ward, careful observation of vital signs such as heart rate, blood oxygen saturation, and blood pressure in patients, rehabilitation training the intervention group Establishment of a hierarchical monitoring and management team Establishment of a hierarchical monitoring and management team, Assessment of pressure injury, Communication, Intervention for pressure ulcer, Rehabilitation training the intervention group Intervention for pressure ulcer Establishment of a hierarchical monitoring and management team, Assessment of pressure injury, Communication, Intervention for pressure ulcer, Rehabilitation training the intervention group Rehabilitation training Establishment of a hierarchical monitoring and management team, Assessment of pressure injury, Communication, Intervention for pressure ulcer, Rehabilitation training
- Primary Outcome Measures
Name Time Method incidence of adverse reactions 2 months after rehabilitation treatment Incidence (%)=Number of patients with complications/48×100%
GCS scores 2 months after rehabilitation treatment The highest GCS score was 15 points, indicating clear consciousness; while patients with 13-15, 9-12, and ≤8 points were classified as mild, moderate consciousness disorder, and coma, respectively. Patients with lower scores might indicate more serious consciousness disorder
functional independence scores 2 months after rehabilitation treatment Functional Independence Measure (FIM), utilizing a 7-point ordinal scale, was employed to assess the functional independence of two groups of patients before and 2 months after rehabilitation treatment. FIM measures independent performance in self-care, sphincter control, mobility, locomotion, communication, social cognition, etc. The minimum score is 18 points, and the maximum score is 126 points (91 points for motor function and 35 points for cognitive function)
Newcastle Satisfaction with Nursing Scale (NSNS) 2 months after rehabilitation treatment The Newcastle Satisfaction with Nursing Scale (NSNS) was used to survey patient's nursing satisfaction. This scale measures patient's satisfaction with nursing care from 19 items, including nurse work ability, communication attitude, psychological counseling, nursing support, safety management, etc. It uses a 1-5 point scoring system, with a maximum possible score of 19-95 points. A score of ≥77, 58\~76, 39\~57 and ≤38 points indicated very satisfied, satisfied, somewhat satisfied, and dissatisfied, respectively. Satisfaction rate= (Cases of very satisfied + satisfied + somewhat satisfied)÷total cases
cognitive function scores 2 months after rehabilitation treatment Cognitive function was evaluated using the Chinese version of the Neurobehavioral Cognitive Status Exam (NCSE) to assess the cognitive function of patients before and 2 months after rehabilitation treatment. This scale includes 10 items, i.e., spatial orientation (12 points), concentration (8 points), understandability (6 points), retelling (12 points), naming (8 points), spatial construction (6 points), memory (12 points), computing (4 points), similarity (8 points), and judgment (6 points)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Effect of Refined Nursing in Rehabilitation Training for Patients with Brain Injury During the Recovery Period: An Observational Study
🇨🇳Xinxiang, Henan, China