Application effect for a care bundle in optimizing nursing of patients with severe craniocerebral injury

doi:10.12998/wjcc.v9.i36.11265

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World Journal of Clinical Cases

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2307-8960

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World J Clin Cases. Dec 26, 2021; 9(36): 11265-11275
Published online Dec 26, 2021. doi: 10.12998/wjcc.v9.i36.11265

Application effect for a care bundle in optimizing nursing of patients with severe craniocerebral injury

Ying Gao, Li-Ping Liao, Peng Chen, Ke Wang, Cui Huang, Ying Chen, Shao-Yu Mou

Ying Gao, Li-Ping Liao, Peng Chen, Ke Wang, Cui Huang, Ying Chen, Department of Neurosurgery, Chongqing Emergency Medical Center, Chongqing 400014, China

Shao-Yu Mou, School of Nursing, Chongqing Medical University, Chongqing 400016, China

Author contributions: Gao Y and Mou SY were responsible for conceptualization and methodology; Gao Y collected the data and wrote the original draft; Liao LP, Chen P, Wang K and Huang C were responsible for visualization and software and edited the manuscript; Chen Y and Mou SY were responsible for validation and supervision; all authors approved the final submission.

Institutional review board statement: This study was approved by the Ethics Committee of Chongqing Emergency Medical Center.

Informed consent statement: The data were not involved in the patients’ privacy information, so the informed consent was waived by the Ethics Committee of Chongqing Emergency Medical Center.

Conflict-of-interest statement: All authors have no conflict of interest related to this manuscript.

Data sharing statement: No additional data are available.

Corresponding author: Shao-Yu Mou, BMed, Professor, School of Nursing, Chongqing Medical University, No. 1 Medical College Road, Yuzhong District, Chongqing 400016, China. m13594360198@163.com

Received: August 26, 2021
Peer-review started: August 26, 2021
First decision: September 29, 2021
Revised: October 17, 2021
Accepted: November 14, 2021
Article in press: November 14, 2021
Published online: December 26, 2021
Processing time: 119 Days and 3.4 Hours

ARTICLE HIGHLIGHTS

Research background

Due to the problems of improper cooperation and delayed communication in routine nursing, patients with severe craniocerebral injury (STBI) often cause sequelae such as cognitive impairment, stiffness, spasm, pain and behavioral abnormalities in the early rehabilitation stage.

Research motivation

Bundle of care is a series of intervention strategies to optimize high-risk links, reduce risks and integrate and optimize effective nursing measures according to the actual situation of patients. In this study, bundle of care was applied to early rehabilitation nursing of STBI patients.

Research objectives

This study aims to explore the clinical effect and problems in the application of bundle of care in optimizing the first aid process and early rehabilitation nursing of patients with STBI.

Research methods

The control group was treated with routine nursing. The study group adopted bundle of care. Evaluation indicators included National Institutes of Health Stroke Scale/Score, Glasgow Coma Scale score, Barthel Index, complication rate, muscle strength grade and satisfaction.

Research results

In terms of first aid, it can effectively improve the rescue effect and neurological function of patients with STBI and shorten the treatment time. In early rehabilitation, it can effectively improve the awareness of patients with STBI, improve their daily life activities, reduce the occurrence of complications, accelerate the recovery of muscle strength and improve the satisfaction of patients.

Research conclusions

Bundle care can optimize the nursing process. It is worth popularizing in the nursing of patients with STBI.

Research perspectives

In the follow-up study, we should increase the samples and follow-up indicators to further explore the impact of high-quality nursing on the long-term efficacy of patients, so as to provide a more reliable basis for clinical practice.