Bay Esther, Strong Carrie
Department of Physical Medicine & Rehabilitation, University of Michigan, Ann Arbor, Michigan 48109, USA.
Adv Emerg Nurs J. 2011 Apr-Jun;33(2):181-92. doi: 10.1097/TME.0b013e318217c958.
Research indicates that the assessment and discharge teaching practices for persons with traumatic brain injury are more focused on ruling out severe brain injury and informing the person about "red flags" warranting a return visit to the medical provider. Our primary purpose was to determine the extent to which discharge practices were aligned with the Centers for Disease Control and Prevention guidelines contained within the Acute Concussion Evaluation care plan. Responses from 87 nurses (25.0% response rate) to a tailored survey were analyzed to determine emergency department nurses' discharge teaching practices for adults who experienced a mild traumatic brain injury (MTBI). Results indicated that nurses in general were focused on injury-specific information and less often provided information about MTBI, symptom management, or strategies for preventing future brain damage. System improvements are justified to provide injured persons with a clearly defined diagnosis and instructions for follow-up and symptom management.
研究表明，针对创伤性脑损伤患者的评估和出院指导做法更侧重于排除严重脑损伤，并告知患者需要返回医疗机构复诊的“警示信号”。我们的主要目的是确定出院指导做法与急性脑震荡评估护理计划中包含的疾病控制与预防中心指南的符合程度。对87名护士（回复率为25.0%）针对一份量身定制的调查问卷的回复进行了分析，以确定急诊科护士对轻度创伤性脑损伤（MTBI）成年患者的出院指导做法。结果表明，护士总体上关注的是损伤特异性信息，而较少提供有关MTBI、症状管理或预防未来脑损伤策略的信息。有理由进行系统改进，以便为受伤患者提供明确的诊断以及后续跟进和症状管理的指导。
