Department of Critical Care Medicine, Qinghe County Central Hospital, Xingtai, Hebei Province, China.
Department of Orthopedic, Qinghe County Central Hospital, Xingtai, Hebei Province, China.
Medicine (Baltimore). 2024 Oct 11;103(41):e39896. doi: 10.1097/MD.0000000000039896.
The objective of this study was to observe the effect of nursing care based on goal-oriented mind-mapping on the prognosis of patients with severe brain injury. Clinical data of 116 patients with severe brain injury admitted to Qinghe County Central Hospital between March 2021 and August 2023 were retrospectively analyzed. Based on the nursing mode the patients received, they were divided into an Observation group (n = 58, patients received nursing based on the goal-oriented mind mapping mode) and a Control group (n = 58, patients received routine care). Data on length of hospital stay, complications, functional recovery, cerebral oxygen metabolism, and quality of life scores of the 2 groups were collected and analyzed. The length of hospital stay of the Observation group was shorter than that of the Control group (P < .05). The total incidence of complications in the Observation group was lower than that in the Control group (P < .05). After intervention, neurological function, cerebral oxygen metabolism indicators, and quality of life of the 2 groups improved significantly compared with those before the intervention; furthermore, the neurological function and cerebral oxygen metabolism indexes of the Observation group were better than those of the Control group (P < .05). The nursing care based on goal-oriented mind-mapping model for patients with severe brain injury can effectively shorten the length of hospital stay, reduce the occurrence of prognostic complications, and improve the recovery of neurological and limb motor functions, and ultimately achieve the goal of improving the quality of life.
本研究旨在观察基于目标导向思维导图的护理对重症脑损伤患者预后的影响。回顾性分析 2021 年 3 月至 2023 年 8 月清河县中心医院收治的 116 例重症脑损伤患者的临床资料。根据患者接受的护理模式，将其分为观察组（n=58，患者接受基于目标导向思维导图的护理模式）和对照组（n=58，患者接受常规护理）。收集并分析两组患者的住院时间、并发症、功能恢复、脑氧代谢和生活质量评分。观察组的住院时间短于对照组（P<.05）。观察组的并发症总发生率低于对照组（P<.05）。干预后，两组的神经功能、脑氧代谢指标和生活质量均较干预前显著改善，且观察组的神经功能和脑氧代谢指标优于对照组（P<.05）。基于目标导向思维导图的护理模式可有效缩短重症脑损伤患者的住院时间，降低预后并发症的发生，促进神经和肢体运动功能的恢复，最终达到提高生活质量的目的。
