The effect of early rehabilitation nursing for patients with craniocerebral trauma in the ICU
神经外科ICU颅脑外伤患者早期康复护理的效果

摘要

目的 将早期康复护理用于神经外科ICU颅脑外伤患者中，对其效果进行探究。方法 选取2024年1月~2025年1月本院神经外科ICU收治的80例颅脑外伤患者，随机进行分组，对照组40例实施常规护理，观察组40例实施早期康复护理，比较两组干预结果差异。结果 干预前，两组NIHSS、WMFT评分比较，无显著差异（P>0.05），干预后，观察组NIHSS评分更低、WMFT评分更高（P<0.05）；干预前，两组ADL、ABC、MMSE评分比较，无显著差异（P>0.05），干预后，观察组各评分更高（P<0.05）；两组并发症发生率比较，观察组2.50%更低（P<0.05）。结论 对神经外科ICU收治的颅脑损伤患者来说，实施早期康复护理既能减轻患者神经功能损伤程度，还可改善其运动、语言、认知等功能，提高日常生活活动能力，减少并发症发生，具有推广价值。

Abstract

Objective To apply early rehabilitation nursing to patients with craniocerebral trauma in the neurosurgery ICU and explore its effect.
Methods Eighty patients with craniocerebral trauma admitted to the neurosurgery ICU of our hospital from April 1, 2021 to January 1, 2021 were selected and randomly grouped. Forty cases in the control group received routine care, and 40 cases in the observation group received early rehabilitation care. The differences in intervention results between the two groups were compared.
Results Before the intervention, there was no significant difference in the NIHSS and WMFT scores between the two groups (P>0.05). After the intervention, the NIHSS score was lower and the WMFT score was higher in the observation group (P<0.05). Before the intervention, there was no significant difference in the scores of ADL, ABC and MMSE between the two groups (P>0.05). After the intervention, the scores of each group were higher in the observation group (P<0.05). The comparison of the incidence of complications between the two groups showed that 2.50% in the observation group was lower (P<0.05).
Conclusion   For patients with craniocerebral injury admitted to the neurosurgical ICU, the implementation of early rehabilitation nursing can not only reduce the degree of neurological function impairment of patients, but also improve their motor, language, cognitive and other functions, enhance the ability of activities of daily living, reduce the occurrence of complications, and has promotion value.