ABSTRACT
OBJECTIVE: The goal of the present study was to test the effects of the nursing mode under the seamless connection between operating room and ward on severe traumatic brain injury (STBI) patients in coma period. METHODS: Totally, 120 STBI inpatients in coma admitted to our hospital from June 2018 to June 2019 were recruited and equally randomized into a study group and a control group. The control group underwent routine neurosurgery nursing, while the study group received nursing with seamless connection between the operating room and the ward. Clinical effects of the two groups were compared. RESULTS: No significant differences were shown in terms of gender ratio, age, body mass index (BMI), systolic blood pressure, diastolic blood pressure, clinical manifestations and residence between the two groups of patients (P > 0.05); the Glasgow Coma Scale (GCS) scores of the two groups of patients after nursing were significantly higher than those before nursing (P < 0.001), and the GCS score of patients in the study group after nursing was found to be higher than that in the control group (P < 0.001); no discernable difference in Barthel index between the two groups of patients after one week of nursing was observed (P > 0.05), and the Barthel index of the patients in the study group after 1 month and 2 months of nursing was significantly higher than that of the control group (P < 0.001); neuron-specific enolase (NSE) and myelin basic protein (MBP) in the study group after nursing were significantly lower than those in the control group (P < 0.001); the total clinical effective rate of the study group was found to be significantly higher than that of the control group (P < 0.05); for the recovery time, the study group performed better than the control group (P < 0.001). CONCLUSION: The nursing with seamless connection between operating room and ward has the potential to improve the degree of coma in STBI patients and their activities of daily living.
