Volume 23 Issue 8
Aug.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(8): 1430-1434
XU Xueqin, XU Yanrong, YANG Yongjie. Application of professional hierarchical nursing scheme in patients with severe craniocerebral trauma before operation[J]. Chinese Journal of General Practice, 2025, 23(8): 1430-1434. doi: 10.16766/j.cnki.issn.1674-4152.004149
Citation: XU Xueqin, XU Yanrong, YANG Yongjie. Application of professional hierarchical nursing scheme in patients with severe craniocerebral trauma before operation[J]. Chinese Journal of General Practice, 2025, 23(8): 1430-1434. doi: 10.16766/j.cnki.issn.1674-4152.004149
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Application of professional hierarchical nursing scheme in patients with severe craniocerebral trauma before operation

doi: 10.16766/j.cnki.issn.1674-4152.004149

  • Department of Emergency Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi 030032, China

Funds:

 202203021221241

  • Received Date: 2024-12-20
    Available Online: 2025-10-31
    Abstract
  •   Objective  To explore the effect of a professional hierarchical nursing program in the preoperative application of severe traumatic brain injury (sTBI) patients in terms of first-aid effect, first-aid time, nursing quality, and complication rate.  Methods  From January 2023 to December 2024, 82 patients with severe traumatic brain injury (sTBI) were selected from Shanxi Bethune Hospital. Using a random number table method, participants were allocated to either the observation group (n=41) or the control group (n=41). The control group underwent standard nursing protocols, whereas the observation group received a professional hierarchical nursing approach. The first aid effect, first aid time, quality of care, complication rate, Glasgow coma scale (GCS), acute physiology and chronic health evaluation Ⅱ (APACHEⅡ), and National Institutes of Health stroke scale (NIHSS) scores before and after first aid were compared between the two groups.  Results  The observation group exhibited a significantly higher rescue success rate of 97.56% (40/41) compared to the control group' s 80.49% (33/41, χ2=4.493, P=0.034). The observation group demonstrated shorter emergency response time, rescue duration, examination time, consultation waiting time, and ward handover time than the control group (P < 0.05). Scores across all dimensions of nursing quality were higher in the observation group compared to the control group (P < 0.05). The incidence of complications was lower in the observation group than in the control group (P < 0.05). Post-rescue assessments revealed elevated GCS scores and reduced APACHE Ⅱ and NIHSS scores in both groups compared to pre-rescue baseline values. Between-group comparisons showed the observation group had significantly higher GCS scores and lower APACHE Ⅱ, NIHSS scores than the control group (P < 0.05).  Conclusion  The professional hierarchical nursing scheme applied to sTBI patients before surgery can effectively improve the first-aid effect, shorten the first-aid time, reduce complications, promote the recovery of patients, reduce the severity of the disease and the degree of neurological impairment, and improve the quality of nursing.

     

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