Effect of traumatic brain model on the rehabilitation hemiplegic patients
10.3760/j.issn.1674-2907.2014.18.003
- VernacularTitle:颅脑创伤单元模式在偏瘫患者康复中的应用
- Author:
Huayun WU
1
;
Juan LI
;
Huijuan NIU
;
Baiyun LIU
Author Information
1. 100039 北京，武警总医院神经创伤外科
- Keywords:
Hemiplegia;
Rehabilitation;
Traumatic brain model
- From:
Chinese Journal of Modern Nursing
2014;20(18):2180-2183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of traumatic brain model on the rehabilitation hemiplegic patients .Methods From June 2012 to May 2013 , 120 cases with craniocerebral injury complicated with hemiplegia were selected .60 patients with conventional treatment were in the control group . After established the traumatic brain model , 60 cases were selected for the observation group .Within 24 hours admitted in the hospital and 5 weeks after admission, the Glasgow coma scale (GCS), modified Rankin scale (MRS) and the Barthel index (BI) were surveyed.Two groups were given the routine neurosurgery therapy . The control group was given the conventional care , while the observation group was used the traumatic brain model for the rehabilitation guidance .Results The SCS, MRS and BI scores between groups before and after treatment had significant differences .After the treatment , the scores of SCS , MRS and BI in the observation group were (8.25 ±5.01), (3.49 ±2.13), (45.84 ±15.48), which were significantly higher than (10.21 ± 4.11), (3.00 ±1.24), (54.72 ±17.74) in the control group (t=2.343,2.074,2.922,respectively;P<0.05).The proportion of BI >65, self care were 65.0% and 70.0% in the observation group, which were significantly higher than 40.0% and 41.7% in the control group (χ2 =7.519, 9.766, respectively;P <0.01).Conclusions The traumatic brain model emphasizes the partnership between neuro-surgeons and rehabilitation specialists .Meanwhile, the nurses will give the professional guidance on rehabilitation .All these can guarantee a timely rehabilitation treatment for the patients after their admission to the hospital , which can also provide a solid foundation for further rehabilitation .It avoids the occurrences of adverse events to the uttermost and paves the way for the rehabilitation treatment in the next phase after the patients in a stable condition , which can reduce the time of hospital stays , improve the rehabilitation prognosis and help the patients with the functional recovery to the greatest extent .
