Open AccessThe pattern of hospital‐community‐home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: Is it feasible?
Author(s) -
Yin Xiangyi,
Wu Jie,
Zhou Lihui,
Ni Chunyan,
Xiao Minyan,
Meng Xianlan,
Zhu Xiaowen,
Cao Qing,
Li Huifen
Publication year - 2021
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.13881
Subject(s) - medicine , glasgow coma scale , barthel index , incidence (geometry) , tracheotomy , cannula , nursing care , traumatic brain injury , activities of daily living , anesthesia , physical therapy , surgery , nursing , physics , psychiatry , optics
Background Tracheostomy is very common in patients with severe traumatic brain injury (TBI), long‐term nursing care are needed for those patients. We aimed to evaluate the effects of hospital‐community‐home (HCH) nursing in those patients. Methods This study was a before‐after study design. Patients were divided into control groups (traditional nursing care) and HCH group(HCH nursing care). Tracheostomy patients with severe TBI needing long‐term care were included. All patients underwent a two‐month long follow‐up. Glasgow coma score (GCS), Karnofsky, Self‐Anxiety Scale (SAS) from caregiver and Barthel assessment at the discharge and two months after discharge were evaluated. The tracheostomy‐related complications were recorded and compared. Results A total of 60 patients were included. There were no significant differences between the two groups in the GCS, Karnofsky, SAS from caregiver and Barthel index at discharge((all P > .05); the GCS, Karnofsky and Barthel index were all significantly increased after two‐month follow‐up for the two groups (all P < .05), and the GCS, Karnofsky and Barthel index at two‐month follow‐up in HCH group were significantly higher than that of the control group(all P < .05), but the SAS from caregiver at two‐month follow‐up in HCH group was significantly less than that of the control group( P = .009). The incidence of block of artificial tracheal cannula and readmission in HCH group were significant less than that of control group (all P < .05). Conclusion HCH nursing care is feasible in tracheostomy patients with severe TBI, future studies are needed to further evaluate the role of HCH nursing care.