KẾT QUẢ CHĂM SÓC NGƯỜI BỆNH SAU PHẪU THUẬT CHẤN THƯƠNG SỌ NÃO VỪA VÀ NHẸ NĂM 2023 TẠI KHOA PHẪU THUẬT THẦN KINH 2 - BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: Describe the current state of nursing care after surgery for moderate and mild traumatic brain injury in 2023 to improve the quality of care and recovery of patients after surgery for mild and moderate traumatic brain injury. Result: Nurses performed emergency care well: promptly detected patients with reduced consciousness: 8/195 patients (accounting for 4.1%), including 6 patients who had surgery for the second time. Treatment time short, the average time patients stay for treatment is 3 - 5 days, accounting for 88.2%. At the time of transfer to the hospital, the patient with epidural hematoma, subdural hematoma and traumatic brain injury was conscious. Patients with hematoma damage in the brain and hematoma combined with brain contusion had drowsiness at discharge, accounting for 14.3% and 2.4%. Patients with epidural hematoma, subdural hematoma and traumatic brain injury in our study recovered good movement after surgery, no patients had motor paralysis. Patients with hematoma damage in the brain and hematoma combined with brain contusion have a rate of hemiplegia of 17.5% and 2.4%, respectively. Rehabilitation and exercise early after surgery have not been focused. Conclusion: Nurses performed emergency care well. There should be an early recovery exercise plan for patients after traumatic brain injury surgery.