Background: Patients in neurology intensive care units (ICU) are prone to pressure injuries (PU) due to factors such as severe illness, long-term bed rest, and physiological dysfunction. PU not only causes pain and complications to patients, but also increases medical burden, prolongs hospitalization time, and affects the recovery process.
Aim: To evaluate and optimize the effectiveness of pressure injury prevention nursing measures in neurology ICU patients.
Methods: A retrospective study was conducted, and 60 patients who were admitted to the ICU of the Department of Neurology were selected and divided into an observation group and a control group according to the order of admission, with 30 people in each group. The observation group implemented pressure injury prevention and nursing measures, while the control group adopted routine care.
Results: Comparison between observation and control groups following pressure injury prevention nursing intervention revealed significantly lower incidence rates in the observation group compared to the control group at 48 h (8.3% 26.7%), 7 d (16.7% 43.3%), and 14 d (20.0% 50.0%). This suggests a substantial reduction in pressure injury incidence in the observation group, with the gap widening over time. Additionally, patients in the observation group exhibited quicker recovery, with a shorter average time to get out of bed (48 h 72 h) and a shorter average length of stay (12 d 15 d) compared to the control group. Furthermore, post-intervention, patients in the observation group reported significantly improved quality of life scores, including higher scores in body satisfaction, feeling and function, and comfort (both psychological and physiological), indicating enhanced overall well-being and comfort following the implementation of pressure injury prevention nursing measures.
Conclusion: Implementing pressure injury preventive care measures for neurology ICU patients will have better results.
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http://dx.doi.org/10.12998/wjcc.v12.i19.3807 | DOI Listing |
BMJ Open
December 2024
Unité de recherche Clinique, Hôpital Bichat-Claude-Bernard, Paris, Île-de-France, France.
Introduction: Traumatic brain injury (TBI) is one of the leading causes of death and disability worldwide. Treatments for TBI patients are limited and none has been shown to provide prolonged and long-term neuroprotective or neurorestorative effects. A growing body of evidence suggests a link between TBI-induced neuro-inflammation and neurodegenerative post-traumatic disorders.
View Article and Find Full Text PDFJ Acoust Soc Am
December 2024
Department of Head and Neck Surgery, University of California Los Angeles, Los Angeles, California 90095-1794, USA.
Previous studies of laryngeal and respiratory control of the voice source often focus on main effects of individual control parameters but not their interactions. The goal of this study is to systematically identify important interaction effects in laryngeal and respiratory control of the voice source and vocal fold contact pressure in a three-dimensional voice production model. Computational simulations were performed with parametric variations in vocal fold geometry, stiffness, prephonatory glottal gap, and subglottal pressure.
View Article and Find Full Text PDFAdv Sci (Weinh)
December 2024
Department of Kidney Research Institute, Seoul National University Medical Research Center, Seoul, South Korea.
Podocyte injury and proteinuria in glomerular disease are critical indicators of acute kidney injury progression to chronic kidney disease. Renal mitochondrial dysfunction, mediated by intracellular calcium levels and oxidative stress, is a major contributor to podocyte complications. Despite various strategies targeting mitochondria to improve kidney function, effective treatments remain lacking.
View Article and Find Full Text PDFNurs Open
January 2025
The Jikei University School of Nursing, Tokyo, Japan.
Aim: (1) To classify patients with community-acquired pressure injury (CAPI) according to the risk factors of PI and to assess validity of the classified groups. (2) To clarify characteristics of each group for CAPI prevention and care.
Design: This study is designed to classify CAPI patients into clusters based on a retrospective study of medical records, followed by cluster analysis and description of each cluster's characteristics.
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