Department of Nursing, The Second Affiliated Hospital of Shenyang Medical College, Shenyang 110035, Liaoning Province, China
Introduction: Acute brain injury (ABI) causes a series of biochemical and physiological changes in the brain and systemic circulation. This study aimed to investigate the changes in leukocytes and blood glucose and the prognostic effect of targeted nursing intervention in patients with ABI.
Materials and methods: Eighty ABI patients diagnosed in the Second Affiliated Hospital of Shenyang Medical College were randomly divided into an observation group (n=40) and a control group (n=40), and changes in white blood cells (WBCs) and blood glucose were observed. The patients in the control group used routine nursing, while those in the observation group used hypoglycemic targeted nursing. After 1 month of nursing intervention and 3 ~ 6 months of follow-up, the prognoses of the two groups were compared.
Results: According to the Glasgow coma scale (GCS) score at admission, there were 21 patients in group I (3-5 points), 19 patients in group II (6-8 points), 15 patients in group III (9-12 points), and 25 patients in group IV (13-15 points). Leukocyte and blood glucose levels gradually increased, peaking on day 8. The observation group was better than the control group in terms of blood glucose recovery time, hospital stay time, motor function, and mortality (P<0.05). There were considerable differences in prognosis, recovery, plant survival, and death between the two groups (P<0.05).
Conclusion: The changes in WBC count and blood glucose in ABI patients can be used as important indicators to judge the prognosis of patients. Targeted nursing intervention for ABI patients can help to control blood glucose levels, shorten discharge times, improve cure rates, and reduce mortality.
acute brain injury, white blood cells, blood sugar, nursing, Glasgow.