| Abstract |
Objective To explore the characteristics of nursing risks in intracranial pressure (ICP) monitoring of neurocritical patients and the effect of nursing risk management measures on preventing nursing risks, with the aim of providing evidence reference for the clinical standardized management of intracranial pressure monitoring nursing. Methods A total of 120 patients with invasive intracranial pressure monitoring in the neurointensive care unit (NICU) of our hospital from June 2021 to June 2023 were randomly divided into the control group (conventional nursing, 60 cases) and the observation group (risk prevention and control nursing intervention plan, 60 cases). The changes in intracranial pressure patterns, postoperative complications, TCM syndrome scores, liver and spleen CT ratios, fat controlled attenuation parameters (CAP), waist circumference (WC), body mass index (BMI), liver function tests [aspartate aminotransferase (ALT), alanine aminotransferase (AST), gamma-glutamyl transpeptidase (GGT)], and lipid tests [total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL-C)] were compared between the two groups. Results The abnormal fluctuation rate of intracranial pressure, the incidence of catheter-related complications, and the incidence of infection in the experimental group were significantly lower than those in the control group (P < 0.05). After intervention, the TCM syndrome score of the observation group was significantly better than that of the control group, and the liver and spleen CT ratios, CAP values gradually returned to normal levels, while WC, BMI, ALT, AST, GGT, TC, TG, and LDL-C values were better than those of the control group (P < 0.05). Conclusion Systematic nursing risk prevention and control methods can effectively reduce the risks of brain pressure monitoring in neurocritical patients, which is conducive to the optimization of the patient's metabolic status and liver function status, and is worthy of promotion and application.
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