Volume 10,Issue 9
Study on the Application Effect of Quality Nursing Based on Non-Invasive Intracranial Pressure Monitoring in Patients with Intracranial Hypertension
Objective: To evaluate the efficacy of a quality nursing protocol guided by non-invasive intracranial pressure (ICP) monitoring on rehabilitation outcomes in patients with intracranial hypertension, thereby providing evidence-based support for precision nursing practices. Methods: A total of 120 patients with intracranial hypertension admitted to our hospital from June 2023 to June 2024 were selected and randomly assigned to a control group or an observation group (n = 60 per group) using a random number table. Baseline characteristics showed no statistically significant differences between the groups (p > 0.05). The control group received routine neurosurgical nursing care, including vital signs monitoring, administration of dehydrating agents, and regular turning with back percussion. The observation group received routine care supplemented by a multimodal non-invasive ICP monitoring strategy, which combined flash visual evoked potentials with ultrasound measurement of the optic nerve sheath diameter to dynamically assess ICP values and waveform changes. Furthermore, quality nursing interventions were implemented in accordance with the Expert Consensus on Nursing for the Prevention and Control of Intracranial Hypertension in Adult Critically Ill Patients. These interventions included individualized positioning management (adjusting head-of-bed elevation based on ICP values), refined airway management (administering pure oxygen before and after suctioning, with time-limited suctioning), proactive complication prevention (targeting infection, constipation, cerebral edema, deep vein thrombosis, and epilepsy), and psychological support. Glasgow Coma Scale (GCS) scores and ICP levels were compared before intervention and at discharge. Additionally, the rates of poor prognosis and total complications, as well as satisfaction with nursing care, were assessed. Results: Post-intervention, the observation group exhibited a significantly higher GCS score (12.4 ± 2.5) compared to the control group (9.8 ± 2.1), and a significantly lower ICP level (14.1 ± 2.8 mmHg vs. 18.5 ± 3.2 mmHg; p < 0.05). The rate of poor prognosis was significantly lower in the observation group (6.7%, 4/60) than in the control group (20.0%, 12/60), as was the total complication rate (3.3%, 2/60 vs. 15.0%, 9/60; p < 0.05). Furthermore, nursing satisfaction scores were significantly higher in the observation group (p < 0.05). Conclusion: A quality nursing protocol guided by multimodal non-invasive ICP monitoring effectively reduces ICP levels, improves consciousness, decreases complications, and enhances nursing satisfaction in patients with intracranial hypertension. By innovatively integrating the multimodal concepts of the Brussels Consensus on non-invasive ICP monitoring with domestic nursing expert consensus, this study facilitates a transition from empirical nursing to data-driven precision nursing, offering a safe, feasible, and scalable model for neurosurgical ICP management.
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