INCIDENCE AND OUTCOME OF CRANIOCEREBRAL INJURIES – ROLE OF THE NURSE IN CARE AND TREATMENT
Keywords:
craniocerebral injuries, hematoma, nursing careAbstract
Head injuries represent a large group of injuries with a high mortality rate. This type of trauma is significant because it can lead to disability and serious mental disorders of the person. The number of head injuries is about 300 per 100,000 people per year, with a mortality rate of 9 to 25 cases per 100,000 people.
Aim: To show the number of patients with brain injuries admitted to PHI "Clinic for Neurosurgery" in Skopje in the period of three years (2020 2022) according to: gender, type of cerebral injury and treatment outcome. The aim is also to show the role of the nurse in the treatment of patients with brain injury.
Results: In 2020, a total of 56 patients were hospitalized at the Department of Neurosurgery, of which 44 patients were diagnosed with subdural and 12 patients with epidural hematoma. Out of the total number of respondents, 45 patients are men, while 11 patients are women. A total of 25 patients died (44.6%). In 2021, 53 patients were hospitalized, 48 of them with subdural and 5 with epidural hematoma, 34 male patients and 19 female patients. A total of 18 (33.9%) died. During the year 2022, a total of 64 patients were hospitalized, of which 48 patients with subdural and 16 patients with epidural hematoma, 53 male patients and 11 female patients. A total of 12 patients died (18.7%).
Conclusion: Due to the high mortality rate it is very important to start early rehabilitation immediately after any type of brain injury. This prevents the occurrence of complications, which can be early and late, reduces the length of the patient's rehabilitation and recovery. Greater education and training of nurses contributes to improved care both in the pre operative and post operative period, in order to improve the treatment of patients with brain injuries.
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