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Published on: October 15, 2021
Effects of standardized nursing protocol on nursing quality and complications in pediatric patients with massive
Wei Song1, Fei Di1, Mingxing Wu1
1Department of Neurosurgery, Children's Hospital Affiliated to The Capital Institute of Pediatrics Beijing 100020, China.
Insights
Standardized nursing care for pediatric scalp hematoma drainage significantly reduces recovery time and complications. This approach enhances patient outcomes and satisfaction, supporting its clinical use.
Area of Science:
- Pediatric Surgery
- Nursing Science
- Hematology
Background:
- Large scalp hematomas in children pose treatment challenges.
- Modified negative-pressure drainage is a common intervention.
- Optimizing nursing care is crucial for patient recovery and minimizing complications.
Purpose of the Study:
- To evaluate the impact of standardized nursing process intervention.
- To assess effects on care quality and complication rates.
- To investigate outcomes in pediatric patients with large scalp hematomas undergoing modified negative-pressure drainage.
Main Methods:
- Prospective randomized controlled study with 102 pediatric patients.
- Comparison between a control group (conventional care) and an observation group (standardized care).
- Assessment of drainage time, hematoma resolution, wound healing, hospitalization duration, costs, pain, complications, readmissions, quality of care, nursing satisfaction, and hematologic parameters.
Main Results:
- Standardized nursing care group showed significantly shorter drainage, resolution, healing, and hospitalization times.
- Reduced hospitalization costs, pain scores, complication rates, and readmission rates were observed.
- Improved quality of care scores, nursing satisfaction, and favorable hematologic markers (hemoglobin, fibrinogen) were noted, with reduced inflammatory markers (CRP, PCT, WBC) and coagulation times (PT, APTT).
Conclusions:
- Standardized nursing processes significantly enhance care quality for pediatric scalp hematoma patients.
- This intervention effectively reduces complications and accelerates recovery.
- The findings support the widespread clinical application of standardized nursing in this patient population.
Objective:
To investigate the effect of standardized nursing process intervention on care quality and complications in children with large scalp hematomas treated with modified negative-pressure drainage.
Methods:
This prospective randomized controlled study was conducted in the Children's Hospital Affiliated with the Capital Institute of Pediatrics. A total of 102 children with massive scalp hematoma were randomly assigned to a control group (n = 52, with conventional nursing care) and an observation group (n = 50, with standardized nursing care). Drainage time, hematoma subsidence time, and nursing-related outcomes were compared between the two groups. Hematologic data were assessed preoperatively, and at 24 h and 72 h postoperatively.
Results:
Compared to the control group, the observation group exhibited significantly shorter drainage time, hematoma resolution time, wound healing time, and hospitalization time (all P<0.05), as well as lower hospitalization cost (P<0.05). Rehabilitation outcomes were significantly improved across age groups (all P<0.05), with lower pain scores (all P<0.05), reduced complication and readmission rates (all P<0.05), higher quality-of-care scores (all P<0.05), and greater nursing satisfaction (P<0.05). At 24 h after operation, the observation group had higher levels of hemoglobin (Hb) and fibrinogen (Fib) (P<0.05), and lower levels of prothrombin time (PT), activated partial thromboplastin time (APTT), C-reactive protein (CRP), pro-calcitonin (PCT), and white blood cell count (WBC) (P<0.05).
Conclusion:
Implementation of standardized nursing processes significantly improves care quality, reduces complications, and promotes faster recovery in pediatric patients undergoing modified negative-pressure drainage for large scalp hematoma, supporting its broad application in clinical practice.
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