The Impact of Multidisciplinary Care During the Critical Transition Period on Migration Stress in Patients with Traumatic Epidural Hematoma

doi:10.12104/j.issn.1674-4748.2025.23.017

Abstract：Objective: To explore the impact of multidisciplinary care during the critical transition period on migration stress in patients with traumatic epidural hematoma. Methods: A convenience sampling method was used to select 98 patients with traumatic epidural hematoma admitted to the hospital from January 2023 to April 2024 as the study subjects. They were randomly divided into a control group and an observation group using a random number table, with 49 cases in each group. The control group received conventional nursing care, while the observation group received multidisciplinary care during the critical transition period. The nursing outcomes [intensive care unit (ICU) length of stay, physical restraint time, unplanned extubation, and 48-hour readmission to ICU] of the two groups were observed and compared. Migration stress was assessed one day before ICU discharge and on the day of ICU discharge. Neurological function was evaluated on the day of surgery, 3 days after admission to the ICU, on the day of ICU discharge, and on the day of discharge. Results: The ICU admission time, physical restraint time, incidence of unplanned extubation, and 48-hour readmission rate to ICU were all lower in the observation group than in the control group (P < 0.05). After ICU discharge, both groups showed higher scores in all dimensions of migration stress and total score compared to one day before ICU discharge (P < 0.05), and the observation group had higher scores in all dimensions and total score than the control group (P < 0.05). There were statistically significant differences in neurological function scores between groups, over time, and in the interaction (F between = 6.375, F time = 63.710, F interaction = 2.122, P < 0.05). Further pairwise comparisons showed that as time extended, the neurological function scores of both groups on the third day after ICU admission, on the day of ICU discharge, and on the day of discharge were lower than those on the day of surgery (P < 0.05), and the observation group's scores on these days were lower than those of the control group (P < 0.05). Conclusion: Implementing multidisciplinary care during the transitional period after surgery for traumatic epidural hematoma can improve nursing outcomes, reduce migration stress, improve neurological function, and promote recovery.