Effect of Comprehensive Nursing on Traumatic Paraplegia Patients by Evaluation of Magnetic Resonance Imaging Features

The study investigates the impact of comprehensive nursing, using the Omaha system, on patients with traumatic paraplegia (TP). It also examines changes in magnetic resonance imaging (MRI) features. Sixty patients with TP were divided into two groups: an experimental group receiving Omaha system-based comprehensive nursing and a control group receiving routine nursing. The experimental group showed significantly higher scores in various quality of life aspects, including role change and mental health, compared to the control group after 3 and 6 months post-discharge. Additionally, the caregiving burden was statistically lower in the experimental group at the same intervals. MRI results indicated improvements in the experimental group, such as relieved compression of the dural sac and recovery of double white lines. The apparent diffusion coefficient (ADC) was significantly lower in the experimental group after 6 months, suggesting improved spinal cord condition.

• 1
  Patients receiving comprehensive nursing under the Omaha system showed significantly higher scores in quality of life, role change, mental health, care, oral hygiene, skin integrity, neuromusculoskeletal (NMS) system function, defecation and urination function, and contagion/infection control compared to those receiving routine nursing.
• 2
  The caregiving burden was significantly lower in the experimental group compared to the control group 3 and 6 months after discharge, indicating that comprehensive nursing helps reduce the burden on caregivers.
• 3
  MRI findings showed that comprehensive nursing led to improvements in spinal cord condition, including relieved compression of the dural sac and restoration of double white lines. The ADC value was also significantly lower in the experimental group, indicating improved white matter integrity.