Application and efficacy of pain combined with psychological intervention nursing in patients with craniocerebral trauma combined with ocular trauma after decompressive craniectomy.
Li J, Xu D, et al. • JPMA. The Journal of the Pakistan Medical Association • 2026
Pain nursing combined with psychological intervention nursing could significantly improve pain level, sleep quality, negative psychology, psychological resilience, self-care ability, and nursing satisfaction in patients with traumatic brain injury and eye injury undergoing decompressive craniectomy, with greater improvement than psychological intervention nursing alone.
Key Findings
Results
Both groups showed significant improvement across all measured parameters, but the degree of improvement was greater in the pain nursing plus psychological intervention group compared to the psychological intervention only group.
Both groups showed significant improvement across all parameters (p<0.05)
The degree of improvement was greater in group B (pain combined with psychological intervention) compared to group A (psychological intervention only) (p<0.05)
Parameters measured included sleep quality, psychological resilience, pain level, self-care ability, mental state, and nursing satisfaction
Study included 90 patients total, 45 in each group, with data collected from June 2019 to June 2023
Results
Nursing satisfaction scores were significantly higher in the combined pain and psychological intervention group compared to the psychological intervention only group.
The nursing satisfaction score of group B was significantly higher than that of group A (p<0.001)
Group A received psychological intervention nursing only
Group B received psychological intervention nursing plus pain nursing
This was a retrospective study conducted at Baoding No. 1 Central Hospital, China
Methods
The study population consisted of patients with ocular trauma who had undergone unilateral decompressive craniectomy, with comparable baseline demographics between groups.
Group A: 45 patients, 31 (68.9%) males and 14 (31.1%) females, mean age 48.96±12.65 years (range: 25-76 years)
Group B: 45 patients, 34 (75.6%) males and 11 (24.4%) females, mean age 49.22±13.00 years (range: 23-75 years)
Baseline demographic differences between groups were not statistically significant (p>0.05)
Data was analyzed using SPSS 21
Conclusions
Pain combined with psychological intervention nursing improved pain levels, sleep quality, and negative psychological states in patients with traumatic brain injury and eye injury undergoing decompressive craniectomy.
Specific outcome measures included sleep quality, psychological resilience, pain level, self-care ability, and mental state
The intervention group (group B) received pain nursing in addition to psychological intervention nursing
Improvements were observed across all six measured parameters
The study was retrospective in design, drawing on patient data from a four-year period (June 2019 to June 2023)
What This Means
This research suggests that combining pain management nursing with psychological support nursing provides better outcomes for patients recovering from brain injury and eye trauma after a surgical procedure called decompressive craniectomy (where part of the skull is temporarily removed to relieve brain pressure) compared to psychological support alone. The study looked at 90 patients treated at a hospital in China, split into two equal groups — one receiving only psychological intervention nursing and the other receiving both psychological and pain-focused nursing care. Both groups improved over time, but patients who received the combined approach showed greater gains in sleep quality, ability to care for themselves, mental wellbeing, resilience, and pain control.
Patients in the combined care group also reported significantly higher satisfaction with their nursing care (p<0.001). This suggests that addressing pain management directly and explicitly, rather than relying solely on psychological support, adds meaningful benefit to patient recovery after this type of serious trauma surgery.
This research suggests that integrating structured pain nursing protocols alongside psychological interventions may be a more effective approach to post-operative care for this patient population. Because the study was retrospective — meaning it looked back at existing patient records rather than prospectively assigning patients to treatments — and was conducted at a single hospital, further research would be needed to confirm these findings more broadly.
Li J, Xu D, Jia Z, Li J, Shan Y. (2026). Application and efficacy of pain combined with psychological intervention nursing in patients with craniocerebral trauma combined with ocular trauma after decompressive craniectomy.. JPMA. The Journal of the Pakistan Medical Association. https://doi.org/10.47391/JPMA.21947