Exploration of the role of evidence-based targeted nursing in the care of severe traumatic brain injury
重症颅脑损伤护理中应用以循证支持为基础的针对性护理的作用探究

摘要

目的 探析以循证支持为基础的针对性护理在重症颅脑损伤护理中的应用效果。方法 选取本院2023年11月至2025年6月期间收治的重症颅脑损伤患者为研究对象，筛选共计95例。按照随机数字表法分为常规组（47例）和实验组（48例），常规组采用传统护理模式，实验组采用以循证支持为基础的针对性护理模式。比较两组患者护理后的格拉斯哥昏迷评分（GCS）和神经功能缺损（NIHSS）评分、并发症发生率、护理前后负性情绪（SAS、SDS）评分。结果 护理前，两组GCS和NIHSS评分、SAS和SDS评分对比差异无统计意义（P＞0.05）。护理后，实验组GCS评分高于常规组，NIHSS、SAS和SDS评分低于常规组，差异有统计学意义（P＜0.05）；实验组并发症发生率低于常规组，差异有统计学意义（P＜0.05）。结论 以循证支持为基础的针对性护理能有效促进重症颅脑损伤患者神经功能恢复，改善昏迷状态和负性情绪，降低并发症，建议应用。

Abstract

Objective To explore the application effect of evidence-based targeted nursing in the care of patients with severe traumatic brain injury.
Methods A total of 95 severe traumatic brain injury patients admitted to our hospital from November 2023 to June 2025 were selected as research subjects. They were randomly divided into a conventional group (47 cases) and an experimental group (48 cases) using a random number table method. The conventional group received traditional nursing care, while the experimental group adopted evidence-based targeted nursing. We compared the Glasgow Coma Scale (GCS) and the National Institutes of Health Stroke Scale (NIHSS) scores, incidence of complications, and negative emotion scores before and after nursing (SAS, SDS) between the two groups.
Results Before nursing, there were no statistically significant differences in GCS and NIHSS scores, SAS and SDS scores between the two groups (P > 0.05). After nursing, the GCS score of the experimental group was higher than that of the conventional group, while the NIHSS, SAS, and SDS scores were lower than those of the conventional group, with statistically significant differences (P < 0.05); the incidence of complications in the experimental group was lower than that in the conventional group, also with statistically significant differences (P < 0.05).
Conclusion   Evidence-based targeted nursing can effectively promote the recovery of neural function in patients with severe traumatic brain injury, improve coma status and negative emotions, and reduce complications. Its application is recommended.