Observation of the effect of graded nursing intervention measures based on trauma assessment in the emergency treatment of patients with traumatic brain injury caused by traffic accidents
基于创伤评估的分级护理干预措施用于急诊治疗车祸创伤致颅脑外伤患者中的效果观察

摘要

目的 观察车祸创伤致颅脑外伤患者接受创伤评估分级护理干预的效果。方法 选取2023年3月～2025年3月我院收护的车祸创伤致颅脑外伤患者105例，按随机掷骰子法分为对照组（n=52）、研究组（n=53）。对照组采用常规急救护理评估干预；研究组加用创伤评估分级护理干预。比较两组相关指标水平、并发症率、抢救成功率及医嘱执行准确率。结果 干预后研究组颅内压监测值、平均动脉压均低于对照组；研究组局部脑氧饱和度高于对照组；研究组并发症率（3.77%）低于对照组（15.38%）；研究组抢救成功率（98.11%）高于对照组（80.77%）；研究组医嘱执行准确率（96.23%）高于对照组（88.46%）（P＜0.05）。结论 创伤评估分级护理干预可以提升医嘱执行准确率，良好预防并发症发生发展，更利于实现多种指标水平的快速恢复与稳定维持，提升抢救成功率，值得推广。

Abstract

Objective To observe the effect of trauma assessment graded nursing intervention in patients with traumatic brain injury caused by traffic accidents.
Methods A total of 105 patients with traumatic brain injury from traffic accidents admitted to our hospital from March 2023 to March 2025 were selected and randomly assigned into a control group (n=52) and a study group (n=53) using a dice rolling method. The control group received conventional emergency nursing assessment intervention, while the study group received additional trauma assessment graded nursing intervention. We compared the related index levels, complication rates, rescue success rates, and adherence to medical advice accuracy between the two groups.
Results After intervention, the intracranial pressure monitoring values and mean arterial pressure in the study group were lower than those in the control group; the local brain oxygen saturation in the study group was higher than that in the control group; the complication rate in the study group (3.77%) was lower than that in the control group (15.38%); the rescue success rate in the study group (98.11%) was higher than that in the control group (80.77%); and the accuracy of adhering to medical advice in the study group (96.23%) was higher than that in the control group (88.46%) (P<0.05).
Conclusion   Trauma assessment graded nursing intervention can improve the accuracy of adhering to medical advice, effectively prevent the occurrence and development of complications, and is more conducive to achieving rapid recovery and stable maintenance of various indicators, thereby enhancing rescue success rates, which is worth promoting.