Application effect of comprehensive emergency nursing guided by crisis management theory in traumatic craniocerebral injury patients
危机管理理论指导的全方位急诊护理在创伤性颅脑损伤患者中的应用效果

摘要

目的 考察分析危机管理理论指导的全方位急诊护理在创伤性颅脑损伤患者中的应用效果。方法 设计一项随机对照单盲临床试验，启动期限2023年9月至2024年9月，纳入样本为本时段院内收治的创伤性颅脑损伤患者，人数共80例，按照1∶1比例进行随机分组，每组（n=40）。行常规急诊护理的小组命名为参照组，行危机管理理论为指导的全方位护理方案的小组命名为研究组，最终评价不同干预策略下的疗效作用。比对两组患者抢救时间、并发症发生率、格拉斯哥昏迷评分（GCS）、护理满意度和预后效果差异。结果 研究组各项指标均显优参照组，P＜0.05。结论 基于危机管理理论的全方位急诊护理，能够有效优化创伤性颅脑损伤患者的抢救流程，显著降低并发症风险，改善患者预后，并全面提升护理质量，应用价值显著，值得推广。

Abstract

Objective To evaluate the effectiveness of comprehensive emergency nursing guided by crisis management theory in patients with traumatic brain injury.
Methods A randomized, single-blind clinical trial was designed, with a start period from September 2023 to September 2024. The study included 80 patients with traumatic brain injury admitted to the hospital during this period, randomly divided into two groups (n=40 each) at a 1:1 ratio. The group receiving routine emergency care was designated as the control group, while the group receiving comprehensive nursing care guided by crisis management theory was designated as the study group. The efficacy of different intervention strategies was evaluated. The differences in rescue time, complication rate, Glasgow Coma Scale (GCS), nursing satisfaction, and prognosis were compared between the two groups.
Results The study group showed significant superiority over the control group in all indicators, P<0.05.
Conclusion   Comprehensive emergency nursing guided by crisis management theory can effectively optimize the rescue process for patients with traumatic brain injury, significantly reduce the risk of complications, improve patient outcomes, and enhance overall nursing quality. Its application value is significant and it is worth promoting.