Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (11) ; 10.12208/j.jmnm.20250583 .
总浏览量: 77
宁夏医科大学总医院 宁夏银川
*通讯作者： 李小丽,单位：宁夏医科大学总医院 宁夏银川；
目的 分析神经外科重症颅脑损伤用循证护理所起到的作用。方法 2023年6月-2025年5月本院神经外科接诊的重症颅脑损伤病人中随机抽取62人进行研究，并用随机双盲法均分2组。试验组采取循证护理，对照组行常规护理。对比并发症等指标。结果 关于并发症：试验组3.23%，对照组19.35%，P＜0.05。总有效率：试验组96.77%，对照组77.42%，P＜0.05。住院时间：试验组（13.41±2.03）d，对照组（17.68±2.71）d，差异显著（P＜0.05）。结论 神经外科重症颅脑损伤病人用循证护理，并发症预防及护理效果均显著提升，住院时间也更短。
Objective To analyze the role of evidence-based nursing in severe traumatic brain injury in neurosurgery. Methods From June 2023 to May 2025, 62 patients with severe traumatic brain injury admitted to our neurosurgery department were randomly selected for the study, and divided into two groups using a randomized double-blind method. The experimental group received evidence-based nursing care, while the control group received routine nursing care. Compare indicators such as complications. Results Regarding complications, the experimental group had 3.23%, while the control group had 19.35%, P＜0.05. The total effective rate was 96.77% in the experimental group and 77.42% in the control group, P＜0.05. Hospitalization time: The experimental group (13.41±2.03) days and the control group (17.68±2.71) days, with a significant difference (P<0.05). Conclusion Evidence based nursing has significantly improved the prevention of complications and nursing effectiveness in patients with severe traumatic brain injury in neurosurgery, and the hospitalization time is also shorter.
[1] 刘凡,王芳,徐淑娴,等. 重型颅脑损伤行亚低温疗法患者腹泻管理的最佳证据总结[J]. 护理管理杂志,2024, 24(1): 61-65,78.
[2] 郭文超,秦寒枝,滕娇,等. 成人重型颅脑损伤患者肠内营养支持的最佳证据总结[J]. 中国全科医学,2022,25(15): 1825-1832.
[3] 郭文超,滕娇,刘嘉龙,等. 成人重型颅脑损伤患者肠内营养支持证据应用审查及障碍因素分析[J]. 军事护理, 2023, 40(9):92-95,103.
[4] 尹婷婷,耿芹,徐亚齐. 循证护理改善重型颅脑损伤气管切开患者鼻饲误吸的效果观察[J]. 妇幼护理,2024,4(19): 4772-4774.
[5] SEYED MOHAMMAD FOROUZANNIA, HADIS NAJAFIMEHR, ROSITA KHATAMIAN OSKOOI, et al. Clinical decision rules in predicting computed tomography scan findings and need for neurosurgical intervention in mild traumatic brain injury: a prospective observational study[J]. European Journal of Trauma and Emergency Surgery,2024,50(4):1199-1207.
[6] 范美敏,赵慧敏,杨爱慧. 基于循证理论的精细化护理联合颅内压监测对重型颅脑损伤患者的影响[J]. 齐鲁护理杂志,2024,30(16):122-124.
[7] 陈兴连,李春霞,卜淑娟,等. 重型颅脑损伤昏迷患者唤醒护理干预最佳证据的循证实践[J]. 中国医药科学,2025, 15(1):141-144.
[8] 钱文君,周燕萍,王燕,等. 重症颅脑损伤呼吸机相关性肺炎的风险因素分析及循证护理干预策略[J]. 齐鲁护理杂志,2024,30(21):90-94.
[9] 朱菲,李曼. 循证护理在重型颅脑损伤患者护理中的应用价值[J]. 中国农村卫生,2023,13(7):60-61.
[10] 沈宏. 循证护理对颅脑外伤患者预防静脉血栓栓塞的影响[J]. 山西医药杂志,2021,50(22):3211-3213.
[11] 马姝,王晓佳,孙红丽. 循证理论下的精细化护理联合颅内压监测在sTBI患者中的应用[J]. 齐鲁护理杂志,2024, 30(15):106-108.
[12] 蒋丽平. 基于循证理念的前瞻性护理干预对重型颅脑损伤患者神经功能、促醒作用及便秘的预防效果[J]. 国际护理学杂志,2023,42(13):2457-2460.