Exploring the application effect of evidence-based nursing in patients with severe traumatic brain injury in neurosurgery
探讨循证护理在神经外科重型颅脑损伤患者中的应用效果

摘要

目的 探讨在神经外科重型颅脑损伤患者中开展循证护理的应用效果。方法 本次研究对象选取2023年9月至2025年9月期间我院神经外科接收的重型颅脑损伤患者60例，通过随机数字表法将入选病例分成观察组30例和对照组30例。两组患者均给予手术治疗，治疗期间对照组接受常规护理，观察组患者给予循证护理干预，对比分析两组最终取得的护理效果。结果 护理后，观察组患者的脑神经功能恢复效果优于对照组，格拉斯哥昏迷（GCS）程度评分高于对照组，并发症发生率低于对照组，最终患者的生活自理能力以及生活质量评分均高于对照组，（P<0.05）。结论 将循证护理应用于重型颅脑损伤患者护理管理中，可有效提升临床护理服务质量，促进患者身体恢复，尽早改善患者脑神经功能，减少并发症发生，提高患者的生活活动能力及生活质量。

Abstract

Objective To explore the application effect of evidence-based nursing in patients with severe traumatic brain injury in neurosurgery.
Methods This study selected 60 patients with severe traumatic brain injury who were admitted to our neurosurgery department between September 2023 and September 2025. The selected cases were randomly divided into an observation group of 30 cases and a control group of 30 cases using a random number table method. Both groups of patients received surgical treatment. During the treatment period, the control group received routine nursing care, while the observation group received evidence-based nursing intervention. The nursing effects achieved by the two groups were compared and analyzed.
Results After nursing, the recovery effect of brain nerve function in the observation group was better than that in the control group. The Glasgow Coma Scale (GCS) score was higher than that in the control group, and the incidence of complications was lower than that in the control group. Finally, the patients' self-care ability and quality of life scores were higher than those in the control group, (P<0.05).
Conclusion   Applying evidence-based nursing to the nursing management of patients with severe traumatic brain injury can effectively improve the quality of clinical nursing services, promote patients' physical recovery, improve patients' neurological function as early as possible, reduce the occurrence of complications, and enhance patients' ability and quality of life.