Application of crisis management combined with seamless integrated emergency nursing in patients with traumatic brain injury caused by emergency car accidents
危机管理联合无缝隙一体化急救护理在急诊车祸致颅脑损伤患者中的应用

摘要

目的 研究危机管理联合无缝隙一体化急救护理在急诊车祸致颅脑损伤患者中的应用效果。方法 观察对象为88例急诊车祸致颅脑损伤患者，收治时间为2024年8月至2025年12月，随机分组，采用危机管理联合无缝隙一体化急救护理的患者纳入D组（n=44），采用传统急救护理的患者纳入M组（n=44），研究比较D组与M组患者的昏迷程度、神经功能、运动功能、临床指标。结果 护理前，D组与M组患者的昏迷程度（GCS评分）、神经功能（NIHSS评分）、运动功能（FMA评分）差异小（P>0.05）；护理后，D组在昏迷程度、神经功能、运动功能方面明显优于M组，且入院至Ct检查用时、抢救用时均短于M组，存活率高于M组（P<0.05）。结论 危机管理联合无缝隙一体化急救护理在急诊车祸致颅脑损伤患者中的应用效果更加突出，值得临床广泛运用。

Abstract

Objective To evaluate the efficacy of crisis management combined with seamless integrated emergency nursing in patients with traumatic brain injury (TBI) from emergency traffic accidents.
Methods A total of 88 patients with TBI from emergency traffic accidents admitted between August 2024 and December 2025 were enrolled. Patients receiving crisis management combined with seamless integrated emergency nursing were assigned to Group D (n=44), while those receiving traditional emergency nursing were assigned to Group M (n=44). The study compared coma severity, neurological function, motor function, and clinical indicators between Groups D and M.
Results Before nursing intervention, there were no significant differences in coma severity (GCS score), neurological function (NIHSS score), or motor function (FMA score) between Groups D and M (P>0.05). After nursing intervention, Group D demonstrated significantly better outcomes in coma severity, neurological function, and motor function compared to Group M. Additionally, Group D exhibited shorter admission-to-Ct scan time, shorter resuscitation time, and higher survival rate than Group M (P<0.05).
Conclusion   Crisis management combined with seamless integrated emergency nursing demonstrates superior efficacy in managing TBI patients from emergency traffic accidents and is worthy of widespread clinical application.