{"title":"Impact of Evidence-Based Nursing Interventions on Recovery in Traumatic Brain Injury Patients Undergoing Hematoma Evacuation.","authors":"Aihong Qi, Puxian Li","doi":"10.2147/JMDH.S505322","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the application of evidence-based medicine optimized operating room nursing interventions in patients undergoing hematoma evacuation for traumatic brain injury and its impact on neurological function.</p><p><strong>Methods: </strong>A retrospective analysis of clinical data from 186 patients with traumatic brain injury who underwent hematoma evacuation between September 2022 and February 2024 in our hospital. All patients met the complete inclusion and exclusion criteria. According to the interventions received, patients were divided into a control group (n=93, receiving conventional operating room nursing interventions) and an observation group (n=93, receiving evidence-based medicine optimized operating room nursing interventions). The surgical conditions, postoperative recovery, operating room nursing quality, incidence of nursing risk events, neurological function, daily living ability.</p><p><strong>Results: </strong>① Surgical and postoperative recovery conditions: The observation group had shorter surgical time, less intraoperative blood loss, fewer additions of intraoperative items, shorter ICU stay, and shorter total hospital stay compared to the control group (P<0.05). ② Operating room nursing quality: The observation group had higher scores in basic nursing, specialized nursing, disinfection management, and risk management compared to the control group (P<0.05). ③ Incidence of nursing risk events: The observation group had lower rates of vital sign fluctuations, gastric content reflux, transportation method errors, handover information errors, and complaints during nursing compared to the control group (P<0.05).</p><p><strong>Conclusion: </strong>Compared with conventional operating room nursing interventions, evidence-based medicine optimized operating room nursing interventions can further improve nursing quality and promote recovery in patients undergoing hematoma evacuation for traumatic brain injury.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"973-981"},"PeriodicalIF":2.7000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847451/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S505322","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To analyze the application of evidence-based medicine optimized operating room nursing interventions in patients undergoing hematoma evacuation for traumatic brain injury and its impact on neurological function.
Methods: A retrospective analysis of clinical data from 186 patients with traumatic brain injury who underwent hematoma evacuation between September 2022 and February 2024 in our hospital. All patients met the complete inclusion and exclusion criteria. According to the interventions received, patients were divided into a control group (n=93, receiving conventional operating room nursing interventions) and an observation group (n=93, receiving evidence-based medicine optimized operating room nursing interventions). The surgical conditions, postoperative recovery, operating room nursing quality, incidence of nursing risk events, neurological function, daily living ability.
Results: ① Surgical and postoperative recovery conditions: The observation group had shorter surgical time, less intraoperative blood loss, fewer additions of intraoperative items, shorter ICU stay, and shorter total hospital stay compared to the control group (P<0.05). ② Operating room nursing quality: The observation group had higher scores in basic nursing, specialized nursing, disinfection management, and risk management compared to the control group (P<0.05). ③ Incidence of nursing risk events: The observation group had lower rates of vital sign fluctuations, gastric content reflux, transportation method errors, handover information errors, and complaints during nursing compared to the control group (P<0.05).
Conclusion: Compared with conventional operating room nursing interventions, evidence-based medicine optimized operating room nursing interventions can further improve nursing quality and promote recovery in patients undergoing hematoma evacuation for traumatic brain injury.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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