摘要
目的 探究以循证理论为基础的针对性护理干预在重度颅脑损伤患者中的应用。方法 择取2023年1月-2024年12月在本院治疗的80例重度颅脑损伤患者为研究对象，随机分组，对照组（40例）采用常规护理干预，观察组（40例）采用以循证理论为基础的针对性护理干预，从格拉斯哥昏迷评分法（GCS）评分、并发症发生率、呼吸机相关性肺炎（VAP）发生情况展开研究。结果 观察组患者GCS 评分明显高于对照组，并发症发生率更低，VAP发生时间晚于对照组，脱机时间更短，VAP发生率更低，P＜0.05，差异具有统计学意义。结论 以循证理论为基础的针对性护理干预在重度颅脑损伤患者中的应用效果显著，有效改善患者临床症状，降低并发症发生，促进患者恢复，建议应用。
关键词： 循证理论；针对性护理干预；重度颅脑损伤；应用效果
Abstract
Objective To explore the application of targeted nursing intervention based on evidence-based theory in patients with severe craniocerebral injury. Methods In 80 patients with severe craniocerebral injury treated in our hospital from January 2023 to December 2024, the control group (40 cases) adopted routine nursing intervention, and the observation group (40 cases) adopted targeted evidence-based nursing intervention from the Glasgow Coma Scale method (GCS) score, complication incidence and occurrence of ventilator-associated pneumonia (VAP). Results The GCS score of the observation group was significantly higher than the control group, the complication rate was lower, VAP occurred later than the control group, shorter weaning time, and the VAP rate was lower, P <0.05, which was a statistically significant difference. Conclusion The application of targeted nursing intervention based on evidence-based theory in patients with severe craniocerebral injury is remarkable, effectively improving the clinical symptoms of patients, reducing the occurrence of complications, and promoting the recovery of patients.
Key words： Evidence-based theory; Targeted nursing intervention; Severe craniocerebral injury; Application effect
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