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.