循证护理在神经重症监护患者护理中的应用效果分析

Abstract: Objective To analyze the preventive effect of evidence-based nursing on deep vein thrombosis (DVT) formation in the lower limbs of neurocritical care patients and its impact on coagulation indicators. Methods A total of 120 patients in neurocritical care in our hospital from December 2021 to December 2024 were selected and grouped according to different nursing methods. The conventional group (n＝60) was given conventional nursing, and the evidence-based group (n＝60) was given evidence-based nursing on the basis of the conventional group. The coagulation function indicators, incidence of DVT, length of stay in the neurology intensive care unit (NICU), hospitalization expenses and patient satisfaction of the two groups of patients were compared. Results Compared with the conventional group, the prothrombin time (PT) and activated partial thromboplastin time (APTT) in the evidence-based group were higher after nursing (P＜0.05), and the D-dimer (D-D) and fibrinogen (FIB) in the evidence-based group were lower after nursing (P＜0.05). Compared with the conventional group (13.33%), the incidence of DVT in the evidence-based group (1.67%) was lower (P＜0.05). Compared with the conventional group, the evidence-based group had a shorter length of stay in the NICU (P＜0.05), and a lower hospitalization cost (P＜0.05). Compared with the conventional group (81.67%), the patient satisfaction rate in the evidence-based group (96.67%) was higher (P＜0.05). Conclusion Evidence-based nursing can effectively improve the coagulation function indicators of patients in neurointensive care, shorten the length of stay in the NICU, reduce the incidence of DVT and treatment costs, and enhance patient satisfaction