International Journal of Nursing Research

Objective To explore the application effect of evidence-based targeted nursing in the care of patients with severe traumatic brain injury. Methods A total of 95 severe traumatic brain injury patients admitted to our hospital from November 2023 to June 2025 were selected as research subjects. They were randomly divided into a conventional group (47 cases) and an experimental group (48 cases) using a random number table method. The conventional group received traditional nursing care, while the experimental group adopted evidence-based targeted nursing. We compared the Glasgow Coma Scale (GCS) and the National Institutes of Health Stroke Scale (NIHSS) scores, incidence of complications, and negative emotion scores before and after nursing (SAS, SDS) between the two groups. Results Before nursing, there were no statistically significant differences in GCS and NIHSS scores, SAS and SDS scores between the two groups (P > 0.05). After nursing, the GCS score of the experimental group was higher than that of the conventional group, while the NIHSS, SAS, and SDS scores were lower than those of the conventional group, with statistically significant differences (P < 0.05); the incidence of complications in the experimental group was lower than that in the conventional group, also with statistically significant differences (P < 0.05). Conclusion Evidence-based targeted nursing can effectively promote the recovery of neural function in patients with severe traumatic brain injury, improve coma status and negative emotions, and reduce complications. Its application is recommended.

Severe traumatic brain injury; Evidence-based support; Targeted nursing; Effect