Volume 4,Issue 5
分析神经外科患者护理安全危险因素与护理进展
神经外科患者护理面临多重安全风险，涉及患者意识障碍、肢体功能受损及生命体征不稳等自身因素，护理操作中的跌倒、静脉差错及管道堵塞，护士经验不足与责任心缺失，以及管理层面的围手术期事件与术后管理疏漏。近年来，护理领域通过智慧技术应用、康复干预前移、专科技术优化及多学科协作提升了安全水平，未来需进一步融合智能技术、强化护士培养与国际合作，以实现护理质量的持续改进。
[1] 李静, 王建军, 张蕾. 老年神经外科患者安全风险管理体系的构建[J].中华护理杂志,2023,58(4):445-449.
[2] Johnson M, Smith R, Brown K. Autonomic Dysfunction in Neurosurgical ICU Patients: A Prospective Cohort Study[J]. Journal of Neurosurgical Nursing, 2022,54(2):112-118.
[3] 陈伟明, 刘晓红, 周涛. 认知-运动双维度评估在预防术后谵妄中的应用[J].中国实用护理杂志,2024,40(7):23-27.
[4] Müller F, Weber S, Schmidt J. Individualized Analgesia Protocol for Craniotomy Patients[J]. European Journal of Neurosurgery, 2025,47(3):201-207.
[5] 王雪梅, 李娜, 赵静. 神经外科患者营养状况与医院感染关联性分析[J].护理学杂志,2023,38(12):45-48.
[6] 张立军, 陈明, 王璐. 基于生物力学的体位管理对压疮预防效果研究[J].中华现代护理杂志,2024,30(5):67-71.
[7]刘建华, 孙伟, 周敏. 神经外科静脉用药安全流程再造研究[J].中国护理管理,2022,22(9):1288-1292.
[8] Tanaka Y, Sato H, Yamamoto K. Blockchain Technology in Surgical Instrument Management[J]. Asian Journal of Neurosurgery, 2024,19(1):89-95.
[9] Brown A, Davis C, Wilson P. Perioperative Safety Guidelines for Neurological Surgery[J]. Journal of Perioperative Nursing, 2025,38(2):156-163.
[10] 孙丽萍, 李文娟, 黄薇. 神经外科患者跌倒风险预测模型的构建与验证[J].护理研究,2023,37(16):2897-2901.
[11] 赵芳, 陈敏华, 徐艳玲. 神经外科专科护士核心能力评价指标体系的构建[J].中华护理教育,2022,19(5):395-399.
[12] Smith R, Taylor L, Harris M. Situation Awareness Deficit in Novice Neurosurgical Nurses[J]. International Nursing Review, 2023,70(3):412-419.
[13] Dubois C, Martin P, Laurent G. High-fidelity Simulation for Neurosurgical Nursing Training[J]. Clinical Simulation in Nursing, 2025,46(4):33-40.
[14] Williams J, White K, Anderson B. Real-time Adverse Event Reporting System in Neurosurgical Units[J]. Journal of Patient Safety, 2023,19(7):501-508.
[15] 郑涛, 马玉芹, 王晓宇. 网格化护理管理在神经外科病房的应用效果[J].中国医院管理,2024,44(6):74-77.
[16] Lee S, Kim J, Park H. Augmented Reality for Neurosurgical Procedural Training[J]. Surgical Innovation, 2024,31(2):178-185.
[17] Taylor M, Harris R, Brown S. Preoperative Rehabilitation for Neurosurgical Patients[J]. Journal of Clinical Neuroscience, 2022,35(8):112-117.
[18] Williams D, Anderson C, Wilson M. Closed-loop Deep Brain Stimulation for Seizure Control[J]. Nature Neuroscience, 2023,26(5):723-730.
[19] Schulz H, Müller F, Weber T. Seventh-generation Surgical Robot for Microvascular Anastomosis[J]. Annals of Surgery, 2024,279(4).
[20] Johnson P, Baker S, Davis R. Validation of Therapeutic Dependency and Nursing Needs Classification System[J]. International Journal of Nursing Studies,2024,152:104667.