Summary of best evidence for the early rehabilitation exercise of patients with severe traumatic brain injury
10.3969/j.issn.1671-8348.2025.06.025
- VernacularTitle:重度颅脑损伤患者早期康复训练的最佳证据总结
- Author:
Wei ZHANG
1
;
Jingnan CHEN
;
Ying GAO
;
Lei ZHONG
;
Yan WANG
;
Jinping LI
Author Information
1. 首都医科大学附属北京朝阳医院神经外科,北京 100020
- Keywords:
severe traumatic brain injury;
early rehabilitation;
best evidence summary;
nursing
- From:
Chongqing Medicine
2025;54(6):1419-1426,1434
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the best evidence for the evaluation,implementation,and assess-ment of early rehabilitation exercise for patients with severe traumatic brain injury,provide evidence-based support for clinical nursing and reduce disability and mortality rates.Methods Relevant evidence on early re-habilitation exercise of patients with severe traumatic brain injury from 14 databases or official websites inclu-ding BMJ Best Practice,UpToDate,BMJ Clinical Evidence,the official website of the World Health Organiza-tion(WHO),International Guidelines Collaboration Network(GIN),National Guidelines Library(NGC)in the United States,Scottish Inter Collegiate Guidelines Network(SIGN),JBI Evidence Based Healthcare Knowledge Base,Cochrane Library,PubMed,Embase,Cumulative Index of Nursing and Allied Health Litera-ture(CINAHL),China National Knowledge Infrastructure(CNKI),and Wanfang were retrieved,the latest clinical decisions,guidelines,evidence summaries,expert consensus,systematic reviews,clinical practices,and review results were integrated,the best evidence were extracted,and quality evaluation and classification were conducted.Results A total of 15 articles were included,summarizing 26 best pieces of evidence from six as-pects:early rehabilitation exercise assessment,early awakening rehabilitation treatment therapy,early respira-tory and airway management,early limb activity and muscle joint rehabilitation training,early bladder function training,and early nutritional management.Conclusion This study integrates the best evidence of early reha-bilitation exercise for patients with severe traumatic brain injury,providing evidence-based support for further clinical nursing practice,promoting the rehabilitation process of patients with traumatic brain injury,and im-proving their quality of life.