Objective To explore the application effect of detailed management based on evidence-based nursing in im-proving the nursing quality during operations in the department of neurosurgery. Methods Three hundred surgical patients in our hospital were included to investigate the operation. From April 2014 to July 2015, details management based on the evidence-based nursing was implemented, and 150 patients were selected. From January 2013 to March 2014, 150 patients were selected as the control group to compare the differences in the quality of nursing before and after the implementation for analysis. Results Preoperative preparation indicators such as preparation time(10. 1+1. 9 minutes) for operation items after the implementation were less than those before the implementation(P<0. 05). The intraoperative preparation indicators such as the accuracy (98. 7%) of item preparation after the implementation were higher than those before the implementation(P<0. 05). The nursing satisfaction rate of chief surgeons(98. 0%) and nursing satisfaction rate of patients(97. 3%) after the implementation were high-er than those before the implementation (P<0. 05). Conclusion The application of evidence-based nursing during operations in the department of neurosurgery can effectively improve the quality of nursing and enhance the satisfaction degree of the patients.%目的：探讨基于循证护理的细节化管理在提高神经外科手术护理质量中的应用效果。方法将本院神经外科300例手术患者及其手术医生作为调查对象。2014年4月至2015年7月时段实施基于循证护理的细节化管理，选取患者150例，将2013年1月至2014年3月时段实施前作为对照，选取患者150例，比较实施前后护理质量的差异并进行分析。结果实施后手术物品准备时间(10.1±1.9)min等术前准备指标均少于实施前(P<0.05)，实施后物品准备准确率(98.7%)等术中准备指标均高于实施前(P<0.05)，实施后主刀医生护理满意率(98.0%)和患者护理满意率(97.3%)均高于实施前(P<0.05)。结论神经外科手术应用基于循证护理的细节化管理可有效提高护理质量，增强手术医生及患者满意程度。
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