Abstract: Objective To observe the application effect of 3C checklist in the elderly patients with craniocerebral trauma receiving operation. Methods A total of 82 elderly patients undergoing craniocerebral trauma surgery in our hospital from June 2018 to June 2020 were selected and divided into observation group and control group according to random number table, with 41 cases in each group. The illness state in the observation group was recorded with structured 3C checklist, while the illness state in the control group was recorded with traditional form. A total of 200 nursing records were collected from each group, and the nurses’ mastery of the patients’ condition was compared between the two groups. The occurrence of postoperative complications and the score of Glasgow Coma Scale at 14 days after surgery were recorded and compared between the two groups. The patients’ satisfaction with nursing was investigated 1 day before discharge. Results There were significant differences in nurses’ overall mastery rate and the mastery rates of wound drainage, sensorimotor function, diet, the illness state sudden change, and high-risk warning between the two groups (P<0.05). Twenty-four patients (58.54%) in the observation group had good recovery and mild disability, while 10 patients in the control group (24.39%) had good recovery and mild disability, and the difference was statistically significant between the two groups (Z=17.829, P<0.001). The total incidence rate of postoperative complications in the observation group was lower than that in the control group (P<0.01). The total satisfaction of the elderly patients or their families in the observation group was higher than that in the control group (P<0.01). Conclusions Using 3C checklist to record the condition of the patients undergoing craniocerebral trauma surgery can reduce the postoperative complications and improve the prognosis. At the same time, it can also improve the primary nurses’ mastery of patients’ condition and patients’ satisfaction with nursing work.

Key words: craniocerebral trauma, surgery, aged, 3C checklist, satisfaction