Contemporary Nursing

Objective To construct a continuation management program of Home Enteral Nutrition (HEN) for patients with Severe Traumatic Brain Injury (sTBI) and explore its application effect. Methods A total of 100 patients with sTBI who were in a coma and required long-term HEN and were admitted to the neurosurgery department of our hospital from May 2023 to May 2025 were selected. The study was conducted in groups. Those who received routine discharge guidance were included in the control group (50 cases), and those who applied the HEN continuation management program based on "assessment - planning - implementation - monitoring and evaluation - quality improvement" were included in the observation group (50 cases). The nutritional indicators, incidence of complications and nursing satisfaction of the two groups were compared after 3 months of intervention. Results The nutritional indicators (serum albumin, prealbumin, body mass index) of the observation group were better than those of the control group, the total incidence of complications was lower than that of the control group, and the nursing satisfaction was higher than that of the control group. There were significant differences in the data between the two groups (P < 0.05). Conclusion The constructed HEN continuous management program for sTBI patients can effectively improve the nutritional status of patients, reduce the incidence of complications, enhance nursing satisfaction, and reduce the risk of readmission. It has clinical promotion value.

Severe craniocerebral injury; Family enteral nutrition; Continuous management; Nutritional status