Clinical Impact of Risk Pre-warning Nursing Model Combined with Early Nasojejunal Enteral Nutrition on Nutritional Status, Neurological Function and Negative Emotions in Patients with Severe Stroke

Abstract

The present study aimed to clarify the practical implications of implementing a risk pre-warning nursing model combined with early nasojejunal enteral nutrition in patients with severe stroke. One hundred patients with severe stroke treated at the Affiliated Hospital of Nantong University, Nantong City, China between January 2022 and June 2023 were recruited. The control group received early enteral nutrition support and conventional nursing, whereas the experimental group was subjected to a risk pre-warning nursing model. After the intervention, the serum albumin, prealbumin, and total protein levels were higher in the experimental group than in the control group. However, the experimental group demonstrated shorter bowel sound recovery, anal exhaust, and anal defecation times. The incidence of complications was lower in the experimental group (4.0%) than in the control group (18.0%). The experimental group exhibited a reduction in intensive care unit hospitalization time, total hospitalization time, and expenses than the control group. The National Institute of Health stroke scale, self-rating depression scale, and self-rating anxiety scale scores were lower in the experimental group than in the control group. In conclusion, early nasojejunal nutrition with risk pre-warning nursing model can improve nutritional status and gastrointestinal function, regulate neurological function, alleviate negative emotions, reduce complications, and shorten the hospital stay of patients with severe stroke.