Abstract
To access the impact of multidisciplinary collaborative jejunal nutrition care on the nutritional status, pain level, wound healing, and quality of life in severely burned cases. A total of 120 cases with severe burns who visited our hospital from January 2021 to May 2023 were enrolled. Inclusion criteria: ① severe burn diagnosis; ② admission within 18 hours; ③ normal heart, liver, kidney, and cognitive function; ④ informed consent signed. Exclusion criteria: ① consumptive/metabolic diseases; ② malignant tumors; ③ midway death; ④ pregnant or lactating women. Patients were divided into 2 groups: control (n = 60) receiving parenteral nutrition and observation (n = 60) receiving multidisciplinary collaborative jejunal nutrition care. The latter included a multidisciplinary team (burns, endocrinology, cardiology, nephrology) and professionally trained caregivers. The jejunal nutrition care included the placement of a nasojejunal tube, individualized nutrition infusion protocols, close monitoring of vital signs, psychological counseling, and regular consultations with the multidisciplinary team. Outcomes assessed included hemoglobin, transferrin, albumin levels, pain (Visual Analogue Scale), wound healing, complications, SF-36 quality of life, and nursing satisfaction. After management, the observation group indicated significantly higher levels of hemoglobin (mean difference: 16.28 g/L, 95% CI: 12.5-20.1; Cohen d: 2.0, 95% CI: 1.7-2.3), transferrin (mean difference: 0.67 g/L, 95% CI: 0.5-0.9; Cohen d: 2.5, 95% CI: 2.1-3.0), and albumin (mean difference: 5.26 g/L, 95% CI: 4.2-6.3; Cohen d: 3.5, 95% CI: 3.0-4.0) compared to the control group (P < .05). The Visual Analogue Scale scores in the observation group were significantly lower (mean difference: 3.18 points, 95% CI: 2.8-3.5; Cohen d: 6.5, 95% CI: 5.9-7.2), and the wound healing time was significantly shorter (mean difference: 7.41 days, 95% CI: 4.5-10.3; Cohen d: 0.8, 95% CI: 0.6-1.0, P < .05). The observation group showed a lower complication rate (P = .02). Additionally, the observation group demonstrated significant improvements in SF-36 quality of life scores and higher nursing satisfaction (96.67% vs 80.00%, P = .0001). Multidisciplinary collaborative jejunal nutrition care effectively improves nutritional status, reduces pain, accelerates wound healing, and enhances quality of life and satisfaction in severely burned patients.