【摘要】 目的 探究构建量化营养健康指导方案结合医护一体化护理在肺结核患者中的应用价值。方法 选取2022年7月至2023年1月上饶市立医院收治的66例肺结核患者作为研究对象，依据随机数字表法分为对照组与观察组，每组各33例。对照组采用常规护理，观察组采用构建量化营养健康指导方案结合医护一体化护理。比较两组干预前后的肺功能指标、营养状况、自我效能，并比较两组患者随访3个月后的咯血与复发情况。结果 干预后，观察组第1秒用力呼气量、用力呼气量水平高于对照组，差异有统计学意义（P<0.05）；观察组的体重高于对照组，差异有统计学意义（P<0.05）；观察组的一般自我效能感量表评分高于对照组，差异有统计学意义（P<0.05）。随访3个月，观察组未发生再咯血，对照组1例患者发生再咯血，两组患者的再咯血率比较，差异无统计学意义（P>0.05）；观察组无患者复发，对照组4例患者复发，观察组的复发率低于对照组，差异有统计学意义（P<0.05）。结论 将构建量化营养健康指导方案结合医护一体化护理应用于肺结核患者中，不仅可以改善患者肺功能、营养状况，还可以提高患者自我效能，改善预后。更多还原

【Abstract】 Objective To explore the application value of quantitative nutrition health guidance regimen construction combined with integrated doctor-nurse nursing on patients with pulmonary tuberculosis. Methods A total of 66 patients with pulmonary tuberculosis admitted to Shangrao Municipal Hospital from July 2022 to January 2023 were selected as research subjects, and they were divided into control group and observation group according to the random number table method, with33 cases in each group. The control group was treated with routine nursing, and the observation group was given quantitative nutrition health guidance regimen construction combined with integrated doctor-nurse nursing. The pulmonary function indexes, nutritional status and self-efficacy before and after intervention were compared between the two groups, and the occurrence of hemoptysis and recurrence after 3 months of follow-up were compared between the two groups. Results After the intervention, the forced expiratory volume in 1 second and forced vital capacity in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The body weight of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). The general self-efficacy scale score of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). After 3 months of follow-up, there was no recurrence of hemoptysis in the observation group, and1 patient in the control group had recurrence of hemoptysis. There was no statistically significant difference in the recurrence of hemoptysis between the two groups(P>0.05). There was no recurrence in the observation group, and 4 patients in the control group. The recurrence rate of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion The application of quantitative nutrition health guidance regimen construction combined with integrated doctor-nurse nursing in patients with pulmonary tuberculosis can not only improve the pulmonary function and nutritional status of patients, but also enhance the self-efficacy and improve the prognosis of patients.更多还原