老年肺结核患者营养护理方案的构建及应用

Construction and application of nutritional nursing scheme for elderly patients with pulmonary tuberculosis

目的探讨老年肺结核患者营养护理方案的构建及应用效果。方法选取2021年7月1日至12月31日九江市第三人民医院收治的60例老年肺结核患者作为对照组,将2022年1月1日至6月30日九江市第三人民医院收治的60例老年肺结核患者作为研究组。对照组实施常规营养护理,研究组实施老年肺结核患者营养护理方案。比较两组患者入院时、出院后1、3个月的营养指标、免疫指标、生活质量。结果研究组患者出院后1、3个月的体重高于对照组,差异有统计学意义(P<0.05),两组入院时的体重比较,差异无统计学意义(P>0.05)。两组入院时、出院后1、3个月的白蛋白、血红蛋白、白蛋白水平比较,差异无统计学意义(P>0.05)。入院时,两组的CD3+、CD4+水平比较,差异无统计学意义(P>0.05);两组患者出院后3个月的CD3+、CD4+水平高于入院时,差异有统计学意义(P<0.05),研究组出院后3个月的CD3+、CD4+水平高于对照组,差异有统计学意义(P<0.05)。干预前,两组肺结核特异模块、生活质量总分比较,差异无统计学意义(P>0.05);两组患者干预后的肺结核特异模块、生活质量总分高于干预前差异有统计学意义(P<0.05);干预后研究组的肺结核特异模块、生活质量总分高于对照组,差异有统计学意义(P<0.05)。结论老年肺结核患者护理中,制定全面的营养护理方案对改善老年结核病患者预后具有重要价值,值得应用。

Objective To explore the construction and application effect of nutrition nursing scheme for elderly patients with pulmonary tuberculosis.Methods Sixty elderly patients with pulmonary tuberculosis admitted to the Third People's Hospital of Jiujiang City from July 1 to December 31,2021 were selected as the control group,and 60 elderly patients with pulmonary tuberculosis admitted to the Third People's Hospital of Jiujiang City from January 1 to June 30,2022 were selected as the study group.The control group received routine nutrition nursing,and the study group received nutrition nursing program for elderly patients with pulmonary tuberculosis.The nutritional indices,immune indices and quality of life of the two groups were compared at admission,1 and 3 months after discharge.Results The body weight 1 and 3 months after discharge in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference between the two groups at admission(P>0.05).There were no significant differences in the levels of albumin,hemoglobin and albumin between the two groups at admission and 1 and 3 months after discharge(P>0.05).At admission,there were no significant differences in CD3+and CD4+levels between the two groups(P>0.05).The levels of CD3+and CD4+3 months after discharge of the two groups were higher than those at admission,the differences were statistically significant(P<0.05).The levels of CD3+and CD4+in the study group were higher than those in the control group at 3 months after discharge,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in pulmonary tuberculosis specific modules and total score of quality of life between the two groups(P>0.05).The specific modules of pulmonary tuberculosis and the total score of quality of life of the two groups after intervention were higher than those before intervention,the differences were statistically significant(P<0.05).After intervention,the tuberculose-specific modules and total score of quality of life in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In the nursing of senile patients with tuberculosis,the formulation of comprehensive nutrition nursing program is of great value to improve the prognosis of senile patients with tuberculosis.