肺结核患者营养管理护理实践专家共识

doi:10.19982/j.issn.1000-6621.20240071

摘要/Abstract

摘要：

肺结核住院患者营养风险若未及时纠正,易出现营养相关性疾病,如营养不良、药物性肝损伤、免疫功能低下、肺部感染等,从而增加抗结核治疗失败的风险。营养管理是治疗肺结核非常重要的辅助方法之一,但仍存在护理人员营养知识缺乏、营养评估标准不明确和管理流程不健全等相关问题,因此,规范结核病营养护理具有重要意义。基于此,中国防痨协会护理专业分会、同济大学附属上海市肺科医院联合组织专家,针对住院成人肺结核患者的营养管理护理问题,以临床实践为基础,运用文献分析法,结合结核病领域专家的工作经验,共同拟定《肺结核患者营养管理护理实践专家共识》,旨在为临床护理工作者实施营养管理提供指导依据,规范我国住院成人肺结核患者营养管理护理实践。

关键词: 结核,肺, 营养评价, 营养支持, 护理, 总结性报告(主题)

Abstract:

The incidence of nutritional risk in hospitalized patients with pulmonary tuberculosis ranges from 38.5% to 86.1%. If the nutritional risk is not corrected in time, it is easy to develop nutrition-related diseases, such as malnutrition, drug-induced liver injury, immune dysfunction, lung infections, etc., which increases the risk of failure in the anti-tuberculosis treatment. Nutrition management is one of the most important auxiliary methods in the treatment of pulmonary tuberculosis, however, there are still some related problems, such as lack of nutrition knowledge among nursing staff, unclear nutrition assessment standards and imperfect management procedures. Therefore, it is of great significance to standardize nutrition care for tuberculosis. The Nursing Branch of Chinese Antituberculosis Association and Shanghai Pulmonary Hospital Affiliated to Tongji University jointly organized experts to formulate the Expert consensus on nursing practice for nutritional management of pulmonary tuberculosis patients based on clinical practice, literature analysis, combined with the work experience of experts in the field of tuberculosis, aiming at providing guidance for clinical nurses to implement nutrition management, and standardizing the nutrition management nursing practice of hospitalized adult tuberculosis patients in China.

Key words: Tuberculosis, pulmonary, Nutrition assessment, Nutritional support, Nursing care, Consensus development conferences as topic

中图分类号:

R52
R473

中国防痨协会护理专业分会, 同济大学附属上海市肺科医院. 肺结核患者营养管理护理实践专家共识[J]. 中国防痨杂志, 2024, 46(5): 495-501. doi: 10.19982/j.issn.1000-6621.20240071

The Nursing Branch of Chinese Antituberculosis Association, Shanghai Pulmonary Hospital Affiliated to Tongji University Dw. Expert consensus on nursing practice for nutritional management of pulmonary tuberculosis patients[J]. Chinese Journal of Antituberculosis, 2024, 46(5): 495-501. doi: 10.19982/j.issn.1000-6621.20240071

图/表 2

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职责	医师	护士	营养师	药师	照护者
筛查/评估
营养风险筛查	-	√	-	-	-
营养状况评估	-	√	√	-	-
计划
确定营养需求的目标	-	-	√	-
实施
拟定营养干预方案	√	-	√	√	-
执行营养干预方案	-	√	-	-	√
监测/评价
营养评价	-	√	√	-	√
疗效观察	√	√	-	√	√
饮食指导	-	√	-	-	√