Abstract:

Objective: To systematically evaluate the effectiveness of comprehensive nursing on the treatment outcome of patients with pulmonary tuberculosis. Methods: A systematic search was conducted in CNKI, PubMed and Embase databases for randomized controlled trials that met certain criteria. The effectiveness of comprehensive nursing on the treatment outcomes of pulmonary tuberculosis patients, including treatment compliance, self-management ability and mental health indicators, was evaluated. The search period was from January 1, 2010 to July 1, 2025. Two researchers independently conducted literature screening, data extraction and quality evaluation. Meta-analysis was performed using RevMan 5.4 software. Results: A total of 16 articles were included in the study. The meta-analysis results showed that compared with conventional treatment, comprehensive care significantly increased the treatment compliance rate of tuberculosis patients (OR=4.87, 95%CI: 3.36-7.06, P<0.01). In meta-analysis of self-management ability assessment scales of the two groups, the observation group scored significantly higher than the conventional care group in self-concept (MD=5.24, 95%CI: 4.69-5.79, P<0.01), self-responsibility (MD=5.08, 95%CI: 2.09-8.08, P<0.01), self-care skills (MD=7.85, 95%CI: 7.16-8.54, P<0.01), and health knowledge level (MD=8.00, 95%CI: 7.13-8.87, P<0.01). Compared with conventional care, the observation group had significantly lower SAS scores (MD=-7.09, 95%CI: -9.67 - -4.51, P<0.01) and SDS scores (MD=-7.17, 95%CI: -9.13 --5.21, P<0.01). Conclusion: Comprehensive nursing significantly enhanced treatment compliance, self-management ability of patients with pulmonary tuberculosis, and improved their mental health indicators. Medical staff can strengthen comprehensive nursing based on individual characteristics of tuberculosis patients to improve the treatment outcome.

Key words: Tuberculosis, Mate-analysis, Nursing care, Disease management