营养支持疗法联合多层面健康教育对肺结核合并糖尿病患者的干预效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2026.07.008

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摘要 【目的】探讨营养支持疗法联合多层面健康教育对肺结核合并糖尿病患者的干预效果。【方法】选取2023年6月至2025年6月在本院诊治的90例肺结核合并糖尿病患者,按随机数字表法分为对照组(采用常规干预)和观察组(采用营养支持疗法联合多层面健康教育干预),每组45例。比较两组营养状况[白蛋白(ALB)、血红蛋白(Hb)]、血糖指标[空腹血糖(FPG)、餐后2 h血糖(2hPG)]、病耻感[结核病患者病耻感量表(TSS)评分]、知行信水平[自我管理知识、态度和行为(KAB)评价简化量表(DSKAB-SF)评分]。【结果】干预后,观察组ALB、Hb水平高于对照组(P<0.05),FPG、2hPG水平低于对照组(P<0.05)。观察组TSS各维度评分低于对照组(P<0.05),DSKAB-SF各量表评分高于对照组(P<0.05)。【结论】营养支持疗法联合多层面健康教育可改善肺结核合并糖尿病患者的营养状况,降低血糖水平,减轻病耻感,提高知行信水平,促进患者康复。

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	魏素霞
	杨宇英
	张爱华

关键词 ：结核,肺, 糖尿病, 营养支持, 健康教育

Abstract：【Objective】 To explore the intervention effect of nutritional support therapy combined with multi-level health education in patients with pulmonary tuberculosis and diabetes mellitus. 【Methods】 From June 2023 to June 2025, 90 patients with pulmonary tuberculosis complicated by diabetes mellitus who were treated in our hospital were selected and divided into the control group (using conventional intervention) and the observation group (using nutritional support therapy combined with multi-level health education), with 45 cases in each group. The nutritional status [albumin (ALB), hemoglobin (Hb)], blood glucose [fasting blood glucose (FPG), 2-hour postprandial blood glucose (2hPG)], tuberculosis-related stigma [score of the tuberculosis patient stigma scale (TSS)], and knowledge, attitude and behavior level [self-management knowledge, attitude and behavior (KAB) evaluation simplified scale (DSKAB-SF)] of the two groups were compared. 【Results】 After the intervention, the ALB and Hb levels of the observation group were higher than those of the control group (P<0.05), while the FPG and 2hPG levels were lower than those of the control group (P<0.05). The scores of each dimension of TSS in the observation group were lower than those of the control group (P<0.05), and the scores of each dimension of DSKAB-SF in the observation group were higher than those of the control group (P<0.05). 【Conclusion】 Nutritional support therapy combined with multi-level health education can improve the nutritional level of patients with pulmonary tuberculosis complicated by diabetes mellitus, lower blood glucose levels, reduce stigma, improve knowledge, attitude and behavior level, and promote the recovery of patients.

Key words： Tuberculosis,Pulmonary Diabetes Mellitus Nutritional Support Health Education

收稿日期: 2026-01-07

中图分类号:

R521

基金资助:^*2024年度郑州市医疗卫生领域科技创新指导计划项目(编号:2024YLZDJH379)

通讯作者: ^**E-mail: 905877328@qq.com

引用本文:

魏素霞, 杨宇英, 张爱华. 营养支持疗法联合多层面健康教育对肺结核合并糖尿病患者的干预效果^*[J]. 医学临床研究, 2026, 43(7): 1083-1086.
WEI Suxia, YANG Yuying, ZHANG Aihua. Effect of Nutritional Support Therapy Combined with Multilevel Health Education on Intervention in Patients with Pulmonary Tuberculosis Complicated with Diabetes Mellitus. JOURNAL OF CLINICAL RESEARCH, 2026, 43(7): 1083-1086.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.07.008 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I7/1083

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