Research on the application value of clinical nursing pathway for pulmonary tuberculosis in patients with initial treatment and positive sputum culture
肺结核临床护理路径在初治痰菌阳性患者中的应用价值研究

摘要

目的 探究肺结核临床护理路径在初治痰菌阳性患者中的临床应用价值。方法 选取2025年1月-2026年3月收治的30例初治痰菌阳性肺结核患者作为研究对象，采用随机数字表法分为对照组与实验组，各15例。对照组实施常规肺结核护理，实验组采用规范化临床护理路径干预，明确护理节点、细化护理措施，全程标准化管控。结果 实验组痰菌转阴时间、住院时长显著短于对照组（t=4.263，P=0.000；t=3.891，P=0.001），治疗依从性优良率（93.33%）高于对照组（66.67%）（χ2=4.043，P=0.044）。结论 肺结核临床护理路径应用于初治痰菌阳性患者，可缩短治疗周期，提升痰菌转阴效率与治疗依从性，优化护理质量，具有较高临床推广价值。

Abstract

Objective To investigate the clinical application value of the clinical nursing pathway for tuberculosis in newly diagnosed sputum-positive patients.
Methods A total of 30 newly diagnosed sputum-positive tuberculosis patients admitted from January 2025 to March 2026 were selected as the study subjects. They were randomly divided into a control group and an experimental group using a random number table, with 15 cases in each group. The control group received conventional tuberculosis nursing, while the experimental group underwent standardized clinical nursing pathway intervention, with clearly defined nursing nodes, detailed nursing measures, and full-process standardized management.
Results The experimental group showed significantly shorter sputum-negative conversion time and shorter hospitalization duration compared to the control group(t=4.263, P=0.000;t=3.891,P=0.001).The treatment compliance rate(93.33%)was higher than that of the control group(66.67%)(χ2=4.043,P=0.044).
Conclusion   The application of the clinical nursing pathway for tuberculosis in newly diagnosed sputum-positive patients can shorten the treatment cycle, improve sputum-negative conversion efficiency and treatment compliance, optimize nursing quality, and has high clinical promotion value.