营养支持是否有助于减轻结核病影响家庭所面临的经济负担?
D Inthavong1, H Elsayed2, P Keonakhone3
1National Tuberculosis Control Centre, Vientiane, Lao People's Democratic Republic.
IJTLD open
|May 14, 2025
概括
营养支持显著降低了与结核病 (TB) 斗争的家庭的成本. 这种干预有助于防止灾难性开支,改善了结核病影响家庭的财务稳定性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 结核病研究 结核病研究
背景情况:
- 在老人民民主共和国,结核病 (TB) 治疗造成了家庭的重大成本,主要是营养补充剂和食品.
- 了解结核病影响家庭的经济负担对于制定有效的支持策略至关重要.
研究的目的:
- 评估营养咨询和支持对受结核病影响的家庭所面临的经济成本的影响.
- 确定营养干预措施是否可以减轻与结核病治疗相关的灾难性费用.
主要方法:
- 从受结核病影响的家庭收集成本,收入和应对机制的纵向数据.
- 干预涉及结核病患者的营养咨询和支持,以及体重指数 (BMI) <18.5 kg/m2.
- 灾难性成本被定义为超过结核病诊断前家庭年收入的20%.
主要成果:
- 该研究包括268名药物敏感结核病患者;38%的BMI<18.5kg/m2.
- 与观察组相比,干预组的营养补充剂和结核病诊断后的直接非医疗费用成本明显较低.
- 干预组的灾难性成本增长较低 (23.3个百分点),而观察组 (30.9个百分点).
结论:
- 营养咨询和支持表明,与减少受结核病影响的家庭中遭受灾难性成本的比例有显著关联.
- 这些发现强调了结核病护理中综合营养干预措施的重要性,以减轻财务负担.
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