Objective To construct the practice plan of nutrition management and nursing for young pulmonary tuberculosis(YPT) patients and to evaluate its effect. Methods The final draft of the plan was formed through the current investigation,literature research and expert meeting. YPT patients admitted to the hospital from April 1 to June 30,2019,served as the control group and received routine nutritional care;YPT patients admitted from August 1 to October 30,2019 were allocated into an intervention group,and the evidence-based and clinical needs nutrition management nursing practice program was implemented. The differences in nutritional status,immune function,and quality of life were compared between the 2 groups. Results The weight change of the intervention group in the first and third months of discharge was better than that of the control group(P<0.05).The immune function,total scores of specific dimensions and quality of life in the intervention group were better than those of the control group in 3 months after discharge from the hospital(P<0.05),and there was no statistical difference between the 2 groups in physiological,psychological and social dimensions(P>0.05). Conclusion Nutritional management and nursing practice programs for YPT patients can improve weight,immune function,quality of life,and promote recovery.