卯时饮水联合手指点穴在预防中风卧床患者便秘的护理观察

Nursing Intervention on Prevention of Constipation in Bedridden Stroke Patients by Drinking Water at Maoshi and Acupoint Pressure with Finger

目的观察卯时饮水联合手指点穴预防中风卧床患者便秘的效果。方法选择2018年7月-2020年4月在河源市中医院住院的中风卧床患者100例作为对象,随机数字表法分为两组。按照随机数字法将100例患者作为对象,随机数字表法分为两组,各50例。对照组50例按中医内科常规护理,观察组50例在对照组基础上实施卯时饮水联合手指点穴护理干预,2周护理后对患者效果进行评估,比较观察两组首次排便、排便间隔、每次排便需要时间、排便性状及2周的便秘发生率。结果观察组在首次排便、排便间隔及每次排便三方面所用时间均明显少于对照组,组间比较差异具有统计学意义(P<0.05);大便性状干预后观察组较对照组改善明显,差异有统计学意义(U=705.000,P<0.05);观察组入院后2周内便秘发生率低于对照组,组间比较差异具有统计学意义(χ^(2)=9.766,P=0.002)。结论卯时饮水联合手指点穴用于中风卧床患者中,有助于降低便秘发生率,缩短患者首次排便、间隔及每次排便时间,可改善排便性状,预防便秘的发生,值得推广应用。

Objective To observe the effect of drinking water in Maoshi combined with finger-pointing to prevent constipation in bedridden patients with stroke.Methods A total of 100 bedridden stroke patients who were hospitalized in our department from July 2018 to April 2020 were selected as subjects,and they were divided into two groups by random number table.The 50 cases of the control group were treated according to the routine care of TCM internal medicine,and the 50 cases of the observation group were treated with the nursing intervention of drinking water combined with finger acupuncture on the basis of the control group.After 2 weeks of nursing,the patient’s effect was evaluated.The time required to defecate,the characteristics of defecation,and the incidence of constipation within 2 weeks.Results The observation group spent significantly less time in the first defecation,defecation interval and each defecation than the control group,and the difference between the groups was statistically significant(P<0.05);the observation group was better than the control group after the intervention of stool traits Obviously,the difference was statistically significant(U=705.000,P<0.05);the incidence of constipation in the observation group within 2 weeks after admission was lower than that of the control group,and the difference between the groups was statistically significant(χ^(2)=9.766,P=0.002).Conclusion Maoshi drinking water combined with finger acupuncture for stroke bedridden patients can help reduce the incidence of constipation,shorten the first defecation,interval and time of each defecation,improve defecation characteristics and prevent the occurrence of constipation.It is worthy of popularization and application.