基于CGA的干预模式对脑出血术后患者便秘的改善效果研究

目的:分析基于老年综合评估(comprehensive geriatric assessment,CGA)的干预模式对老年脑出血术后患者便秘的改善效果。方法:选取2021年9月—2022年9月莆田涵江医院收治的108例脑出血术后便秘患者,按照随机数表法随机分为观察组和对照组,每组54例。对照组给予常规护理干预,观察组在常规护理基础上给予基于CGA的干预模式。干预周期均为2周。比较两组患者干预前后整体改善情况、便秘症状改善情况、情绪状态、生命质量及便秘相关不良反应发生率。结果干预2周后观察组便秘症状评分排便间隔时间、排便用时、排便难度、排便形状、便意维度评分均低于对照组,差异具有统计学意义(P<0.05)。干预2周后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异具有统计学意义(P<0.05)。干预2周后观察组生命质量评分生理、忧虑、社会心理、满意度维度评分均低于对照组,差异具有统计学意义(P<0.05)。干预2周后,观察组腹胀、颅内再出血、腹痛发生率均低于对照组,差异具有统计学意义(P<0.05)。结论在常规干预措施的基础上应用基于CGA的干预模式能够改善脑出血术后便秘症状,改善患者的情绪状态、提升生命质量,并减少便秘相关不良反应发生率,值得应用推广。

Objective:To analyze the effect of intervention mode based on comprehensive geriatric assessment(CGA)on constipation in elderly patients after intracerebral hemorrhage surgery.Methods:A total of 108 patients with constipation after intracerebral hemorrhage treated in Putian Hanjiang Hospital from September 2021 to September 2022 were randomly divided into observation group and control group according to random number method,with 54 cases in each group.The control group was given routine nursing intervention,and the observation group was given CGAbased intervention mode on the basis of routine nursing.The intervention period was 2 weeks.The overall improvement,improvement of constipation symptoms,emotional state,quality of life and incidence of constipation-related adverse reactions were compared between the two groups before and after intervention.Results After 2 weeks of intervention,the scores of constipation symptom interval,defecation time,defecation difficulty,defecation shape and defecation dimension in the observation group were lower than those in the control group,with statistical significance(P<0.05).After 2 weeks of intervention,the scores of self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After 2 weeks of intervention,the life quality scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).After 2 weeks of intervention,the incidence of abdominal distension,intracranial rebleeding and abdominal pain in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of CGA-based intervention mode on the basis of conventional intervention measures can improve the clinical efficacy of patients with constipation after intracerebral hemorrhage surgery,improve the emotional state of patients,enhance the quality of life,and reduce the incidence of constipation-related adverse reactions,which is worthy of application and promotion.