骨科卧床患者便秘的辨证施护干预效果评价

Evaluation on the effect of nursing intervention with differentiation of symptoms and signs on in-bed patients with constipation in orthopaedic department

目的:探讨骨科卧床患者便秘的辨证施护干预方法及效果。方法:将100例骨科长期卧床患者随机分为对照组和干预组各50例,在常规治疗和护理的基础上,对照组采用常规健康教育指导预防便秘,干预组给予针对便秘的系统辨证施护干预,包括健康指导、情志护理、药膳调理、排便护理、腹部按摩和康复锻炼等。结果:干预组便秘发生率与对照组比较有极显著性差异(P<0.01)。结论:辨证施护干预能有效降低骨科长期卧床患者便秘的发生率,且此方法简单易行,值得临床推广应用。

Objective： To explore methods and effect of nursing intervention with differentiation of symptoms and signs on the in - bed patients with constipation in orthopaedic department. Methods ： One hundred in - bed patients were randomly divided into control group （ n = 50 ） and intervention group （ n = 50 ）. On the basis of basic treatment and nursing care, routine health education on prevention of constipation was given in control group and additional instructions including abdom- inal massage etc. was applied in intervention group. Results ： The incidence of constipation was much lower in intervention group than that in control group （ P 〈 0. 01 ）. Conclusion ： Differential nursing intervention is very effective to prevent from constipation of in - bed patients, the methods is simple and can be used widely.