综合护理干预在慢性阻塞性肺疾病稳定期便秘中的作用

Effects of comprehensive nursing intervention on constipation of chronic obstructive pulmonary disease in stable period

目的探讨综合护理干预在慢性阻塞性肺疾病稳定期便秘中的防治作用。方法 62例慢性阻塞性肺疾病稳定期发生便秘的病例随机分成对照组和研究组,每组31例。对照组患者予以常规通便药物及饮食结构调整,研究组在此基础上予以建立良好排便习惯、心理护理、腹部按摩和适当运动等综合护理方法;分析比较两组患者的相关临床资料。结果与对照组相比,研究组的开始排便时间和大便形态恢复正常时间均明显缩短,第二周大便次数和第四周大便次数明显增多,且均具有统计学差异(P<0.05);SGRQ评分两组患者的活动受限、呼吸症状、疾病影响及其总分均具有统计学差异(P<0.05);对照组的总有效率为77.42%,研究组的总有效率为96.77%,两组患者干预后的总有效率具有统计学差异(P<0.05)。结论综合护理干预措施可以显著改善慢性阻塞性肺疾病稳定期便秘患者的便秘症状,明显提高患者的生活质量,具有较好的临床效果。

Objective To investigate the clinical effects of comprehensive nursing intervention on the constipation of chronic obstructive pulmonary disease（COPD） in stable period.Methods Totally 62 patients of COPD with constipation in stable period were selected and randomly divided into control group and study group（n=31）.The patients in control group were provided with traditional nursing and adjusted dietary pattern while those in study group were received comprehensive nursing intervention including psychological nursing,defecation habit training,abdominal massage and physical exercises.The clinical data of the two groups were compared after the nursing intervention.Results The time of starting defecation and the time of recovering defecation form were shortened,meanwhile the defecation times in the second and fourth week were increased in study group compared with those of control group（P0.05）.There were significant differences in activity confinement,symptoms of respiratory,disease effect and the total scores between the two groups based on the SGRQ score（P0.05）.Meanwhile,the total effective rate in control group was 77.42% and that in study group was 96.77%,with statistical differences between the two groups（P0.05）.Conclusion With good clinical effectiveness,comprehensive nursing intervention can significantly improve the symptoms of constipation and life quality for patients with chronic obstructive pulmonary disease.