“提壶开底”推拿护理干预对住院卧床患者便秘的影响

EXPLORE THE EFFECT OF "MENTION POT OF OPEN BOTTOM" MASSAGE NURSING INTERVENTION ON THE CONSTIPATION OF INPATIENT LYING IN BED

目的探讨住院卧床患者便秘的护理干预措施及疗效。方法将200例住院卧床合并便秘的患者分为推拿护理干预组和常规护理对照组,护理干预组采用"提壶开底"推拿护理干预和实施有效的心理护理,对照组采用一般的护理措施及药物通便。结果采用便秘患者症状自评量表及性状量表,护理干预组在腹部不适、腹痛、腹胀、胃部痉挛、排便疼痛、排便无力等方面明显得到缓解(p<0.01);采用36项健康调查简表,护理干预组在健康状况、活动强度、躯体疼痛、情感智能等方面有明显的提高和改善(p<0.01)。结论运用"提壶开底"推拿疗法干预便秘患者,能确实解决患者的便秘问题,还能恢复大肠正常的蠕动功能,增强胃肠的消化吸收功能,提高患者生活质量,有广泛的临床意义。

Objective To study the nursing intervention measures for the inpatients lying in bed suffering constipation and its curative effect. Methods Divide 200 inpatients lying in bed suffering constipation into nursing intervention group and normal nursing control group. The nursing intervention group uses ＂mention pot of open bottom＂ massages nursing intervention and effective psychological care, while the comparison group uses the general nursing measures and medicines to relax the bowels. Results According to the self - rating scales and character scales of the inpatients suffering constipation symptoms, the nursing intervention group obviously eased in abdominal discom- fort, abdominal pain, abdominal distension, gastro spasm, defecation pain, defecation disability and so on （p 〈 0. 01 ）. According to the 36 items in the health questionnaire, the nursing intervention group obviously archived elevation and improvement in health condition, activity intensity, physical pain, feeling intelligence and so on （p 〈 0.01 ）. Conclusion Treating the patients with constipation by using mention pot of open bottom massage really can solve the constipation problem for them; let the large intestine regain peristalsis; enhance the digestive absorption of the stomach and intestine; and improve the life quality of the patients. It has wide clinical significance.