脊髓损伤神经源性肠道功能障碍的护理干预效果研究

Effect of nursing intervention on spinal cord injury patients with neurogenic bowel dysfunction

目的探讨护理干预对脊髓损伤神经源性肠道功能障碍的影响。方法选择2011年6月～2013年6月北京武警总医院收治的脊髓损伤神经源性肠道功能障碍患者875例，按照随机数字表法分为干预组和对照组，对照组给予常规护理，干预组在常规护理基础上给予综合护理干预。对两组患者肠道功能的恢复情况、生活质量的改善情况及患者的满意度进行比较。结果①干预组经护理干预后，各项肠功能指标均较对照组有所提高（P〈0．05）。②干预组经护理干预后，患者的生存质量总分[（60．72±11．24）分]及躯体功能[（14．12±2．79）分]、心理功能[（12.48±2．03）分]、角色功能[（15．98±2．58）分]均较对照组的生存质量总分[（48．53±12．18）分]及躯体功能[（12．96±2．28）分1、心理功能【（11．23±1．47）分】、角色功能[（13．54±2．08）分】有所提高，组间差异有统计学意义（P〈0．05），干预组经护理干预后患者的社会功能[（13．75±2．46）分】与对照组[（12．81±2．12）分】比较差异无统计学意义（P〉0．05）。③经干预后干预组患者的满意度为95．2％，明显高于对照组患者的满意度（66．6％），组间差异有统计学意义（P〈0．05）。结论实施护理干预能够尽早恢复肠道功能，对改善患者的生活质量具有一定的临床意义。

Objective TO study the effect of nursing intervention on spinal cord injury patients with neurogenic bowel dysfunction. Methods 875 spinal cord injury patients with neurogenic bowel dysfunction in Beijing Armed Police Gen- eral Hospital from June 2011 to June 2013 were randomly divided into intervention group and control group. Control group was given regular care, and intervention group was given nursing intervention on the basis of regular care. The bowel recovery function, quality of life and satisfaction degree were compared of two groups. Results ①All bowel func- tion index in intervention group after nursing intervention were significantly higher than those in control group （P 〈 0.05）. ②The total score [（60.72±11.24） scores] and the physical function score [（14.12±2.79） scores], psychological function score [（12.48±2.03） scores] and role function score [（15.98_±2.58） scores] in intervention group after nursing intervention were significantly higher than those in control group [（48.53±12.18）, （12.96±2.28）, （11.23±1.47）, （13.54± 2.08） scores], the differences were significant （P 〈 0.05）. And the .social function score had no significant difference between intervention group [（13.75±2.46） scores] and control group [（12.81±2.12） scores] （P 〉 0.05）. ②The satisfaction degree of patients in intervention group （95.2%） after nursing intervention was significantly higher than that in control group （66.6%） （P 〈 0.05）. Conclusion Nursing intervention for patients with neurogenie bowel dysfunction after spinal cord injury can resume the bowel function, so it has certain clinical application on improvement of life in patients with neu- rogenic bowel dysfunction.