系统性干预对维持性血液透析便秘患者的影响研究

Systematic Intervention Effects on Maintenance Hemodialysis Patients with Constipation

目的探讨系统性干预对维持性血液透析便秘患者的效果。方法对48例维持性血液透析患者进行心理、饮食、运动、按摩、药物等一系列系统性干预,干预期6周。采用便秘症状及疗效评估问卷了解干预效果。结果对维持性血液透析便秘患者进行系统性干预后,排便困难,粪便性状,排便时间,下坠、不尽、胀感,排便频率,腹胀评分均较干预前显著改善,差异有统计学意义(P<0.05)。系统性干预后的总有效率为70.83%。结论对维持性血液透析患者积极进行系统性干预,可明显改善便秘症状,提高临床疗效,减轻患者的痛苦,值得推广使用。

Objective To investigate systemic intervention effect of maintenance hemodialysis patients with constipation. Methods 48 patients on maintenance hemodialysis were selected, a series of systematic intervention of patient＇s psychology, diet, exercise, massage, drugs, intervention period of six weeks. The symptoms of constipation and efficacy assessment questionnaire to understand the effects of interventions. Results After a systematic inter- vention of maintenance hemodialysis patients with constipation,the difficult defecation, fecal traits, defecation time, abdominal bulge, tenesmus, Stool frequency, bloating score before were significantly improved, the differ- ence was statistically significant （P 〈0.05）. Systematic intervention total effective rate of 70.83%. Conclusions Systemic intervention on maintenance hemodialysis patients with constipation can significantly improve symptoms of constipation, improve clinical outcomes, reduce the suffering of patients, it is worth to promote.