综合排便管理在女性精神疾病住院患者中的临床应用

Clinical application of comprehensive defecation management on female inpatients with mental illness

目的探讨综合排便管理在女性精神疾病住院患者中的临床应用效果。方法通过设立综合排便管理团队,制订排便管理制度和流程,组织排便管理知识培训等措施构建安全有效的综合排便管理模式,护士应用"便秘评估量表(CAS)"及"Bristol粪便性状评分量表(BSFS)"对精神疾病住院患者进行排便状况筛查评估确定重点患者,实施规范化综合排便管理。结果患者对综合排便管理的满意度为97.14%(34/35);护士对患者便秘风险评估率达100%,联合患者、家属、医生对存在便秘高风险者35例及其中存在肠梗阻高风险13例进行风险预警管理,及时处置,患者排便障碍状况改善。结论综合排便管理改善了患者排便障碍状况,降低了便秘及肠梗阻发生率,提高了患者满意度,强化了护士在排便管理中的作用,促进护理专业化发展。

Objective To investigate the clinical effect of comprehensive defecation management on female inpatients with mental illness. Methods By setting up an integrated defecation management team, formulating defecation management system and process, organizing knowledge training on defecation management, nurses used Constipation Assessment Scale(CAS) and Bristol Stool Form Scale(BSFS) to evaluate defecation to screen key patients, then implement standardized defecation management to the patients. Results Patients′satisfaction with comprehensive defecation management was 97.14%(34/35). The risk assessment rate of constipation was 100 %, 35 cases with high risk of constipation and 13 cases with high risk of intestinal obstruction were jointly managed by nurses, family members of the patients and doctors. Patients′ defecation disorder was improved. Conclusions Comprehensive defecation management improves defecation disorder, reduces the incidence of constipation and intestinal obstruction, improves patient’ satisfaction, strengthens the role of nurses in defecation management, and promotes professional development of nursing.