对结肠造口患者采用排便规律及排便意识训练的效果

Effect of defecatio n regularity training and defecation awareness training on the pa-tients wtih colostomy

目的：探讨排便规律及排便意识的训练对结肠造口患者生活质量的影响。方法将120例结肠造口患者随机分为对照组和实验组各60例，对照组采用常规护理方法，即结肠造口常规的护理和饮食指导；实验组采用系统的排便规律及排便意识的训练方法，比较两组患者恢复规律排便的时间、造口并发症的发生和生活质量情况。结果实验组恢复规律排便的时间较对照组明显缩短，并发症的发生较对照组明显减少，半年后患者生活质量较对照组明显提高，两组比较，差异有统计学意义（ P＜0.01）。结论排便规律及排便意识的训练能明显改善患者排便功能，减少并发症的发生，有利于患者生活质量的提高。

Objective To study the effect of defecation regularity training and defecation awareness training on the quality of life of patients with colostomy.Methods Colostomy patients were randomly divided into control group and experimental group, each group with 60 cases.Patients in the control group accepted routine care, including colostomy regular care and dietary guidance.Patients in the experimental group were used systematic defecation regularity and def-ecation awareness training methods.The restoring regularity defecation time, the incidence of stoma complications and quality of life of two groups were compared .Results Restore bowel regularity was significantly shorter and the incidence of complications was significantly shorter of experimental group than those of the control group.Quality of life of patients after six months more significantly improved of experimental group than that of the control group （ P〈0.01 ） .Conclusions The training of defection regularity and defecation awareness could significantly improve patients ＆#39;defeca-tion function, reduce the incidence of complications, and improve quality of life of patients.