住院精神分裂症患者便秘因素分析及护理对策

Analysis of constipation factors and nursing countermeasures forhospitalized patients with schizophrenia

目的:分析住院精神分裂症患者发生便秘的因素,并提出合理的护理对策,为今后的护理工作提供参考依据。方法:将120例精神分裂症患者纳入本次研究,对所有患者发生便秘的因素进行分析,同时提出相应的护理对策。结果:住院精神病患者50岁以上发生便秘的几率显著高于50以下的患者(P<0.01);住院时间超过2周发生便秘的几率显著高于2周以下的患者(P<0.01);服用旧型类抗精神病药物的患者发生便秘的几率显著高于服用新型类抗精神病药物的患者(P<0.01)。结论:对服用旧型类抗精神病药物的50岁以上住院精神分裂症患者,若住院时间超过4周的应该帮助患者建立良好的饮食与排便习惯,能有效地减少便秘及其并发症发生。

Objective: To analyze factors for constipation of inpatients with schizophrenia, put forward reasonable nursing measures, and provide a reference basis for the future of nursing work. Methods:120 schizophrenic patients were included in this study, all factors of constipation were analyzed, and at the same time, the corresponding nursing counter measures were put forward. Results:The hospitalized psychiatric patients over 50 years have a higher occurrence of constipation than those below 50 years ( P<0. 01);the patients with the hospitalization time over 2 weeks have the higher occurrence of constipation than those with the hospitali-zation time less than 2 weeks (P<0. 01);and the patients having taken the old type of antipsychotic drugs have the higher occurrence of constipation than those taking the new kind of drugs (P<0. 01). Conclusions:For the hospitalized patients with schizophrenia over 50 years old, having taken the old type antipsychotic drugs, and with the hospitalization time over 4 weeks, it should help them to es-tablish a good diet and bowel habit, which can effectively reduce constipation and its complications.