集束化护理在降低胸腰椎骨折术后患者腹胀便秘发生率中的效果

The Effect of Cluster Nursing on the Incidence of Abdominal Distension and Constipation in Patients with Thoracolumbar Fractures

目的:分析集束化护理在降低胸腰骶骨折术后患者腹胀便秘发生率的效果。方法:将2015年2月-2016年9月至本院骨科胸腰骶骨折进行手术治疗的患者93例作为研究对象,所有患者均符合试验标准且自愿参与。运用摸球法分为对照组46例和试验组47例。对照组施以常规护理,试验组在对照组基础上加以实施集束化护理。比较并评估两组术后腹胀便秘发生情况及满意度情况。结果:试验组无腹胀率为89.36%,高于对照组的65.22%,差异有统计学意义(P<0.05);且两组轻度腹胀者数量比较,差异也有统计学意义(P<0.05);两组中度及重度腹胀者比较,差异均无统计学意义(P>0.05)。试验组首次排便时间为(15.21±3.13)h,短于对照组的(27.15±4.93)h,差异有统计学意义(P<0.05);试验组肠鸣音(5.41±0.35)次/min,对照组(3.08±0.31)次/min,两组比较差异有统计学意义(P<0.05);试验组持续腹胀时间为(2.19±0.93)h,短于对照组(4.62±1.29)h,差异有统计学意义(P<0.05)。试验组满意度为93.62%,高于对照组的71.74%,差异有统计学意义(P<0.05)。结论:运用集束化护理能够有效减少胸腰椎患者术后的腹胀便秘发生率,提高患者满意度。

Objective： To analyze the effect of cluster nursing on the incidence of abdominal distension and constipation in patients with thoracolumbar sacral fracture.Method ： A total of 93 patients who underwent surgical treatment from February 2015 to September 2016 in orthopedics were enrolled in the study and were eligible for trial and voluntary participation.They were divided into the control group （ n=46 ） and the experimental group （ n=47 ） by touch the ball method.The control group was given routine care, the experimental group was given cluster care based on the control group.The occurrence and satisfaction of bloating constipation of two groups were compared and evaluated.Result： Proportion of no abdominal distension of the experimental group was 89.36%, higher than 65.22% of the control group, the difference was statistically significant （ P〈0.05 ） ; and there was significant difference in mild abdominal distension of two groups （ P〈0.05 ） ; there were no significant differences in moderate and severe abdominal distension of two groups （ P〈0.05 ） .The first defecation time of the experimental group （ 15.21 ± 3.13 ） h, which shorter than （ 27.15 ± 4.93 ） h of the control group, the difference was statistically significant （ P〈0.05 ） ; bowel sounds of the experimental group was （ 5.41± 0.35 ） times/min, the control group was （ 3.08 ± 0.31 ） times/min, the difference was statistically significant （ P〈0.05 ） ; continued bloating time of the experimental group was （ 2.19 ± 0.93 ） h, which shorter than （ 4.62 ± 1.29 ） h of the control group, the difference was statistically significant （ P〈0.05 ） .The satisfaction rate of the experimental group was 93.62%, which higher than 71.74% of the control group, the difference was statistically significant （P〈0.05） .Conclusion： The use of cluster care can effectively reduce the incidence of abdominal distension and constipation in patients with thoracolumbar spine after surgery to improve satisfaction.