下肢骨折卧床患者便秘高危因素评估及护理干预

Risk factors analysis and nursing intervention on constipation of bedridden patients with lower limb fracture

目的探讨采用便秘高危因素评估并给予针对性护理干预在预防下肢骨折卧床患者便秘效果。方法选取2016年11月—2017年3月收治的140例下肢骨折卧床患者设为对照组,2017年4月—8月收治的160例下肢骨折卧床患者设为观察组,对照组采用常规骨科护理,观察组在对照组的基础上给予便秘高危因素评估并进行针对性护理干预。观察2组便秘发生率、便秘提前干预落实率、护理满意度。结果观察组便秘发生率16.25%,低于对照组的36.43%(P<0.05);观察组便秘提前干预落实率和护理满意度合格率高于对照组(P<0.05)。结论采用便秘高危因素评估并给予针对性护理干预可有效降低下肢骨折卧床患者便秘的发生率,提高患者满意度。

ABSTRACT： Objective To investigate the application of risk factors assessment on constipation of bedridden patients with lower limb fracture and discuss targeted nursing measures. MethodsTotally 140 patients with lower limb fracture enrolled between November,2016 and March,were set as the control group,with routing care during treatment. Another 160 patients enrolledbetween April,2017 and August 2017 were set as the observation group,with targeted nursingmeasures based on risk factors assessment on constipation. The incidence of constipation,compli-ance to intervention and satisfactory degree were evaluated and compared between two groups.Results The incidence of constipation in the observation group was lower that of the controlgroup （16.25% vs. 36. 43%,P 〈0. 05）. The compliance to intervention and the quality rate of nursing satisfaction assessment in the observation group was higher than those of the control group （P 〈0. 05）. Conclusion Targeted nursing measures based on rislcf actors assessment on consti-pationmay reduce the incidence of constipationin bedridden patients with lower limb fracture.