预防指导卡片对关节置换手术患者便秘的防控效果

Effect of prevention and guidance card on constipation in patients with joint replacement surgery

目的研究预防指导卡片对关节置换手术患者便秘的防控效果。方法选取行关节置换手术的患者103例。其中2015年仍采取常规护理方式的51名患者作为对照组。2016年开始使用预防便秘指导卡片与常规护理方式相结合的护理方式的52名患者作为观察组。对两组患者的便秘防控效果做出比较。结果观察组患者在术后2 d内首次排便状况[28例(53.8%)比12例(23.5%),χ2=5.021,P=0.009]、自觉通畅度[42例(80.7%)比20例(39.2%),χ2=5.129,P=0.007]以及患者满意度[52例(100.0%)比42例(82.4%),χ2=4.856,P=0.015]均明显优于对照组患者;观察组患者排便费力[10例(19.2%)比28例(54.9%),χ2=4.713,P=0.031]、大便干燥[13例(25.0%)比34例(66.6%),χ2=4.847,P=0.020]、排便不尽感[10例(19.2%)比19例(37.2%),χ2=4.854,P=0.016]以及药物辅助情况[6例(11.5%)比10例(19.6%),χ2=4.851,P=0.018]均要优于对照组患者(P<0.05);除饮食调节外,观察组患者情绪调控[36例(69.2%)比13例(25.5%),χ2=4.850,P=0.019]、适当运动[35例(67.3%)比26例(50.9%),χ2=4.847,P=0.020]、合理用药情况[42例(80.7%)比28例(54.9%),χ2=4.856,P=0.015],以及对便秘危害认识[43例(82.6%)比13例(25.5%),χ2=4.713,P=0.031]都与对照组差异有统计学意义(P<0.05)。结论预防指导卡可以有效地减少关节置换手术患者便秘的发生。

Objective To study the effect of prevention and guidance card on constipation in patients with joint replacement surgery. Method A total of 103 patients with joint replacement surgery were selected. Fifty-one patients adopted conventional nursing served as the control group,52 patients adopted conventional nursing combined with prevention constipation instruction card served as observation group. The effect of constipation prevention of the two groups were compared. Results Postoperative 2 d first defecation status,consciously patency and patient satisfaction of study group were significantly better than those of the control group. Defecate,dry stool,endless defecate feeling and auxiliary drugs of study group were superior to the control group. Emotional regulation,rational drug use,and awareness of constipation harm of study group higher than those of the control group,the difference were statistically significant( P < 0. 05). Conclusion Prevention guide card can effectively reduce the occurrence of constipation in patients with joint replacement surgery,it has a positive effect on constipation,greatly improve patient satisfaction and the cognition of constipation.