耳穴贴压联合腹部穴位按摩护理肛肠术后便秘的疗效

Curative effect of auricular acupoint pressure combined with abdominal acupuncture point massage nursing for anorectal postoperative constipation

目的观察耳穴贴压联合腹部穴位按摩护理对肛肠术后便秘的效果。方法选取90例肛肠术后便秘的患者随机分为对照组和试验组,每组45例。对照组实行常规护理,试验组在常规护理基础上采取耳穴贴压联合腹部穴位按摩方法。比较两组患者的便秘改善的总有效率。结果试验组便秘改善总有效率高于对照组(P<0.05);干预后,两组患者的SAS及SDS评分均明显低于干预前,且试验组明显低于对照组(P<0.05);干预后试验组患者相关医学、护理知识掌握率为95.56%(43/45),显著高于对照组的80.00%(36/45),差异具有统计学意义(P<0.05)。结论采用耳穴贴压联合腹部穴位按摩能有效改善便秘。

Objective To observe the effect of acupoint pressing combined with abdominal acupoint massage on constipation after anorectal surgery. Methods Ninety patients with constipation after anorectal surgery were randomly divided into control group and experimental group, with 45 cases in each group. The control group was treated with routine nursing. The experimental group was treated with auricular acupressure combined with abdominal acupoint massage on the basis of routine nursing. The overall effective rate of improvement in constipation was compared between the two groups. Results The total effective rate of constipation in the experimental group was higher than that of the control group（P〈0.05）. After intervention, the SAS and SDS scores of the two groups were lower than those before intervention and those of the the experimental group were significantly lower than the control group（P〈0.05）. The rate of related medicine and nursing knowledge was 95.56%（43/45） in the experimental group, which was significantly higher than 80.00%（36/45） in the control group,the difference was statistically significant（P〈0.05）. Conclusion Auricular acupressure combined with abdominal acupoint massage can effectively improve the constipation.