护理干预在慢阻肺稳定期便秘患者中的应用及其对生活质量的影响

The application of nursing intervention on constipation patients with stable COPD and its effect on quality of life

目的:探讨护理干预在慢阻肺稳定期便秘患者中的应用及其对生活质量的影响。方法:选择我院2011年8月一2013年7月收治的慢阻肺稳定期便秘患者共118例,将患者随机分为干预组和对照组,各59例。两组患者的性别、年龄等差异无显著性(P>0.05)。对照组患者接受慢阻肺常规治疗,促进排便。干预组患者在此基础上采用的护理方法包括饮食指导、心理护理、运动护理、健康教育、排便护理,并采用生活事件量表(Life Event Scale,LES)、社会支持评定量表、生活质量评分量表(SF-36)对生活质量进行评价。结果:两组患者的LES评分、客观支持、主观支持、社会支持利用度、社会支持总分、SF-36及各个维度评分差异均有统计学意义(P<0.05)。结论:通过在慢阻肺稳定期便秘患者中进行护理干预,可以改善患者的不良行为和生活方式,缓解便秘症状,提高患者的生活质量。

Objective:To explore the application of nursing intervention on constipation patients with stable COPD and its effect on quality of life.Methods:118patients were randomly divided into the intervention group and control group,59cases in each.There was no significant difference in sex and age between groups(P>0.05).The control group received conventional treatment and promoted defecation.The intervention group was given nursing intervention,included diet guidance,psychological nursing,sports care,health education,defecation care.The quality of life score was evaluated by LES,social support rating scale and SF-36.Results:There were significant differences in LES,objective support,subjective support,social support utilization,social support score,SF-36and various dimension scores between two groups(P<0.05).Conclusion:Nursing intervention on constipation patients with stable COPD can improve the patients’behavior and lifestyle,relieve constipation,improve the quality of life.