老年脑梗死患者便秘的原因分析及优质护理对策

Causes analysis of constipation in elderly patients with cerebral infarction and high quality nursing strategies

目的研究老年脑梗死患者便秘的原因以及优质护理对策。方法选取58例老年脑梗死合并便秘患者作为研究对象,按照随机分组方法分为实验组和对照组,各29例。实验组患者采用优质护理对策,对照组患者采用常规护理对策。对比两组患者护理后排便情况,护理前后Barthel指数、美国国立卫生院神经功能缺损评分(NIHSS)以及简易智力状态检查量表(MMSE)评分。结果护理后,实验组排便通畅25例(86.2%),对照组排便通畅17例(58.6%),实验组排便通畅率高于对照组,差异具有统计学意义(X^2=5.524, P<0.05)。护理前,实验组和对照组的Barthel指数分别为(58.32±6.54)、(54.21±11.26)分,NIHSS评分分别为(8.60±1.30)、(8.50±1.20)分, MMSE评分分别为(19.65±2.31)、(19.56±2.29)分;比较差异均无统计学意义(P>0.05)。护理后,实验组和对照组的Barthel指数分别为(89.45±6.58)、(72.54±3.12)分, NIHSS评分分别为(4.30±0.60)、(4.80±0.80)分, MMSE评分分别为(28.56±3.32)、(23.46±3.25)分。护理前,两组患者的Barthel指数、NIHSS评分、MMSE评分比较,差异均无统计学意义(P>0.05);护理后,实验组Barthel指数、MMSE评分明显高于对照组, NIHSS评分明显低于对照组,差异均具有统计学意义(P<0.05)。结论优质护理对策的实施能使老年脑梗死患者的便秘情况明显减轻,有利于日常生活活动能力的提高和脑神经功能的恢复,值得在临床护理中推广。

Objective To study the causes of constipation in elderly patients with cerebral infarction and high quality nursing strategies. Methods A total of 58 elderly patients with cerebral infarction as study subjects were randomly divided into experimental group and control group, with 29 cases in each group. The experimental group received high quality nursing strategies, and the control group received conventional nursing strategies. Comparison were made on defecation after care, Barthel index before and after care, National Institutes of Health Stroke scale (NIHSS) and mini-mental state examination (MMSE) score between the two groups. Results After nursing, the experimental group had 25 cases (86.2%) with unobstructed defecation, which was 17 cases (58.6%) in the control group. The experimental group had higher unobstructed defecation rate than the control group, and the difference was statistically significant (χ2=5.524, P<0.05). Before nursing, the experimental group and control group had Barthel index respectively as (58.32±6.54) and (54.21±11.26) points, NIHSS score respectively as (8.60±1.30) and (8.50±1.20) points, and MMSE score respectively as (19.65±2.31) and (19.56±2.29) points. Their difference was statistically significant (P>0.05). After nursing, the experimental group and control group had Barthel index respectively as (89.45±6.58) and (72.54±3.12) points, NIHSS score respectively as (4.30±0.60) and (4.80±0.80) points, MMSE score respectively as (28.56±3.32) and (23.46±3.25) points. Before nursing, both groups had no statistically significant in Barthel index, NIHSS score, MMSE score (P>0.05). After nursing, the experimental group had obviously higher Barthel index and MMSE score than the control group, and obviously lower NIHSS score than the control group. Their difference was statistically significant (P<0.05). Conclusion The implementation of high-quality nursing strategies can significantly reduce the constipation of elderly patients with cerebral infarction, and is conducive to the improvement of activities of daily living and the recovery of brain nerve function. It is worth promoting in clinical nursing.