便秘操结合规范化饮水指导对住院精神分裂症伴便秘患者的干预效果

Interventional effects of constipation exercises combined with standardized drinking water guidance for hospitalized schizophrenia patients with constipation

目的:探讨便秘操结合规范化饮水指导对住院精神分裂症伴便秘患者的干预效果,为患者的临床护理干预提供相关指导。方法:选择2019年1月至2020年1月在上海市精神卫生中心长期住院的84例精神分裂症伴便秘患者为研究对象。按照随机单双数法,将所有研究对象分为对照组和干预组,每组42例。对照组患者予以常规护理,干预组患者在对照组基础上予以便秘操结合规范化饮水指导。护理干预8周后,对比两组患者便秘改善情况及排便状况,并分析两组患者护理前后大便性状评分。结果:干预组患者护理总有效率为88.09%,明显高于对照组的61.90%,差异有统计学意义(P<0.05);干预组患者排便困难、大便干结及便秘发生率(11.91%,4.76%,14.29%)均明显低于对照组(33.33%,21.43%,40.48%),差异有统计学意义(P<0.05);护理前,两组患者大便性状评分比较差异无统计学意义(P>0.05);护理干预8周后,干预组患者大便性状评分为3.53±0.85分,明显高于对照组的2.05±0.74,差异有统计学意义(P<0.05)。结论:便秘操结合规范化饮水指导对住院精神分裂症伴便秘患者的干预效果显著,能够有效改善患者便秘情况及大便性状,且减少患者不良排便状况的发生,有利于精神分裂症患者的后期治疗。

Objective:To investigate the intervention effect of constipation exercises combined with standardized drinking water guidance on hospitalized schizophrenia patients with constipation,and to provide relevant guidance for clinical nursing intervention of patients.Methods:A total of 84 schizophrenia patients with constipation hospitalized in Shanghai Mental Health Center from January 2019 to January 2020 were selected as research subjects.According to the random odd and even number method,all subjects were divided into the control group and the intervention group,with 42 cases in each group.Patients in the control group were given routine nursing care,and patients in the intervention group were given constipation exercise combined with standardized drinking water guidance on the basis of routine nursing care.After 8 weeks of nursing intervention,the constipation improvement and defecation status of the two groups were compared,and the stool trait scores before and after nursing of the two groups were analyzed.Results:The total effective rate of nursing in the intervention group was 88.09%,which was significantly higher than the control group of 61.90%,the difference was statistically significant(P<0.05);the incidences of defecation difficulty,dry stool,and constipation in the intervention group were 11.91%,4.76%,14.29%,respectively,which were significantly lower than those in the control group(33.33%,21.43%,40.48%),and the difference was statistically significant(P<0.05);before nursing,there was no statistical significance in the difference of stool trait scores on patients between the two groups(P>0.05).After 8 weeks of nursing intervention,the stool trait score of the intervention group was(3.53±0.85),which was significantly higher than that of the control group(2.05±0.74),and the difference was statistically significant(P<0.05).Conclusion:Constipation exercises combined with standardized drinking water guidance have significant effects on the intervention of hospitalized schizophrenia patients with constipation.It can effectively improve the constipation and stool traits of patients,and reduce the incidence of poor defecation in patients,which is beneficial to the later treatment of schizophrenia patients.