耳穴压丸联合艾灸在髋部骨折术后虚秘患者护理中的应用效果

Application effect of auricular point pressing pill combined with moxibustion in nursing of hip fracture patients with Qi-deficiency type constipation after operation

目的:探讨耳穴压丸联合艾灸在髋部骨折术后虚秘患者护理中的应用效果。方法:选取2020年1月至2021年6月在亳州市中医院收治的髋部骨折气虚型便秘患者102例为研究对象,根据护理干预方式不同分为对照组(n=51)与观察组(n=51);对照组实施常规护理(以3 d为1个疗程),观察组在对照组的基础上给予耳穴压丸(每日3次,连续3 d)联合艾灸(每日施灸2次,连续3 d)护理干预;比较两组干预效果,记录首次排便时间、排便间隔时间、每次排便时间和72 h内排便次数,并于干预前后行Wexner评分和焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分。结果:干预后,观察组疗效显著高于对照组(P<0.05)。观察组首次排便时间为(6.32±1.35)h,短于对照组的(8.11±1.47)h;观察组排便间隔时长为(18.48±4.12)h,短于对照组的(20.36±4.75)h;观察组每次排便时长为(9.36±2.35)min,短于对照组的(11.72±3.41)min;两组72 h内排便次数对比差异无统计学意义(P>0.05)。干预1及3 d后,观察组Wexner评分分别为10.36±1.78和6.58±1.23,显著低于对照组的11.68±1.69和7.89±1.52(P<0.05)。观察组SAS评分为47.89±4.82,低于对照组的52.67±6.12;观察组SDS评分为51.36±5.21,低于对照组的54.87±4.96(P<0.05)。结论:耳穴压丸联合艾灸应用于髋部骨折术后虚秘患者护理中,能够改善患者便秘状况,并缓解患者负性情绪。

Objective:To investigate the effect of auricular point pressing pill combined with moxibustion in the nursing of hip fracture patients with Qi-deficiency type constipation after operation.Methods:A total of 102 hip fracture patients with Qi-deficiency type constipation after operation treated in Bozhou Hospital of Traditional Chinese Medicine from January 2020 to June 2021 were selected as research subjects, and they were divided into a control group (n=51) and an observation group (n=51) according to different nursing interventions. The control group was given routine nursing (3 days as a course of treatment), and the observation group was given auricular point pressing pills (3 times a day for 3 consecutive days) combined with moxibustion (twice a day for 3 consecutive days) nursing intervention on the basis of the control group. The intervention effects of the 2 groups were compared, and the first defecation time, defecation interval time, each defecation time, and defecation frequency within 72 h were recorded. Wexner score, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were performed before and after the intervention. Results: After the intervention, the therapeutic effect of the observation group was significantly higher than that of the control group (P<0.05). The first defecation time of the observation group was (6.32±1.35) h, which was shorter than (8.11±1.47) h of the control group;the defecation interval time of the observation group was (18.48±4.12) h, which was shorter than that of the control group (20.36±4.75) h;the defecation time of the observation group was (9.36±2.35) min, shorter than (11.72±3.41) min of the control group. There was no significant difference in defecation frequency within 72 h between the 2 groups (P>0.05). After 1 and 3 d of intervention, the Wexner scores of the observation group were 10.36±1.78 and 6.58±1.23, respectively, which were significantly lower than those of the control group 11.68±1.69 and 7.89±1.52 (P<0.05). The SAS score of the observation group was 47.89±4.82, which was lower than that of the control group 52.67±6.12. The SDS score of the observation group was 51.36±5.21, which was lower than that of the control group 54.87±4.96 (P<0.05). Conclusion: The application of auricular point pressing pills combined with moxibustion in the nursing of hip fracture patients with Qi-deficiency type constipation after operation can improve the constipation of patients, and alleviate the negative emotions of patients.