肠蠕医用胶贴对改善骨科长期卧床患者胃肠功能的护理效果观察

Observation of nursing effect of intestinal creep adhesive on improving gastrointestinal function in patients with long-term bed rest in orthopedics department

目的观察肠蠕医用胶贴对改善骨科长期卧床患者胃肠功能的护理效果。方法选取2022年1月至2022年10月南昌大学第一附属医院骨科收治的80例需长期卧床患者为研究对象,采用随机数字表法分为胶贴组及常规组,每组40例,胶贴组采用医用胶贴护理,常规组给予常规护理。记录两组患者胃肠功能恢复时间、不良症状发生情况,以及护理满意度、生活质量评分。结果胶贴组患者术后首次排便时间、排便间隔时间短于常规组,差异有统计学意义(P<0.05)。两组不良症状总发生率比较,差异无统计学意义(P>0.05)。胶贴组护理满意度、生活质量综合评定问卷-74(GQOL-74)评分均高于常规组,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于常规组,差异有统计学意义(P<0.05)。结论肠蠕医用胶贴可缩短骨科长期卧床患者胃肠功能恢复时间,减少不良症状发生率,提高患者护理满意度和生活质量,改善心理状况。

Objective To observe the nursing effect of intestinal creep adhesive on improving gastrointestinal function in patients with long-term bed rest in orthopedics department.Methods From January 2022 to October 2022,80 patients who needed to stay in bed in the Department of Orthopedics,the First Affiliated Hospital of Nanchang University were selected as the research objects.They were divided into the glue patch group and the routine group by random number table method,with 40 cases in each group.The glue patch group was treated with medical glue patch nursing,and the routine group was given routine nursing.The recovery time of gastrointestinal function,occurrence of adverse symptoms,nursing satisfaction and quality of life scores of the two groups were recorded.Results The first defecation time and defecation interval time of the glue patch group were shorter than those of the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse symptoms between the two groups(P>0.05).The scores of nursing satisfaction and generic quality of life inventory-74(GQOL-74)in the adhesive patch group were higher than those in the conventional group,and the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the adhesive patch group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion Intestinal creep medical adhesive can shorten the recovery time of gastrointestinal function in long-term bedridden patients in orthopedics department,reduce the incidence of adverse symptoms,improve patients'nursing satisfaction and quality of life,and improve their psychological status.