五行情志调护联合中西医饮食调配预防胸腰椎压缩性骨折患者便秘的效果

Effect of five elements emotional nursing combined with Chinese and western medicine diet adjustment on constipation patients with thoracolumbar compression fracture

目的:探讨五行情志调护联合中西医饮食调配预防胸腰椎压缩性骨折患者便秘的效果。方法:选择广州中医药大学第三附属医院2021年1月—2022年12月胸腰椎压缩性骨折便秘患者80例,按照随机数表法分为两组,每组40例。对照组给予常规护理干预,观察组给予五行情志调护联合中西医饮食调配干预。观察两组心理状态、便秘发生情况和便秘症状评分。结果:干预前两组患者焦虑自评量表(SAS)、抑郁自测表(SDS)评分比较,差异无统计学意义(P>0.05)。干预2周后,观察组便秘症状各维度评分低于对照组,差异有统计学意义。干预2周后,两组和SAS及SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预2周后观察组便秘发生率低于对照组,差异有统计学意义(P<0.05)。结论:五行情志调护联合中西医饮食调配应用于胸腰椎压缩性骨折患者,可降低便秘发生率,改善患者便秘情况和心理状态。

Objective:To explore the effect of five elements emotional regulation combined with traditional chinese and western medicine diet on preventing constipation in patients with thoracolumbar vertebral compression fractures.Methods:From January 2021 to December 2022,80 patients with compression fractures and constipation of the thoracic and lumbar vertebrae at the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine were divided into a control group of 40 cases using a random number table method.Routine nursing interventions were given to the control group,while the observation group of 40 cases received five element emotional care combined with traditional Chinese and western medicine dietary intervention.The psychological status,constipation situation and constipation symptom scores of two groups were compared.Results:Before intervention,there was no statistically significant difference in the self rating anxiety scale(SAS)and self rating depression scale(SDS)between the two groups(P>0.05).After 2 weeks of intervention,the scores of constipation symptoms in observation group was lower than cantrol group,there was significient difference.After 2 weeks of intervention,SAS and SDS were lower than before intervention,the observation group patients were lower than those of the control group(P<0.05).After 2 weeks of intervention,the incidence of constipation in the observation group was lower than that in the control group(P<0.05).Conclusion:Applying the combination of five elements emotional regulation and traditional Chinese and western medicine diet to patients with thoracolumbar vertebral compression fractures can effectively reduce the occurrence of constipation,improve the condition of constipation,and improve the patient's psychological state.