艾灸与耳穴压豆联合常规护理干预对改善老年习惯性便秘的临床研究

Clinical Study of Moxibustion and Ear Point Pressure Bean Combined with Routine Nursing Intervention to Improve Habitual Constipation in the Elderly

目的探究艾灸与耳穴压豆联合常规护理干预对改善老年习惯性便秘的临床效果。方法方便选取2020年3月-2023年3月宁德市中医院康复科94例老年习惯性便秘患者纳入本次前瞻性研究,以随机数表法将其分为对照组和观察组,各47例。对照组接受常规护理,观察组在此基础上加予艾灸与耳穴压豆干预。比较两组中医证候积分、Cleveland便秘评分(Cleveland Constipation Score,CCS)、便秘患者生活质量评分(Patient Assessment of Constipation Quality of Life,PAC-QOL)。结果护理前两组排便间隔延长、粪便性状改变、排便费力3项症状积分及总中医证候积分对比,差异无统计学意义(P均>0.05);护理后观察组排便间隔延长、粪便性状改变、排便费力3项症状积分及总中医证候积分均低于对照组,差异有统计学意义(P均<0.05)。护理前两组CCS评分、PAC-QOL评分对比,差异无统计学意义(P均>0.05);护理后观察组CCS评分、PAC-QOL评分分别为(8.72±2.06)分、(46.21±6.42)分,均低于对照组的(10.37±2.35)分、(50.63±6.61)分,差异有统计学意义(t=3.620、3.288,P均<0.05)。结论对老年习惯性便秘患者实施艾灸与耳穴压豆联合常规护理干预可以缓解其临床症状,缓解便秘情况,提高其生活质量水平。

Objective To explore the clinical effect of moxibustion and ear point pressure bean combined with routine nursing intervention on elderly habitual constipation.Methods A total of 94 elderly patients with habitual constipation were conveniently selected from the Department of Rehabilitation of Ningde Hospital of Traditional Chinese Medicine from March 2020 to March 2023 to be included in this prospective study.They were divided into the control group and the observation group by random number table method,with 47 cases in each group.The control group received routine care,and the observation group was given moxibustion and auricular pressure bean intervention on this basis.Cleveland constipation score(CCS)and patient assessment of constipation quality of life(PAC-QOL)were compared between the two groups.Results There were no statistically significant differences between the two groups in the three symptoms scores of prolongation of bowel interval,changes in fecal traits,defecation effort and total TCM syndrome scores before nursing(all P>0.05).After nursing,the observation group showed lower three symptoms scores of prolongation of bowel interval,changes in fecal traits,defecation effort,and total TCM syndrome scores than the control group,the differences were statistically significant(all P<0.05).There was no significant difference in CCS score and PAC-QOL score between the two groups before nursing(both P>0.05).CCS score and PAC-QOL score in the observa-tion group were(8.72±2.06)points and(46.21±6.42)points,respectively,which were lower than those in the control group(10.37±2.35)points and(50.63±6.61)points,the differences were statistically significant(t=3.620,3.288,both P<0.05).Conclusion The combination of moxibustion and ear point pressure bean with routine nursing intervention for elderly patients with habitual constipation can relieve their clinical symptoms,relieve constipation and improve their quality of life.