穴位按摩联合优质护理在老年心绞痛合并便秘患者中的应用

Application analysis of point massage nursing intervention combined with high quality nursing care in elderly patients with angina pectoris and constipation

目的：探讨穴位按摩联合优质护理在老年心绞痛合并便秘护理中的应用效果。方法选取2013年7月1日—2014年12月31日于枣庄矿业集团中心医院就诊并符合心绞痛及便秘诊断标准的老年患者112例，将患者随机分为观察组56例，对照组56例；对照组给予常规护理，观察组在常规护理的基础上给予穴位按摩联合优质护理；观察指标为便秘治疗的有效率和首次排便时间。结果观察组便秘缓解总有效率为91．07％，对照组便秘缓解总有效率为62．5％；观察组首次通便时间为（4．91±3．24）h，对照组为（8．68±4．64）h，两组差异有统计学意义（P＜0．05）。结论穴位按摩联合优质护理较日常护理能显著改善心绞痛合并便秘的便秘症状，提高患者的生活质量；因此，在心绞痛合并便秘护理中应重视穴位按摩联合优质护理干预。

Objective To explore the application value of point massage intervention with high quality nursing care in elderly patients with angina pectoris and constipation .Methods A total of 112 elderly patients in our hospital ( from 7/1/2013 to 12/31/2014 ) were selected in accordance with angina pectoris and constipation diagnosis standard .All patients were randomly divided into experimental group ( n =56 ) and control group ( n=56 ) .The patients of control group were given routine nursing care , while the patients of experimental group received the daily care of the simultaneous combination of acupoint massage .We observed index for the treatment of constipation and the efficiency of the first defecation time .Results The total effective rate of constipation in the experimental group was 91.07%, and the total effective rate was 62.50% in the control group;the first time defecation in the experimental group was (4.91 ±3.24) h, and it in the control group was (8.68 ±4.64) h (P <0.05).Conclusions Compared with routine nursing, point massage combined with high quality nursing can significantly improve the symptoms of angina and constipation , as well as the quality of life of the patients .Therefore, it should pay attention to the point massage nursing intervention in the patients with angina pectoris combined with constipation .