摘要
目的 探讨急性心肌梗死早期患者不同排便方式的效果,为临床护士指导急性心肌梗死早期患者采取合理、有效的排便措施,减少排便引起并发症的发生提供依据.方法 将50例急性心肌梗死患者随机分为实验组25例和对照组25例,实验组采用床旁坐便椅坐位方式排便,对照组为传统床上平卧位排便.排便过程中持续心电血压监测,比较两组患者排便时间、有无解出、排便费力程度、舒适度.结果 实验组与对照组在排便时间上差异无统计学意义,在有无解出、费力程度、舒适度上差异均有统计学意义（P＜0.05）.结论 床上平卧位排便结果 不佳,且未能有效减少并发症的发生;急性心肌梗死早期无严重并发症,血流动力学稳定患者床旁使用坐便椅坐位排便是一种合理、科学的选择.
Objective To investigate the effect of different ways on patients with acute myocardial infarction （AMI） during defecation so as to provide references for nurses to direct them to take appropriate and effective defecation measures and reduce occurrence of complications arising from defecation. Methods 50 patients with AMI were randomly divided into experimental group （25） and control group （25）; the experimental group adopted a bedside position, while the control group took a traditional prostration position. Throughout the defecation, echocardiogram and blood pressure werecontinuously monitored, and defecation duration, whether or not solved, defecation exertion, level of comfort in two groups were compared. Results There was no significant difference in terms of defecation duration between the control group and the experimental group, while there were significant differences concerning whether or not solved, the defecation exertion, level of comfort between the two groups （ P 〈 0. 05 ）. Conclusions Taking the prostration position was not the best way and could not effectively reduce the occurrence of complications; taking the bedside position during defecation is proved to be a more appropriate and scientific alternative way for patients who remained in the early stage of AMI without serious complications and with stable hemodynamics.
出处
《中华现代护理杂志》
2011年第10期1155-1156,共2页
Chinese Journal of Modern Nursing
关键词
急性心肌梗死
排便
体位
Acute myocardial infarction
Defecation
Body position
