摘要
目的:探讨耳穴贴压联合系统护理干预在预防脑卒中患者便秘中的临床效果.方法:按照随机数字表法将我院收治的102例脑卒中患者均分为观察组和对照组,两组患者均给予耳穴贴压治疗,对照组给予常规护理,观察组在常规护理方法基础上实施系统护理干预模式,比较两组患者干预前后改良Rankin量表(modified Rankin seale,MRS)评分和排便量表评分变化情况以及便秘发生率.结果:两组患者干预后MRS评分均显著下降,与干预前比较(2.93±1.17 vs 3.58±0.86,3.20±1.22 vs 3.62±0.69),差异具有统计学意义(P<0.05);观察组患者干预后MRS评分显著低于干预前(2.93±1.17 vs 3.20±1.22),差异具有统计学意义(P<0.05);两组患者干预后腹胀评分显著升高,口干和口臭评分显著降低,与干预前比较(0.29±0.60 vs 0.05±0.24、1.29±0.68 vs 2.12±0.80、1.18±0.55 vs 2.25±0.80,0.35±0.29 vs 0.06±0.17、1.36±0.77 vs 2.09±0.91、1.67±0.53 vs 2.26±0.81),差异具有统计学意义(P<0.05或P<0.01);观察组患者干预后腹胀、口干和口臭评分均显著低于对照组(0.29±0.60 vs 0.35±0.29、1.29±0.68 vs 1.36±0.77、1.18±0.55 vs 1.67±0.53),差异具有统计学意义(P<0.05);观察组患者便秘发生率明显低于对照组(11.76%vs 21.57%),差异具有统计学意义(P<0.05).结论:耳穴贴压联合系统护理干预能够有效预防脑卒中后便秘的发生,具有较高临床应用和推广价值.
AIM： To assess the clinical effects of auricular application and comprehensive nursing inter-vention in stroke patients with constipation.METHODS： One hundred and two stroke pa-tients with constipation were randomly divided into either an experiment group or a control group. All the patients were treated by auricu-lar application. On the basis of this treatment, the control group underwent routine nursing care, and the experiment group was given com-prehensive nursing intervention. The scores of modified Rankin scale（MRS）, defecation scale and the rate of constipation were compared be-tween the two groups.RESULTS： In both groups, MRS score was sig-nificantly decreased after intervention compared with before intervention（2.93 ± 1.17 vs 3.58 ± 0.86, 3.20 ± 1.22 vs 3.62 ± 0.69, P〈0.05）, and the decrease was more significant in the experiment group（2.93 ± 1.17 vs 3.20 ± 1.22, P〈0.05）. In both groups, the score of abdominal distension was significantly increased and the scores of dry mouth and halitosis were significantly decreased after intervention compared with before inter-vention（0.29 ± 0.60 vs 0.05 ± 0.24, 1.29 ± 0.68 vs 2.12 ± 0.80; 1.18 ± 0.55 vs 2.25 ± 0.80, 0.35 ± 0.29 vs 0.06 ± 0.17; 1.36 ± 0.77 vs 2.09 ± 0.91, 1.67 ± 0.53 vs 2.26 ± 0.81; P〈0.05 or P〈0.01）, and the changes in the scores of abdominal distension, dry mouth and halitosis were significantly lower in the experiment group than in the control group（0.29 ± 0.60 vs 0.35 ± 0.29, 1.29 ± 0.68 vs 1.36 ± 0.77, 1.18 ± 0.55 vs 1.67 ± 0.53, P〈0.05）. The rate of constipation in the experiment group was significantly lower than that in the control group（11.76% vs 21.57%, P〈0.05）.CONCLUSION： Auricular application and com-prehensive nursing intervention can improve the symptoms of constipation in stroke patients with constipation.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第19期2800-2803,共4页
World Chinese Journal of Digestology
关键词
耳穴贴压
系统护理干预
脑卒中
便秘
Auricular application
Comprehensive nursing intervention
Stroke
Constipation
