集束化护理联合中医护理干预对骨科卧床患者腹胀、便秘的研究

摘要/Abstract

摘要： 目的研究骨科卧床患者接受集束化护理与中医护理联合干预对其腹胀、便秘的影响。方法现以2021年11月—2023年11月为病例选取时间,纳入泰州市中西医结合医院骨伤科收入的骨科卧床的腹胀、便秘患者60例作为本研究对象,以奇偶数字法将患者分为两组,对照组（n=30）,开展集束化护理,观察组（n=30）,以对照组护理为基础联合开展中医护理干预,护理后,针对两组腹胀、便秘症状、整体干预效果、生活质量以及并发症进行对比分析。结果干预后,观察组腹胀、便秘症状自评量表（PAC-SYM）两项评分相比于对照组均更低,差异有统计学意义（P<0.05）;观察组干预总有效率为96.67%,对照组为66.67%,观察组有效率更高,差异有统计学意义（P<0.05）;观察组生理、心理功能以及精神状态评分均高于对照组,差异有统计学意义（P<0.05）;观察组并发症发生率3.33%低于对照组的26.67%,差异有统计学意义（χ²=6.405,P<0.05）。结论针对骨科长期卧床后出现腹胀、便秘的患者,以集束化护理为基础联合应用中医护理干预可加速其临床症状改善,并减少其他并发症的发生,患者的生活质量明显提升,干预效果更好。

关键词: 骨科, 集束化护理, 中医护理, 腹胀, 便秘

Abstract: Objective Study on the effect of combined intervention of bundled nursing and traditional Chinese medicine nursing on abdominal distension and constipation in orthopedic bedridden patients. Methods From November 2021 to November 2023, a total of 60 orthopedic patients with abdominal distension and constipation who were admitted to the orthopedic department of our hospital were selected as the study subjects. The patients were divided into two groups using odd and even number method: the control group (n=30) received bundled nursing care, while the observation group (n=30) received combined traditional Chinese medicine nursing intervention based on the control group's nursing. After nursing, the symptoms of abdominal distension and constipation in both groups and the overall intervention effect were evaluated Comparative analysis of quality of life and complications. Results After intervention, the observation group had lower scores on the Self Rating Scale for Abdominal distension and Constipation Symptoms (PAC-SYM) compared to the control group, and the difference was statistically significant (P<0.05); The total effective rate of intervention in the observation group was 96.67%, while in the control group it was 66.67%. The observation group had a higher effective rate, and the difference was statistically significant (P<0.05); The physiological, psychological, and mental state scores of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05); The incidence of complications in the observation group was 3.33%, which was statistically significant compared to 26.67% in the control group（χ2=6.405, P<0.05). Conclusion For patients with abdominal distension and constipation after long-term bed rest in orthopedics, the combination of bundled nursing and traditional Chinese medicine nursing intervention can accelerate the improvement of clinical symptoms and reduce the occurrence of other complications. The quality of life of patients is significantly improved, and the intervention effect is more ideal.

Key words: orthopedics, bundled care, Traditional Chinese Medicine Nursing, long term bed rest, abdominal distension, constipation

中图分类号:

R248.9

李炯, 杨丽. 集束化护理联合中医护理干预对骨科卧床患者腹胀、便秘的研究[J]. 中华养生保健, 2024, 42(22): 100-103.

LI Jiong, YANG Li. A Study on Bundled Nursing Combined with Traditional Chinese Medicine Nursing Intervention for Abdominal Distension and Constipation in Orthopedic Bedridden Patients Orthopedic Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(22): 100-103.

[1]	贾晓菁, 刘琪. 青岛地区1 300例骨科手术患者行气管插管后医院感染病原菌和耐药性分析[J]. 中华养生保健, 2024, 42(8): 85-89.
[2]	李小红, 苏洁, 陈露, 陈晨, 宋年, 骆晓敏. 中医“三位一体”护理技术对早期胃癌的应用效果及对癌因性疲乏程度影响[J]. 中华养生保健, 2024, 42(7): 77-80.
[3]	任秀华. 中医护理对冠心病患者心理、睡眠、生活质量及满意度的影响[J]. 中华养生保健, 2024, 42(4): 137-140.
[4]	洪丽君, 项恵芳, 马越, 吴谐. 通便膏穴位贴敷前瞻性预防中青年心肌梗死患者便秘的疗效观察[J]. 中华养生保健, 2024, 42(3): 22-25.
[5]	刘洁. 中医护理对老年慢性支气管炎患者生活质量的影响[J]. 中华养生保健, 2024, 42(3): 102-105.
[6]	窦陆明. 加味桃红四物汤在预防骨科手术后并发症发生的应用效果[J]. 中华养生保健, 2024, 42(21): 30-33.
[7]	丁妮, 王璇. 集束化护理干预对重症脑卒中肠内营养相关性腹泻的影响研究[J]. 中华养生保健, 2024, 42(21): 151-153.
[8]	王丰红, 王永会, 张宝光, 王晓宇, 王奇峰. 晚发型帕金森病合并功能性便秘中医证候与运动症状的相关研究[J]. 中华养生保健, 2024, 42(20): 20-23.
[9]	马宝梅. 中医护理干预对初产妇剖宫产术后疼痛及母乳分泌的影响[J]. 中华养生保健, 2024, 42(20): 127-130.
[10]	刘悦, 罗海霞. 中医护理配合健康宣教对慢性盆腔炎患者知识评分及满意度的改善作用[J]. 中华养生保健, 2024, 42(20): 140-143.
[11]	夏丽莉, 施君瑶, 唐英, 顾晶菁, 姬程程. 中医综合生活方式干预对产后便秘的预防和治疗效果观察[J]. 中华养生保健, 2024, 42(20): 157-160.
[12]	董华君, 王书丽. 互动健康教育联合集束化护理在小儿肱骨骨折中的应用[J]. 中华养生保健, 2024, 42(19): 157-160.
[13]	曲亚楠. 探讨中医正骨结合切开复位内固定治疗踝关节骨折脱位患者的临床疗效[J]. 中华养生保健, 2024, 42(19): 193-196.
[14]	彭飞, 李颖. 风险防范理念下集束化护理在无创呼吸机治疗小儿重症肺炎中的应用[J]. 中华养生保健, 2024, 42(18): 147-149.
[15]	黄惠娜. 五维护理模式联合并发症风险预警干预对全膀胱切除术患者腹胀及不完全性肠梗阻的影响[J]. 中华养生保健, 2024, 42(18): 160-163.

集束化护理联合中医护理干预对骨科卧床患者腹胀、便秘的研究

A Study on Bundled Nursing Combined with Traditional Chinese Medicine Nursing Intervention for Abdominal Distension and Constipation in Orthopedic Bedridden Patients Orthopedic Patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价