卯时综合护理干预对患者脑卒中后便秘的疗效观察
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摘要
目的探讨卯时指导患者饮用淡盐水并联合穴位按摩对脑卒中后便秘患者的临床效果。方法选取240例脑卒中便秘患者,分为观察组和对照组各120例。两组患者均给予常规护理,观察组在常规护理的基础上实施每日卯时为患者饮淡盐水200 ml并联合穴位按摩,比较两组患者干预前后便秘评分、大便性状评分和便秘患者生活质量。结果观察组及对照组患者干预后便秘评分、大便形状评分、生活质量评分与干预前比较差异均具有统计学意义(P<0.05)。结论以子午流注理论指导的卯时饮淡盐水联合穴位按摩等综合护理干预能够有效改善脑卒中后便秘患者的便秘程度及生活质量,具有较好的临床应用价值。
Objective To discuss the clinical effect of Mao Shi comprehensive nursing,including guiding patients to drink mild saline and acupointing massage in intervening patients after stroke. Methods The total of 240 constipation patients after stroke were divided into the observation group and the control group. Two groups received routine nursing while observation group drank 200 ml mild saline and implementing acupoint massage at daily Mao Shi. Finally,the scores of constipation,stool consistency and quality of life between two groups were compared before and after intervention. Results After intervention,observation group and control group had statistically significant difference in scores of constipation,stool consistency and quality of life( P < 0. 05).Conclusion According to the theory of midnight-moon and ebb-flow doctrine,the Mao Shi nursing intervention of drinking weak brine combined acupoint massage can effectively improve constipation degree and quality of life of patients after stroke which had good clinical application value.
Objective To discuss the clinical effect of Mao Shi comprehensive nursing,including guiding patients to drink mild saline and acupointing massage in intervening patients after stroke. Methods The total of 240 constipation patients after stroke were divided into the observation group and the control group. Two groups received routine nursing while observation group drank 200 ml mild saline and implementing acupoint massage at daily Mao Shi. Finally,the scores of constipation,stool consistency and quality of life between two groups were compared before and after intervention. Results After intervention,observation group and control group had statistically significant difference in scores of constipation,stool consistency and quality of life( P < 0. 05).Conclusion According to the theory of midnight-moon and ebb-flow doctrine,the Mao Shi nursing intervention of drinking weak brine combined acupoint massage can effectively improve constipation degree and quality of life of patients after stroke which had good clinical application value.
引文
[1]Krogh K,Christensen P.Neurogenic colorectal and pelvic ffunction[J].Best Pract Res Clin Gastroenterol,2009,23(4):531-543.
[2]Yongjing SU,Xiaoyan Z,Jinsheng Z,et al.New-onset constipation at acute stage after first stroke:incidence,riskfactors,and impact on the strokeoutcome[J].Stroke,2009,40(3):1304-1309.
[3]石学敏.针灸学[M].第2版.北京:中国中医药出版社,2002:330-337.
[4]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[5]Agachan F,Chen T,Pfeifer J,et al.A constipation scoring system to simplify evaluation and management of constipated patients[J].Dis Colon Rectum,1996,39(6):681-685.
[6]O Donnell LJ,Virjee J,Heaton KW.Detection of pseudodiarrhoea by simple clinical assessment of intestinal transitrate[J].BMJ,1990,300(6722):439-440.
[7]Marquis P,Lage C,Dubois D,et al.Developement and validation of the patient assessment of constipation quality of life questionnaire[J].Scand J Gastroenterol,2005,40(5):540-551.
[8]刘彦芬.卯时穴位按摩与腹部按摩对卧床便秘患者的护理体会[J].河北中医,2014,36(11):1729-1730.
[9]蔡俊萍,季晓鹏,张雅丽.消胀散敷脐配合择时穴位按压对老年功能性便秘的效果观察[J].护理研究,2013,27(30):3370-3372.
[10]李经纬.中医大词典[M].第2版.北京:人民卫生出版社,2004:92-96.
[11]杨海侠,宋亚华,孟小芬,等.卯时口服复方聚乙二醇电解质散行肠道准备的效果评价[J].护理管理杂志,2015,15(6):433-434.
[12]胡鹏.卯时健康指导在肛肠病人排便中的应用[J].光明中医,2013,28(2):359.
[13]黄萍,廖红梅.耳穴贴压联合系统护理干预预防脑卒中患者便秘的临床效果[J].世界华人消化杂志,2014,22(19):2800-2803.
[14]耿涛,林容枝.深刺天枢穴治疗慢性功能性便秘的临床疗效观察[J].浙江中医药大学学报,2011,35(2):263-264.
[15]鲁萍.护理干预对社区老年功能性便秘患者生活质量的影响[J].护理管理杂志,2011,11(11):812-814.
[16]赵丹,王芳.中医康复护理在脑卒中肢体功能障碍患者中的应用[J].护理管理杂志,2015,15(7):501-502.
[17]赵贞贞,林征,林琳,等.慢性便秘患者生活质量及影响因素研究[J].护理学杂志,2010,25(17):9-11.
[2]Yongjing SU,Xiaoyan Z,Jinsheng Z,et al.New-onset constipation at acute stage after first stroke:incidence,riskfactors,and impact on the strokeoutcome[J].Stroke,2009,40(3):1304-1309.
[3]石学敏.针灸学[M].第2版.北京:中国中医药出版社,2002:330-337.
[4]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[5]Agachan F,Chen T,Pfeifer J,et al.A constipation scoring system to simplify evaluation and management of constipated patients[J].Dis Colon Rectum,1996,39(6):681-685.
[6]O Donnell LJ,Virjee J,Heaton KW.Detection of pseudodiarrhoea by simple clinical assessment of intestinal transitrate[J].BMJ,1990,300(6722):439-440.
[7]Marquis P,Lage C,Dubois D,et al.Developement and validation of the patient assessment of constipation quality of life questionnaire[J].Scand J Gastroenterol,2005,40(5):540-551.
[8]刘彦芬.卯时穴位按摩与腹部按摩对卧床便秘患者的护理体会[J].河北中医,2014,36(11):1729-1730.
[9]蔡俊萍,季晓鹏,张雅丽.消胀散敷脐配合择时穴位按压对老年功能性便秘的效果观察[J].护理研究,2013,27(30):3370-3372.
[10]李经纬.中医大词典[M].第2版.北京:人民卫生出版社,2004:92-96.
[11]杨海侠,宋亚华,孟小芬,等.卯时口服复方聚乙二醇电解质散行肠道准备的效果评价[J].护理管理杂志,2015,15(6):433-434.
[12]胡鹏.卯时健康指导在肛肠病人排便中的应用[J].光明中医,2013,28(2):359.
[13]黄萍,廖红梅.耳穴贴压联合系统护理干预预防脑卒中患者便秘的临床效果[J].世界华人消化杂志,2014,22(19):2800-2803.
[14]耿涛,林容枝.深刺天枢穴治疗慢性功能性便秘的临床疗效观察[J].浙江中医药大学学报,2011,35(2):263-264.
[15]鲁萍.护理干预对社区老年功能性便秘患者生活质量的影响[J].护理管理杂志,2011,11(11):812-814.
[16]赵丹,王芳.中医康复护理在脑卒中肢体功能障碍患者中的应用[J].护理管理杂志,2015,15(7):501-502.
[17]赵贞贞,林征,林琳,等.慢性便秘患者生活质量及影响因素研究[J].护理学杂志,2010,25(17):9-11.