中医穴位按摩对精神科住院患者功能性便秘的作用
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摘要
目的探讨中医穴位按摩对精神科住院患者功能性便秘的作用。方法选取2010年9月—2015年9月收治于上海市虹口区精神卫生中心的男性精神分裂症患者70例,随机分为观察组和对照组各35例。对照组进行常规护理干预,观察组在常规干预的基础上,予以中医穴位按摩,观察两组患者排便情况。结果观察组便秘严重度评估(constipation severity instrument,CSI)、便秘患者生存质量量表(patient assessment of constipation quality of life,PAC-QOL)评分低于对照组,差异有统计学意义(P<0.05);两组患者干预后便秘缓解情况比较,差异有统计学意义(P<0.05)。结论对精神分裂症患者应用中医穴位按摩,可有效缓解便秘,减少便秘并发症,提高患者的生活质量。
Objective To study the effect of traditional Chinese medicine acupoint massage on alleviation of functional constipation of the inpatients with mental disorders. Methods A total of 70 patients with schizophrenia in Hongkou District Mental Health Center were chosen. They were randomly and equally divided into the observation group and control group. The control group received the conventional nursing,and the observation group received additional traditional Chinese medicine acupoint massage. The situation of defecation was compared. Results The scores of Constipation Severity Instrument( CSI) and Patient Assessment of Constipation Quality of Life( PAC-QOL) in the observation group were lower than those in the control group(P < 0. 05). There was significant difference in alleviation of functional constipation between the two groups(P < 0. 05). Conclusion Traditional Chinese medicine acupoint massage could effectively relieve functional constipation of inpatients with schizophrenia,reduce complications of constipation,and improve the patient medication compliance and quality of life.
Objective To study the effect of traditional Chinese medicine acupoint massage on alleviation of functional constipation of the inpatients with mental disorders. Methods A total of 70 patients with schizophrenia in Hongkou District Mental Health Center were chosen. They were randomly and equally divided into the observation group and control group. The control group received the conventional nursing,and the observation group received additional traditional Chinese medicine acupoint massage. The situation of defecation was compared. Results The scores of Constipation Severity Instrument( CSI) and Patient Assessment of Constipation Quality of Life( PAC-QOL) in the observation group were lower than those in the control group(P < 0. 05). There was significant difference in alleviation of functional constipation between the two groups(P < 0. 05). Conclusion Traditional Chinese medicine acupoint massage could effectively relieve functional constipation of inpatients with schizophrenia,reduce complications of constipation,and improve the patient medication compliance and quality of life.
引文
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[5]罗马委员会.功能性胃肠病罗马Ⅲ诊断标准[J].胃肠病学,2006,11(12):761-765.
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[7]金洵,丁义江,丁曙晴,等.便秘患者生存质量自评量表PAC—QOL中文版的信度、效度及反应度[J].世界华人消化杂志,2011,19(2):209-213.
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[11]中华医学会消化病学分会胃肠动力学组,外科学分会结直肠肛门外科学组.中国慢性便秘的诊治指南(2007,扬州)[J].中华消化杂志,2007,29(9):619-622.
[12]赵富生.按摩治疗功能性便秘临床体会[J].按摩与引导,2007,24(4):15.
[13]李倩,郝丽.功能性便秘的中医护理体会[J].中医误诊学杂志,2011,11(14):3381-3382.
[14]黄曼博.按摩治疗功能性便秘45例临床观察[J].北京中医药,2008,27(1):42-43.
[15]胡薇,喻德洪.便秘心理因素的评估和治疗[J].大肠肛门病外科杂志,2004,10(2):150-153.
[16]王俊萍,段丽萍,叶红军,等.功能性便秘患者的精神心理状况及生活质量评估[J].中华内科杂志,2008,47(6):460-463.
[17]吴嘉媛,刘晓红,刘巍,等.慢性便秘患者心理状况及生活质量调查-多中心临床调查[J].中华实用内科杂志,2009,29(3):237-239.
[18]汤亚琴,沈王琴.老年功能性便秘的原因分析及护理[J].交通医学,2006,20(6):794.
[19]周丽蓉,林征,林琳,等.综合护理干预在功能性便秘治疗中的应用及效果观察[J].护士进修杂志,2009,24(15):1418-1420.
[2]许智凯,江思,李萍.精神科男病区便秘患者的护理技巧[J].中国民康医学,2013,25(8):91-92.
[3]王美峰,熊观瀛,林征,等.功能性便秘患者行结肠通过时间检查的护理[J].中华护理杂志,2004,39(7):499-500.
[4]世界卫生组织.ICD-10精神与行为障碍分类:临床描述与诊断要点[M].范肖东,汪向东,于欣,等,译.北京:人民卫生出版社,1993:72-73.
[5]罗马委员会.功能性胃肠病罗马Ⅲ诊断标准[J].胃肠病学,2006,11(12):761-765.
[6]Varma MG,Wang JY,Berian JR,et al.The constipation severity instrument:a validated measure[J].Dis Colon Rectum,2008,51(2):162-172.
[7]金洵,丁义江,丁曙晴,等.便秘患者生存质量自评量表PAC—QOL中文版的信度、效度及反应度[J].世界华人消化杂志,2011,19(2):209-213.
[8]国家中医药管理局.ZY/T001.1~001.9-94.中医病症诊断疗效标准[S].南京:南京大学出版社,1994.
[9]曹新妹.精神药物所致便秘的调查和护理对策[J].上海精神医学,1991,3(3):171,170.
[10]沈其杰.精神疾病的生化基础与实验性精神病学//湖南医学院,主编.精神医学丛书(第一卷):精神医学基础[M].长沙:湖南科学技术出版社,1983:177-183.
[11]中华医学会消化病学分会胃肠动力学组,外科学分会结直肠肛门外科学组.中国慢性便秘的诊治指南(2007,扬州)[J].中华消化杂志,2007,29(9):619-622.
[12]赵富生.按摩治疗功能性便秘临床体会[J].按摩与引导,2007,24(4):15.
[13]李倩,郝丽.功能性便秘的中医护理体会[J].中医误诊学杂志,2011,11(14):3381-3382.
[14]黄曼博.按摩治疗功能性便秘45例临床观察[J].北京中医药,2008,27(1):42-43.
[15]胡薇,喻德洪.便秘心理因素的评估和治疗[J].大肠肛门病外科杂志,2004,10(2):150-153.
[16]王俊萍,段丽萍,叶红军,等.功能性便秘患者的精神心理状况及生活质量评估[J].中华内科杂志,2008,47(6):460-463.
[17]吴嘉媛,刘晓红,刘巍,等.慢性便秘患者心理状况及生活质量调查-多中心临床调查[J].中华实用内科杂志,2009,29(3):237-239.
[18]汤亚琴,沈王琴.老年功能性便秘的原因分析及护理[J].交通医学,2006,20(6):794.
[19]周丽蓉,林征,林琳,等.综合护理干预在功能性便秘治疗中的应用及效果观察[J].护士进修杂志,2009,24(15):1418-1420.