骨科卧床患者便秘的辨证施护干预效果评价.pdfVIP

齐鲁护理杂志2008年第14卷第12期 骨科卧床患者便秘的辨证施护干预效果评价 刘汉娇 (深圳市宝安区中医院 广东深圳518133) 摘 要 目的：探讨骨科卧床患者便秘的辨证施护干预方法及效果。方法：将100例骨科长期卧床患者随机分 为对照组和干预组各50例，在常规治疗和护理的基础上，对照组采用常规健康教育指导预防便秘，干预组给予针对 便秘的系统辨证施护干预，包括健康指导、情志护理、药膳调理、排便护理、腹部按摩和康复锻炼等。结果：干预组便 秘发生率与对照组比较有极显著性差异(P0．01)。结论：辨证施护干预能有效降低骨科长期卧床患者便秘的发 生率，且此方法简单易行，值得临床推广应用。 关键词 骨科；卧床；便秘；辨证施护 中图分类号：R473．6 文献标识码：A 文章编号：1006—7256(2008)12—0011—02 Evaluation on the effect of nursing intervention with differentiation of symptoms and signs on in—bed patients with constipation in orthopaedic department L／uHan—j (Hospital ofTraditional Chinese Medicine ofBaoan District，Shenzhen Municipality。Shenzhen Guangdong 518133，China) Abstract Objective：To explore methods and effect of nursing intervention witIl differentiation of symptoms and signs on the in—bed patients with constipation in orthopaedic department．Methods：One hundred in—bed patients were random— ly divided into control group(n：50)and intervention group(n=50)．On the basis of basic treatment and numing care， routine health educmion on prevention of constipation Was given in control group and additional instructions including abdom— inal massage etc．Was applied in intervention group．Results：The incidence of constipation Was much lower in intervention group than that in control group(P0．01)．Conclusion：Differential nursing intervention is very effective to prevent from constipation of in—bed patients，the m~hods is simple and Can be used widely． Key words Orthopaedic department；Lying in bed；Constipation；Nursing care with different symptoms and signs 2006年3月～9月，我们对50例骨科长期卧床患者进行 3．1 健康指导 根据患者入院后的健康教育需求进行健康 系统的辨证施护干预，以充分发挥中医护理优势，减少便秘的 指导，首先向患者介绍住院环境、检查知识、医疗水平及规章 发生，取得满意效果。现报告如下。 制度，消除其陌生感。向择期手术患者介绍术前注意事项，并 1 资料与方法 训练床上大小便。 1．1