腹部按摩护理配合大黄粉神阙穴穴位贴敷对卧床患者便秘影响.docVIP

腹部按摩护理配合大黄粉神阙穴穴位贴敷对卧床患者便秘影响 　　[摘要]目的 探讨腹部按摩护理配合大黄粉神阙穴穴位贴敷对卧床患者便秘的影响。方法 将2015年9月～2016年4月来我院治疗的78例骨折后卧床合并便秘的患者作为研究对象，按照随机数字表法分为研究组和对照组，各39例。对照组患者给予常规护理，研究组患者在对照组的基础上给予腹部按摩护理配合大黄粉神阙穴穴位贴敷治疗。记录两组患者护理后首次排便时间以及排便间隔时间、护理前后患者的Wexner评分、治疗有效率，并进行对比分析。结果 护理后，研究组患者的首次排便时间为（5.8±3.3）h、排便间隔时间为（18.5±5.3）h，均明显短于对照组的（10.9±6.1）h、（26.9±9.2）h，差异有统计学意义（t1=4.5923，t2=4.9407，P0.05）；护理后，两组患者的Wexner评分与护理前比较均下降（P0.05），研究组患者的Wexner评分明显低于对照组，差异有统计学意义（t=6.6070，P0.05）；研究组总有效率为92.3%，对照组总有效率为71.8%，差异有统计学意义（χ2=5.5714，P0.05）；研究组患者出现食欲不振、头晕耳鸣、腹胀腹痛等不良反应发生率为10.3%，明显低于对照组的28.2%，差异有统计学意义（χ2=4.0444，P0.05）。结论 腹部按摩护理配合大黄粉神阙穴穴位贴敷对卧床患者便秘的疗效显著，可以有效改善患者的排便状况，适合推广。 　　[关键词]腹部按摩护理；大黄粉；穴位贴敷；便秘 　　[中图分类号] R256.35 [文献标识码] A [文章编号] 1674-4721（2016）06（c）-0162-03 　　[Abstract]Objective To explore the efficacy of ambulatory patients of constipation with abdominal massage nursing joint Rhubarb Shenque acupoint sticking therapy.Methods 78 cases of ambulatory patients with constipation from May 2014 to March 2016 were as subjects，according to the table of random numbers，they were divided into the study group and the control group，39 cases in each group.The control group were treated with conventional nursing，the study group were treated with abdominal massage nursing with Rhubarb Shenque acupoint application therapy.Recorded and compared the first two groups of patients defecation and defecation interval，before and after nursing in patients with Wexner score，treatment efficiency.Results After treatment，the study group of patients for the first time defecation，defecation interval was significantly shorter than that of control group （t1=4.5923，t2=4.9407，P0.05）；After treatment，the two groups of Wexner scores compared with before nursing，it was decreased（P0.05），the study group with Wexner score was significantly lower than that of control group，the difference was statistically significant （P0.05）； the total effective rate of the study group was 92.3%，the control group was 71.8%（χ2=5.5714，P0.05）；the study group with incidence of