腹部按摩配合穴位疗法对老年冠心病便秘患者干预效果的研究-护理学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ·············································································1 英文摘要 ·············································································4 英文缩写 ·············································································9 研究论文 腹部按摩配合穴位疗法对老年冠心病便秘患者干预效果的研究 前言 ·············································································10 材料与方法 ····································································12 结果 ·············································································17 附图 ·············································································19 附表 ·············································································22 讨论 ·············································································25 结论 ·············································································29 参考文献 ·······································································30 附录 ·············································································33 综述 老年便秘患者护理干预的研究进展 ···································38 致谢 ···················································································50 个人简历 ············································································51 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 腹部按摩配合穴位疗法对老年冠心病便秘患者 干预效果的研究 摘 要 目的：探讨腹部按摩配合穴位疗法对老年冠心病便秘患者的干预效 果，旨在改善老年冠心病便秘患者的排便情况，提高其生活质量，降低因 便秘引发心血管事件的风险。 方法： 1 研究对象与分组 收集北京市第二医院心内科2013年10月至2014年10月期间住院的老 年冠心病便秘患者119例，应用随机数字表法，分为干预组60例与对照组 59例，研究过程中干预组剔除4例（病情加重，经医生评估不适合腹部按 摩及穴位治疗者2例、自动出院2例），对照组剔除3例（病情加重1例、住 院天数不足10天2例）。两组均为56例，两组在年龄结构、性别、文化程 度、既往职业诸方面比较，均无统计学差异（P 0.05）。 1.1 纳入标准：年龄≥60岁；符合WHO有关冠心病的诊断标准，心功能≤2 级；符合罗马Ⅲ有关便秘的诊断标准；有理解和回答问题的能力，沟通无 障碍；无消化道器质性病变；知情同意，自愿参加本次研究。 1.2 排除标准：不可进行腹部按摩；重要脏器有严重并发症及其他系统严 重疾病。 1.3剔除标准：研究过程中患者疾病发生变化，心功能≧3级；住院时间少 于10天；出现排除标准的情况； 2 护理方法 两组患者在治疗冠心病的同时，针对便秘采用不同的方法护理。对照 组给予常规护理，干预组在常规护理的基础上给予腹部按摩配合穴位疗法 护理。 3 效果评价 在入院当天和入院第10天，应用研究工具进行问卷调查，比较对照组 和干预组在干预前后的组间和组内各类指标变化，评价应用腹部按摩配合