老年卧床住院患者便秘的影响因素  

The influencing factors of constipation in ambulatory elderly patients

作　　者：陈茜[1] 叶敏[2] 

机构地区：[1]四川大学华西医院老年科,610041 [2]成都市第七人民医院

出　　处：《中华护理杂志》2009年第9期805-807,共3页Chinese Journal of Nursing

基　　金：四川省卫生厅课题(编号:090033)

摘　　要：目的了解老年卧床患者便秘与卧床关系及便秘的干预方法。方法通过自行设计的调查表,对住院老年卧床患者卧床、便秘的情况及干预方法进行调查。结果卧床时间长的患者中、重度便秘的构成比为61.1%-66.7%,而卧床时间短的患者为48.3%,不同卧床时间老年人的便秘发生差异有统计学意义(P<0.01);卧床时间与便秘程度呈正相关关系(rs=0.146,P=0.024);便秘患者采用开塞露塞肛排便的占55.0%、服导泻药为50.4%,而膳食调整及按摩等仅占24.4%与19.3%。结论应加强对老年卧床患者便秘的评估及健康教育等综合干预,特别是减少患者的卧床时间。Objective To investigate the relationship between the duration of bed rest and constipation,as well as the nursing strategies in elderly inpatients. Methods The duration of bed rest,constipation and intention methods among elderly inpatients were investigated with a self-designed questionnaire. Results The prevalence of severe constipation was significantly higher in the long-term bed rest elderly patients （61.1%-66.7%） than that of short-term bed rest patients （48.3%,P〈0.05）. There was positive correlation between the grade of constipation and the duration of bed rest （rs=0.146,P=0.024）. While only 24.4% of the elderly patients made diet adjustment and 19.3% adopted abdomen massage,55.0% and 50.4% of the elderly patients adopted suppository and laxatives,respectively. Conclusion In the clinical practice should strengthen to the bedridden elderly inpatients constipation appraisal and health education interventions and so on,especially should decrease the bedridden time of the elderly patients.

关 键 词：老年人 卧床休息 便秘 问卷调查 

分 类 号：R473[医药卫生—护理学]