综合干预对慢性阻塞性肺疾病稳定期便秘患者症状和生活质量的影响  

Effect of comprehensive intervention on the symptoms and quality of life in stable COPD patients with constipation

作　　者：周生余[1] 何良爱[2] 徐立升[2] 张发艳[3] 焦兴爱[2] 

机构地区：[1]山东大学护理学院临床教研室,济南市250012 [2]山东大学齐鲁医院呼吸科 [3]山东中医药大学

出　　处：《中华护理杂志》2010年第10期894-897,共4页Chinese Journal of Nursing

摘　　要：目的探讨综合护理干预对慢性阻塞性肺疾病(COPD)稳定期合并便秘患者症状和生活质量的影响。方法按接诊时间将51例COPD稳定期合并便秘患者分为干预组27例和对照组24例,两组均服用通便药物与调整饮食结构,干预组同时给予综合护理干预,包括心理护理、建立良好排便习惯、腹部按摩和运动疗法。比较两组的治疗效果,并采用圣乔治呼吸问卷(SGRQ)进行评价。结果干预组便秘治疗效果好于对照组,开始排便时间和大便形态恢复正常的时间均较对照组短,第2周、第4周大便次数多于对照组,两组比较差异均有统计学意义(P<0.05)。干预组呼吸症状、疾病影响及SGRQ总分较对照组均降低(P<0.05),但活动受限评分与对照组比较,差异无统计学意义(P>0.05)。结论综合护理干预不仅能有效解除COPD便秘患者的症状,还在一定程度上提高患者的生活质量。Objective To evaluate the effect of comprehensive intervention on the symptoms and quality of life in chronic obstructive pulmonary disease（COPD） patients with constipation.Methods Fifty-one stable COPD patients with constipation were divided into two groups according to admission order.All the patients took cathartic and adjusted dietary pattern.In addition,comprehensive intervention including psychological nursing,defecation habit training,abdominal massage and physical exercises was provided for the 27 patients in the experimental group.The symptoms and quality of life rated by St George＇s Respiratory Questionnaire（SGRQ） were compared between the two groups.Results The treatment effect of constipation was better in the experimental group than that of control group（P0.05）.The total score of SGRQ and factor scores of respiratory symptoms and impacts were significantly lower in the experimental group than those of control group（P0.05）.While there was no significant difference on the factor score of activity restriction between the two groups（P0.05）.Conclusion Comprehensive intervention can relieve the constipation symptoms and improve the quality of life in stable COPD patients with constipation.

关 键 词：肺疾病 慢性阻塞性 便秘 护理 生活质量 

分 类 号：R563.9[医药卫生—呼吸系统]