骨折卧床患者便秘舒适型护理的效果观察  

Effect of Comfortable Nursing on Constipation of Patients Lying in Bed with Fractures

作　　者：张先棠[1] 李茹[1] 石秀峰[1] 

机构地区：[1]安徽省蚌埠医学院第二附属医院骨科,233040

出　　处：《中华全科医学》2011年第7期1149-1150,共2页Chinese Journal of General Practice

摘　　要：目的探讨舒适型护理在骨折卧床患者便秘护理中的应用效果。方法将201例骨折卧床患者随机分为舒适型护理组和普通护理组,舒适型护理组105例,普通护理组96例,在整体护理的基础上,普通护理组采用传统常规护理方法,舒适型护理组从生理、环境、心理社会支持、排便时环境安排及疼痛的护理、指导腹部正确的按摩等多方面、多角度给予患者全方位、全程的舒适型护理,将两组便秘发生率的结果进行比较。结果普通护理组患者发生便秘65例,便秘发生率为67.7%,而舒适型护理组患者发生便秘8例,便秘发生率为7.61%,两组患者进行统计学数据分析,通过χ2检验,P<0.01,差异有统计学意义,舒适型护理组患者效果明显优于普通型护理组。结论便秘是骨折卧床患者常见的并发症,通过舒适型护理,可以显著降低卧床患者的便秘发生率,舒适型护理是一种整体的、个性化的、有效的护理模式,是护理骨折后患者预防便秘的有效方法,值得推广。Objective To explore the effects of comfort care services on the constipation of patients lying in bed with the fractures.Methods Two hundred and one cases with fractures were randomly divided into comfortable care group（105 patients） and usual care group（96 patients）.The usual care group received the routine care,while the comfortable care group received the physical,environmental and psychosocial support,defecation environmental arrangement,pain care,guidance on right abdominal massage.The incidence of constipation in the two groups was compared.Results The incidence of constipation was 67.7%（65/96） in the usual care group and 7.61%（8/105） in the comfortable care group.The difference was statistically significance（χ2 test,P0.01）.The effect of comfortable care was better than the usual care.Conclusion Constipation is a common complication in patients with fractures lying in bed.The comfortable care can obviously decrease the incidence of constipation.It is a holistic,individualized,effective care model for patients with the fractures to prevent the constipation.

关 键 词：骨折 便秘 舒适型护理 

分 类 号：R473.6[医药卫生—护理学] R683[医药卫生—临床医学]