前瞻性护理干预对高血压性脑出血患者微创术后便秘防治的效果  

Prevention effects of advanced nursing intervention on the constipation in patients with hypertensive cerebral hemorrhage after minimally invasive surgery

作　　者：朱婉萱[1] 张伟娜[1] 

机构地区：[1]北京协和医院神经外科,100730

出　　处：《中华现代护理杂志》2015年第18期2142-2144,共3页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目（81072084）

摘　　要：目的：探讨前瞻性护理干预对高血压性脑出血患者微创术后便秘的影响。方法120例高血压性脑出血患者采用掷硬币法随机分为观察组80例和对照组40例。观察组微创术后采用前瞻性护理干预，对照组采用常规护理干预，比较两组患者排便积分、Bristol 大便性状分型中理想便形和便秘发生率。结果干预2周后，观察组患者排便积分由（2.47±0.48）分下降到（0.96±0.49）分，对照组由（2.45±0.51）分下降到（2.05±0.60）分，两组干预后比较，差异有统计学意义（t =2.72，P ＜0.01）；观察组 Bristol 大便性状分型中理想便形由13.8%上升至75.0%，对照组理想便形由12.5%上升至20.0%，两组比较差异有统计学意义（P ＜0.01）；观察组便秘发生率为25.0%，对照组便秘发生率为80.0%，两组比较差异有统计学意义（χ2=32.85，P ＜0.01）。结论前瞻性护理干预能有效预防高血压性脑出血患者微创术后便秘的发生，减少便秘造成的并发症，值得临床推广应用。Objective To investigate the prevention effect of advanced nursing intervention on constipation in the patients with hypertensive cerebral hemorrhage after minimally invasive surgery. Methods A total of 120 patients who suffered hypertensive cerebral hemorrhage were randomly divided into the observation group（n = 80）and the control group（n = 40）. The patients of observation group received advanced nursing intervention immediately after minimally invasive surgery,and the patients of control group received conventional care. The defecation score,the ideal stool form of Bristol stool character classification and incidence of constipation were compared between two groups. Results Two weeks after intervention,the defecation score of observation group dropped from（2. 47 ± 0. 48）to（0. 96 ± 0. 49）,and that of control group declined from （2. 45 ± 0. 51）to（2. 05 ± 0. 60）with statistical significance between before and after intervention in two groups （t = 2. 72,P 〈0. 01）. The ideal stool form of Bristol stool character classification risen from 13. 8% to 75. 0%in observation group and from 12. 5% to 20. 0% in the control group（P 〈0. 01）. The incidence of constipation in observation group was 25. 0% ,and the incidence of constipation in control group was 80. 0% after intervention（χ2 = 32. 85,P 〈0. 01）. Conclusions The advanced nursing intervention can effectively prevent the occurrence of constipation in the patients with hypertension cerebral hemorrhage after minimally invasive surgery. It can avoid or reduce complications and its serious consequences caused by constipation. This method is worth of clinical application.

关 键 词：护理 高血压性脑出血 微创手术 便秘 

分 类 号：R473.6[医药卫生—护理学]