化疗后便秘原因分析与护理对策  

Analysis on constipation after chemotherapy and related nursing measures

作　　者：刘术容[1] 

机构地区：[1]四川省绵阳市第三人民医院肿瘤科,四川绵阳621000

出　　处：《实用临床医药杂志》2015年第E01期223-224,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨恶性肿瘤患者化疗后便秘的原因与相关护理对策。方法选取恶性肿瘤患者93例，其中化疗后便秘患者62例，未发生便秘患者31例。62例便秘患者随机分为观察组和对照组，各31例。对便秘发生原因进行归纳、总结，并对护理后观察组及对照组患者胃肠生活质量评分及便秘评分进行比较。结果长期卧床、食欲不振、低纤维素饮食、年龄超过60岁、高脂肪／蛋白饮食及紧张／焦虑均为恶性肿瘤患者化疗后诱发便秘的原因。观察组胃肠生活质量评分、便秘评分均低于对照组，差异有统计学意义（P〈0．01）。结论长期卧床、食欲不振、低纤维素饮食、年龄超过60岁、高脂肪／蛋白饮食及紧张／焦虑均为恶性肿瘤患者化疗后诱发便秘的原因，加强针对性护理可有效改善患者便秘情况，提高生活质量。Objective To investigate the reason of constipation after chemotherapy and relat- ed nursing measures. Methods A total of 93 patients with malignant tumor were recruited, in which 62 cases with constipation after chemotherapy and 31 cases without constipation. Patients with consti- pation were randomly divided into study group （ n = 31 ） and control group （ n = 31 ）, with target nurs- ing and conventional nursing care, respectively. Reasons of constipation, scale of gastrointestinal qual- ity of life and constipation were compared between groups. Results Long-term bedridden, anepithy- mia, low-fiber diet, aged over 60, high fat and protein, anxiety and depression were potential reasons for constipation after chemotherapy. Study group achieved lower outcomes in gastrointestinal quality of life and constipation scales compared with the controls. Conclusion Nursing measures targeting to risk factors of constipation after chemotherapy can improve the quality of life in cancer patients.

关 键 词：恶性肿瘤 化疗 便秘 护理 

分 类 号：R730.6[医药卫生—肿瘤]