联合物理训练改善功能性便秘病人的疗效评价  

Evaluation on curative effect of combination of physical training for improvement of patients with functional constipation

作　　者：丁美红[1] 彭蓓[1] 伏亦伟[2] 周晓丽[2] 

机构地区：[1]泰州职业技术学院 [2]泰州市人民医院

出　　处：《护理研究（上旬版）》2015年第9期3109-3112,共4页Chinese Nursing Researsh

摘　　要：[目的]观察联合物理疗法改善功能性便秘病人的疗效。[方法]选择35例功能性便秘病人,在心理干预和健康宣教的基础上予以联合物理训练6周,应用便秘症状积分表、Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)评价训练前后便秘症状及心理状况改善情况。[结果]联合物理训练后病人焦虑、抑郁状态明显改善(P<0.01或P<0.05);病人便秘症状总积分、排便不尽/坠胀感、腹胀明显改善(P<0.01);排便间隔天数较训练前改善(P<0.05);排便困难/用力排便及粪便性状与治疗前相比差异无统计学意义(P>0.05)。[结论]在心理干预和健康宣教的基础上联合物理训练可以有效改善功能性便秘病人心理状况及便秘症状。Objective：To observe the curative effect of combination of physical therapy for improving functional constipation patients.Methods：A total of 35 patients with functional constipation were selected,the patients were given combination of physical training for 6 weeks on the basis of psychological intervention and health ed-ucation.The symptoms of constipation and psychological status before and after training were evaluated by u-sing the Symptom Scores Scale of constipation,Zung SAS and self rating Depression Scale （SDS）.Results：The anxiety and depression status of patients were significantly improved after combination of physical training （P 〈0.01 or P 〈0.05）.The total score of symptoms of constipation,defecation/heavy feeling and abdominal disten-sion were significantly improved （P 〈0.01）.The defecation interval days were improved （P 〈0.05）compared with that before training,and there was no significant difference in defecation difficulty/forced defecation and stool traits compared with that before treatment （P 〉0.05 ）.Conclusion：Combination of physical training can effectively improve the psychological status and symptoms of constipation of patients with functional constipa-tion based on the psychological intervention and health education.

关 键 词：功能性便秘 物理疗法 心理干预 健康教育 疗效 

分 类 号：R473.5[医药卫生—护理学]