多功能床垫对绝对卧床休息患者排便的影响  

Effect of multifunctional mattress on defecation of patient with strict bed rest

作　　者：王静新[1] 雷迎[2] 罗冬华[2] 陈琼[2] 杨淑玲[3] 

机构地区：[1]南方医科大学深圳医院护理部,广东深圳518100 [2]南方医科大学南方医院神经内科,广东广州510515 [3]南方医科大学南方医院感染内科,广东广州510515

出　　处：《中国医学物理学杂志》2016年第11期1174-1177,共4页Chinese Journal of Medical Physics

基　　金：广东省科技计划项目(2012B031800133)

摘　　要：目的:探讨多功能床垫对绝对卧床休息患者床上排便的影响。方法:采用随机数字表法将60例神经内科绝对卧床休息患者分为干预组和对照组,各30例。两组均给予定时排便训练、药物治疗、饮食及运动宣教。干预组在此基础上于排便时使用我科自行设计的多功能床垫。比较两组患者入院后第1、2周的便秘发生率、大便性状、被服污染率及排便舒适度。结果:干预组第1、2周便秘发生率分别为40%及20%,对照组第1、2周便秘发生率分别为60%及43.3%,两组间无显著性差异(P>0.05),但干预组便秘发生率低于对照组。干预组入院后第1周排便舒适度显著高于对照组,两组间第2周大便性状、被服污染率、排便舒适度均有统计学差异(P<0.05)。结论:多功能床垫能够降低绝对卧床患者的便秘发生率,提高排便时的舒适度,降低被服污染率,减轻护士的工作负荷。Objective To explore the effects of multifunctional mattress on the defecation of patients who need strict bed rest. Methods Sixty patients who need strict bed rest in the department of neurology were randomly divided into experimental group and control group, 30 patients for each group. All the patients were given regular bowel training, drug therapy, and diet education, and the self-designed multifunctional mattress was only used in the experimental group. The incidence of constipation in the first and second week after the admission, stool consistency, clothing contamination rate and the comfort of defecation were compared between the two groups. Results No significant differences were found in the incidence of constipation in the first and second week after the admission between the experimental group （40% and 20%, respectively） and control group （60% and 43.3%, respectively） （P〉0.05）. Compared with control group, the incidence of constipation was lower, and the comfort of defecation in the first week after the admission was better in experimental group. Statistical difference was found in the stool consistency in the second week after the admission, clothing contamination rate, and the comfort of defecation （P〈0.05）. Conclusion Multifunctional mattress can effectively reduce the incidence of constipation and clothing contamination rate, improve the comfort of defecation of patients who need strict bed rest, and reduce the work burden of nurses.

关 键 词：多功能床垫 排便 卧床休息 护理 

分 类 号：R197.3[医药卫生—卫生事业管理] R473[医药卫生—公共卫生与预防医学]