健康宣教联合智能机械式腹部按摩仪对预防骨科卧床患者便秘及护理质量影响  

Effects of Health Education Combined with Intelligent Mechanical Abdominal Massager in Prevention of Constipation and Nursing Quality in Orthopedic Bedridden Patients

作　　者：陈媛[1] 梁斌[1] 史承明[1] 王兴松[2] CHEN Yuan;LIANG Bin;SHI Chengming;WANG Xingsong(Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing 210006,Jiangsu,China;Southeast University,Nanjing 210006,Jiangsu,China)

机构地区：[1]南京医科大学附属南京医院,江苏南京210006 [2]东南大学,江苏南京210006

出　　处：《辽宁中医药大学学报》2018年第11期190-192,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：南京医科大学科技发展基金项目(2014NJMU039)

摘　　要：目的：探究健康宣教联合智能机械式腹部按摩仪对预防骨科卧床患者便秘及护理质量的影响。方法：回顾性分析2015年2月—2016年2月行健康宣教联合人工腹部按摩干预（对照组）及2016年3月—2017年3月行健康宣教联合智能机械式腹部按摩仪干预（观察组）的骨科卧床患者各42例。记录两组住院期间便秘发生率、护理不良事件（压疮、非计划性拔管、坠床）发生率差异,并比较两组干预5 d后护理依赖程度[护理依赖量表（CDS）]、心理健康状况[沃里克-爱丁堡积极心理健康量表（WEMWBS）]、生活满意度[生活满意度量表（SWLS）]和出院时护理满意度差异。结果：住院期间,观察组便秘发生率及护理不良事件总发生率均低于对照组（P〈0.05）。干预5 d后,观察组CDS、WEMWBS、SWLS评分均高于对照组（P〈0.05）。出院时,观察组护理满意度明显优于对照组（P〈0.05）。结论：健康宣教＋智能机械式腹部按摩仪联合干预法应用于骨科卧床患者护理工作中效果较好,可有效预防便秘发生,且提升患者心理健康水平和生活满意度,并减轻护理依赖程度,还能提高护理质量,于促进患者术后康复有积极意义。Objective：To explore the effects of health education combined with intelligent mechanical abdominal massager in preventing constipation and nursing quality of orthopedic bedridden patients. Methods：The clinical data of each 42 cases of orthopedic bedridden patients treated with health education combined with artificial abdominal massage intervention（the control group）in our hospital from February 2015 to February 2016 and treated with health education combined with intelligent mechanical abdominal massager intervention（the observation group）from March 2016 to March 2017 were retrospectively analyzed. The incidence rates of constipation and nursing adverse events（pressure ulcers,unplanned extubation,falling down from beds）during hospitalization were recorded in the two groups,and the nursing dependence degree [Care Dependence Scale（CDS）],mental health status [Warwick-Edinburgh Mental Well-being Scale（WEMWBS）],life satisfaction degree [Satisfaction with Life Scale（SWLS）] and nursing satisfaction at discharge at discharge were compared between the two groups after 5 d of intervention. Results：During hospitalization,the incidence rate of constipation and the total incidence rate of adverse nursing events in the observation group were lower than those in the control group（P0.05）. After 5 d of intervention,the scores of CDS,WEMWBS and SWLS in the observation group were higher than those in the control group（P0.05）. At discharge,the nursing satisfaction degree in the observation group was significantly better than that in the control group（P0.05）. Conclusion：Health education combined with intelligent mechanical abdominal massager intervention for orthopedic bedridden patients can have good nursing effects,and it can not only effectively prevent the occurrence of constipation,improve mental health and life satisfaction degree and reduce nursing dependence on care,but also can improve nursing quality,and it has a positive meaning in promoting postoperative rehabilitation of pati

关 键 词：骨科卧床患者 便秘 智能机械式腹部按摩仪 健康宣教 护理质量 

分 类 号：R248[医药卫生—中医临床基础]