脊髓损伤后神经源性肠道功能障碍患者的综合护理干预分析  

An Integrated Nursing Intervention Analysis of Neurogenic Intestinal Dysfunction after Spinal Cord Injury

作　　者：陈玲 詹秋庆 邓美定 冯银 张晓娜 CHEN Ling;ZHAN Qiuqing;DENG Meiding(Guangdong Province First Invalides Hospital,Guangzhou 510260,China)

机构地区：[1]广东省第一荣军医院,广东广州510260

出　　处：《中国医学创新》2018年第3期76-79,共4页Medical Innovation of China

基　　金：广东省医学科研项目(A2014671)

摘　　要：目的:探讨脊髓损伤后神经源性肠道功能障碍患者实施综合护理干预的效果。方法:选择2015年4月-2017年10月来院检查并治疗的脊髓损伤后神经源性直肠功能障碍患者71例,按照入院时间先后顺序分为研究组(n=36)和参照组(n=35)。参照组患者应用常规护理,研究组患者应用综合护理干预,对两组患者的生活质量、肠道功能和护理满意度进行对比分析。结果:护理前,两组患者的生活质量评分对比,差异无统计学意义(P>0.05);护理后,两组患者的生活质量评分均高于护理前,差异均有统计学意义(t=11.077 0、4.921 5,P=0.000 0、0.000 0),且研究组的生活质量评分显著高于参照组,差异有统计学意义(t=5.751 8,P=0.000 0)。研究组的排便时间明显短于参照组,便秘评分显著高于参照组,差异均有统计学意义(t=7.364 4、33.056 1,P=0.000 0、0.000 0)。研究组患者的总满意率为97.22%,高于参照组的68.57%,差异有统计学意义(x^2=10.372 2,P=0.001 2)。结论:对于脊髓损伤后神经源性肠道功能障碍患者来说,应用综合护理干预效果显著,极大地改善了患者肠道功能和生活质量,具有较高的实践应用价值。Objective:To investigate the effect of comprehensive nursing intervention on patients with neurogenic bowel dysfunction after spinal cord injury.Method:From April 2015 to October 2017,71 patients with neurogenic rectal dysfunction after spinal cord injury were selected in our hospital,according to the order of admission time,they were divided into the study group(n=36)and the reference group(n=35).The patients in the reference group were given routine nursing,and the patients in the study group were treated with comprehensive nursing intervention,the quality of life,intestinal function and nursing satisfaction of the two groups were compared and analyzed.Result:Before nursing,the quality of life scores of the two groups were compared,the difference was not statistically significant(P>0.05);after nursing,the quality of life scores of the two groups were higher than those before nursing,the differences were statistically significant(t=11.077 0,4.921 5;P=0.000 0,0.000 0),and quality of life score of the study group was significantly higher than that of reference group,the difference was statistically significant(t=5.751 8,P=0.000 0).The defecation time of the study group was significantly shorter than that of the reference group,and the constipation score was significantly higher than that of the reference group,the differences were statistically significant(t=7.364 4,33.056 1;P=0.000 0,0.0000).The total satisfaction rate of the patients in the study group was 97.22%,which was higher than 68.57%of the reference group,the difference was statistically significant(χ2=10.372 2,P=0.001 2).Conclusion:For neurogenic bowel dysfunction after spinal cord injury patients,application of comprehensive nursing intervention effect is remarkable,greatly improving the intestinal function and quality of life,has the high practical application value.

关 键 词：脊髓损伤 神经源性直肠功能障碍 综合护理干预 

分 类 号：R473.6[医药卫生—护理学]