思维导图在髋部骨折患者便秘干预中应用效果  

Effect of mind mapping on constipation intervention in patients with hip fracture

作　　者：张朝梅[1] 陈春萍[2] 周涵[1] 袁元[1] Zhang Chaomei;Chen Chunping;Zhou Han;Yuan Yuan(Department of Bone and Joint,Changzhou First People's Hospital,Jiangsu Province,Changzhou 213003,China;Department of Nursing,Changzhou First People's Hospital,Jiangsu Province,Changzhou 213003,China)

机构地区：[1]江苏省常州市第一人民医院骨关节科,213003 [2]江苏省常州市第一人民医院护理部,213003

出　　处：《国际护理学杂志》2019年第21期3569-3572,共4页international journal of nursing

摘　　要：目的探讨思维导图在髋部骨折患者便秘干预的临床效果.方法选取2016年9~2017年4月髋部骨折便秘的患者.2016年9~12月患者70例作为对照组,实施常规便秘干预.2017年1~4月患者作为观察组62例,实施思维导图引导下的个性化干预.比较两组患者干预有效率,排便重建(1周内)成功率,排便重建时间,二次便秘发生率;腹痛、腹泻、腹胀、肛门阻塞感等腹部并发症的发生率.结果两组患者在排便重建时间、重建成功率、二次便秘的发生率差异均有统计学意义(均P<0.05);两组患者腹胀和总有效率的比较,差异均无统计学意义(均P>0.05),但干预效果中显效、有效、无效的比较,差异均有统计学意义(均P<0.01).结论思维导图指引下个性化干预可以短时间缓解便秘,建立稳定的排便形态,减少不良反应的发生.Objective To explore the clinical effect of mind mapping on constipation in patients with hip fracture.Methods Patients with hip fracture constipation from September 2016 to April 2017 were selected.A total of 70 patients were treated as the control group with conventional constipation intervention from September to December 2016.A total of 62 patients were treated as the observation group with personalized intervention guided by mind mapping from January to April 2017.The effective rate of intervention,the success rate of defecation reconstruction(within 1 week),the time of defecation reconstruction,the incidence of secondary constipation,abdominal pain,diarrhea,abdominal distension,anal obstnjction and other abdominal complications were compared between the two groups.Results There were statistically significant differences in defecation reconstruction time,reconstruction success rate and incidence of secondary constipation between the two groups(P<0.05).Comparison of abdominal distension and total effective rate between the two groups showed no statistically significant difference(P>0.05),but the difference was statistically significant between the effective,effective and ineffective intervention effects(P<0.01).Conclusions Personalized intervention under the guidance of mind mapping can relieve constipation for a short time,establish a stable defecation pattern,and reduce the occurrence of adverse reactions.

关 键 词：髋部骨折 便秘 个性化 思维导图 

分 类 号：R47[医药卫生—护理学]