中医康复护理防治精神病患者便秘效果研究  

Study on Effect of Rehabilitation of Chinese Medicine Nursing on Preventing and Treating Constipation in Psychotic Patients

作　　者：沈云梅 徐伟杰 叶丽 SHEN Yunmei;XU Weijie;YE Li

机构地区：[1]丽水市第二人民医院精神康复科,浙江丽水323000

出　　处：《新中医》2020年第13期157-159,共3页New Chinese Medicine

摘　　要：目的:观察中医康复护理对精神病患者便秘的防治效果。方法:纳入190例精神病患者,分为对照组93例和中医组97例。对照组采取常规护理,中医组在对照组基础上采取中医康复护理。比较2组干预前后护理依从性、便秘症状积分、排便间隔时间、便秘发生率。结果:2组护理依从性比较,差异无统计学意义(P>0.05)。干预前,2组各项便秘症状积分、排便间隔时间、便秘发生率比较,差异均无统计学意义(P>0.05)。干预后,中医组排便频率、粪便性质、腹胀、排便时间积分均明显低于对照组(P<0.01);中医组排便间隔时间明显少于对照组(P<0.01)。中医组便秘发生率为4.12%,明显低于对照组的13.98%,差异有统计学意义(P<0.05)。结论:中医康复护理应用于精神病患者,其护理依从性未降低,其便秘症状积分下降,排便间隔时间缩短,便秘发生率降低。Objective:To observe the effect of rehabilitation of Chinese medicine nursing on preventing and treating constipation in psychotic patients.Methods:A total of 190 psychotic patients were divided into the control group(93 cases)and the Chinese medicine group(97 cases).The control group received routine nursing,and the Chinese medicine group received rehabilitation nursing of Chinese medicine based on the control group.The nursing compliance,the scores of constipation symptoms,the interval between defecation and incidence of constipation before and after intervention were compared between the two groups.Results:There was no significant difference in nursing compliance between the two groups(P>0.05).Before intervention,there was no statistically significant difference between the two groups in the comparison of the scores of constipation symptoms,the interval between defecation and the incidence of constipation(P>0.05).After intervention,the scores of constipation symptoms including defecation frequency,fecal nature,abdominal distension and defecation time in the Chinese medicine group were significantly lower than those in the control group(P<0.01);the interval between defecation in the Chinese medicine group was less than that in the control group(P<0.01).The incidence of constipation in the Chinese medicine group was 4.12%,significantly lower than that of 13.98%in the control group,the difference being significant(P<0.05).Conclusion:The application of rehabilitation nursing of Chinese medicine to psychotic patients does not reduce the nursing compliance,which can reduce the scores of constipation symptoms,shorten the interval between defecation,and reduce the incidence of constipation.

关 键 词：精神病 便秘 中医康复护理 刮痧 穴位按摩 耳穴压豆 便秘症状积分 

分 类 号：R248[医药卫生—中医临床基础] R256.35[医药卫生—中医学]