238例精神科住院患者便秘中医证型及相关因素分析  

Traditional Chinese medicine syndrome types and related factors of constipation in 238 psychiatric inpatients

作　　者：俞红英[1] 李艳娟 章秋萍[3] 卢沙[1] Yu Hongying;Li Yanjuan;Zhang Qiuping;Lu Sha(First Department of Psychiatry,the Seventh People's Hospital of Hangzhou,Hangzhou 310013,China;Secretary Office,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310012,China;Mental Psychology Research Room,the Seventh People's Hospital of Hangzhou,Hangzhou 310013,China)

机构地区：[1]杭州市第七人民医院精神一科,310013 [2]杭州市中医院书记办公室,310012 [3]杭州市第七人民医院精神心理研究室,310013

出　　处：《中华现代护理杂志》2020年第25期3494-3498,共5页Chinese Journal of Modern Nursing

基　　金：浙江省中医药管理局科学研究基金项目(2019ZA099)。

摘　　要：目的调查住院精神疾病患者便秘的中医证型及相关因素,为针对性开展中医护理提供依据。方法采用便利抽样法,选取2019年1—9月在杭州市第七人民医院住院的245例精神障碍便秘患者为研究对象,采用一般资料调查问卷和中医便秘证候分型标准进行调查。结果发放问卷245份,收回有效问卷238份。238例便秘患者中,以实秘证比例居高,占61.34%(146/238),是构成便秘的主要证型;实秘型与虚秘型在不同年龄、病程、诊断、运动偏好、服药时长等方面差异有统计学意义(P<0.01)。Logsitic回归显示分析患者的疾病类型、病程、用药时长、活动强度为影响便秘证型的主要因素(P<0.01)。结论住院精神障碍患者实秘证发生率以青壮年、病程短、用药时间短、情感障碍躁狂症、活动强度大者相对较高,医务人员应了解患者便秘分型的状况和影响因素,在护理时对其进行辨证施护,为针对性采取措施提供依据。Objective To investigate the traditional Chinese medicine(TCM)syndrome types and related factors of constipation in psychiatric inpatients,and to provide data support for targeted TCM nursing.Methods A total of 245 psychiatric inpatients with constipation in the Seventh People's Hospital of Hangzhou were selected by convenient sampling.The survey was conducted using general information questionnaire and TCM constipation syndrome classification criteria.Results 245 questionnaires were distributed and 238 valid questionnaires were recovered.Among 238 patients with constipation,the proportion of excessive constipation was the highest,accounting for 61.34%(146/238),which was the main type of constipation.There were statistically significant differences in age,course of disease,diagnosis,exercise preference and duration of medication between the excessive constipation type and deficiency constipation type(P<0.01).Logistic regression showed that the main factors affecting the type of constipation were the type of disease,the course of the disease,the duration of medication,and the intensity of activity(P<0.01).Conclusions The incidence of excessive syndrome in hospitalized patients with mental disorders is relatively higher in young adults with short course of disease,short medication time,bipolar disorder mania and high activity intensity.Medical staff should understand the status and influencing factors of constipation classification of patients and carry out dialectical nursing for them,so as to provide basis for taking targeted measures.

关 键 词：精神科患者 便秘中医证型 影响因素 

分 类 号：R248.9[医药卫生—中医临床基础]