吐纳法联合穴位贴敷预防骨折患者卧床后便秘的护理研究  

Nursing Research on Tuina Method Combined with Acupoint Application in Preventing Constipation of Bedridden Patients with Fracture

作　　者：王欢 陈游 Wang Huan;Chen You(Department of Orthopedics,The Fourth Hospital of Changsha,Changsha 410000,Hunan Province,China)

机构地区：[1]长沙市第四医院骨科,湖南长沙410000

出　　处：《中国社区医师》2022年第16期120-122,共3页Chinese Community Doctors

摘　　要：目的:研究并构建吐纳法联合穴位贴敷预防骨折患者卧床后便秘的护理思路及方法,探讨其护理效果,为临床提供参考依据。方法:选取2020年2月-2021年2月长沙市第四医院骨科的84例骨折卧床患者,根据不同护理模式将其分为两组,各42例。对照组实施常规护理,试验组实施常规护理联合吐纳法联合穴位贴敷,对比两组患者的便秘发生率与不良排便情况发生率(用力排便、大便干结、有不尽感、有阻塞感)、舒适度(GCQ)评分、并发症发生率(压疮、肺炎)、生活质量(WHOQOL-BREF)评分以及护理满意度。结果:试验组的便秘发生率与不良排便情况发生率均低于对照组,差异均有统计学意义(P<0.05)。护理后,试验组GCQ评分高于对照组,差异有统计学意义(P<0.05)。试验组压疮、肺炎的发生率均低于对照组,差异有统计学意义(P<0.05)。护理后,试验组生理领域、心理领域、社会关系领域及环境领域评分均高于对照组,差异有统计学意义(P<0.05)。试验组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:吐纳法联合穴位贴敷预防骨折患者卧床后便秘的护理效果显著,可明显改善患者的排便情况,降低不良排便情况发生率与并发症发生率,且可提高患者的舒适度与生活质量,护理满意度高。Objective: To study and construct the nursing idea and method of Tuina method combined with acupoint application in preventing the constipation of bedridden patients with fracture, and to explore its nursing effect, so as to provide reference for clinical practice. Methods: A total of 84 bedridden patients with fracture in Department of Orthopedics, the Fourth Hospital of Changsha from February 2020 to February 2021 were selected and divided into two groups according to different nursing modes,with 42 cases in each group. The control group was given routine nursing, while the experimental group was given routine nursing+ Tuina method combined with acupoint application. The incidence of constipation and adverse defecation(forced defecation, dry stool, insufficient bowel movement, feeling of obstruction), comfort(GCQ score), and the incidence of complications(pressure sores, pneumonia), quality of life(WHOQOL-BREF score) and nursing satisfaction were compared between the two groups.Results: The incidence of constipation and adverse defecation in the experimental group were lower than those in the control group, and the differences were statistically significant(P<0.05). After nursing, the GCQ score of the experimental group was higher than that of the control group, and the difference was statistically significant(P<0.05). The incidences of pressure ulcer and pneumonia in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). After nursing, the scores of physical, psychological, social relations and environmental dimensions in the experimental group were higher than those in the control group, and the difference was statistically significant(P<0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant(P<0.05).Conclusion: The nursing effect of Tuina method combined with acupoint application in preventing constipation of bedridden patients with fracture is si

关 键 词：吐纳法 穴位贴敷 骨折 卧床 便秘 

分 类 号：R473.6[医药卫生—护理学]