沟通达标教育结合穴位按摩在阿片类药物性便秘患者中的应用  

Application of communication standard education combined with acupressure in patients with opioid constipation

作　　者：孙红[1] 方莉亚 卜亚美 郑云霞 蔡建利[2] SUN Hong;FANG Liya;BU Yamei;ZHENG Yunxia;CAI Jianli(Department of Gastrointestinal Surgery,Huzhou First People's Hospital,Huzhou,Zhejiang 313000,China;不详)

机构地区：[1]湖州市第一人民医院胃肠外科,浙江湖州313000 [2]湖州市第一人民医院护理部

出　　处：《中华全科医学》2024年第9期1580-1583,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2022ZH055);湖州市科技技术局公益性应用研究项目(2020GYB50)。

摘　　要：目的探讨沟通达标教育干预联合穴位按摩对阿片类药物性便秘(OIC)患者疾病认知、胃肠活动和便秘的影响。方法选取2020年12月—2023年11月湖州市第一人民医院肿瘤科收治的120例OIC患者为研究对象,采用随机数字表法分为对照组与观察组,每组60例。对照组给予常规护理干预,观察组给予沟通达标教育结合穴位按摩干预。比较2组护理干预前后疾病认知、胃肠电图仪参数及便秘症状的变化。结果对照组1例失访,观察组2例因转院退出,最终对照组59例、观察组58例完成研究。观察组干预后疾病认知率均高于对照组(P<0.05);观察组升结肠波幅及蠕动频率为(139.45±20.34)μV、(7.90±1.56)次/min,横结肠波幅及蠕动频率为(140.77±17.21)μV、(7.90±1.44)次/min,均高于对照组的(120.34±15.27)μV、(6.77±1.24)次/min、(129.45±15.23)μV、(6.88±1.27)次/min(P<0.05);观察组克利夫兰便秘评分量表评分为(8.11±1.01)分,低于对照组的(11.34±2.14)分(P<0.05);观察组Bristol大便性质分级优于对照组(P<0.05)。结论沟通达标教育结合穴位按摩可改善OIC患者疾病认知情况,加快胃肠蠕动,缓解便秘。ObjectiveTo explore the effects of communication standard education intervention combined with acupressure on disease cognition,gastrointestinal activity and constipation in patients with opioid-induced constipation(OIC).MethodsA total of 120 OIC patients admitted to the Oncology Department of Huzhou First People's Hospital from December 2020 to November 2023 were selected as the study objects.They were divided into control groups and experimental group by random number table method,with 60 cases in each group.The control group was given routine nursing intervention,and the experimental group was given communication standard education combined with acupressure intervention.The changes of disease cognition,gastroenterogram parameters and constipation symptoms before and after nursing intervention were compared between the two groups.ResultsOne case in the control group was lost to follow-up,and two cases in the experimental group withdrew due to transfer to another hospital.Finally,59 cases in the control group and 58 cases in the experimental group completed the study.The disease recognition rate of experimental group was higher than that of control group after intervention(P<0.05).Ascending colon amplitude and peristalsis frequency were(139.45±20.34)μV,(7.90±1.56)times/min,transverse colon amplitude and peristalsis frequency were(140.77±17.21)μV, (7.90±1.44)times/min.Those were higher than control group[(120.34±15.27)μV,(6.77±1.24)times/min,(129.45±15.23)μV,(6.88±1.27)times/min,P<0.05].The score of Cleveland constipation rating scale was(8.11±1.01)points,which was lower than that of control group[(11.34±2.14)points,P<0.05].Bristol stool quality grade was better than control group(P<0.05).ConclusionCommunication standard education intervention combined with acupoint massage can improve disease cognition,accelerate gastrointestinal activity and relieve constipation in OIC patients.

关 键 词：阿片类药物性便秘 中西医结合护理 穴位按摩 沟通达标理论 胃肠电图仪 

分 类 号：R442.2[医药卫生—诊断学] R473.6[医药卫生—临床医学]