集束化护理联合中医护理干预对骨科卧床患者腹胀、便秘的研究  

A Study on Bundled Nursing Combined with Traditional Chinese Medicine Nursing Intervention for Abdominal Distension and Constipation in Orthopedic Bedridden Patients Orthopedic Patients

作　　者：李炯 杨丽 LI Jiong YANG Li(Orthopedics and Traumatology Department of Taizhou Integrated Traditional Chinese and Western Medicine Hospital,Taizhou Jiangsu,225300,China)

机构地区：[1]泰州市中西医结合医院骨伤科,江苏泰州225300

出　　处：《中华养生保健》2024年第22期100-103,共4页CHINESE HEALTH CARE

摘　　要：目的研究骨科卧床患者接受集束化护理与中医护理联合干预对其腹胀、便秘的影响。方法现以2021年11月—2023年11月为病例选取时间,纳入泰州市中西医结合医院骨伤科收入的骨科卧床的腹胀、便秘患者60例作为本研究对象,以奇偶数字法将患者分为两组,对照组(n=30),开展集束化护理,观察组(n=30),以对照组护理为基础联合开展中医护理干预,护理后,针对两组腹胀、便秘症状、整体干预效果、生活质量以及并发症进行对比分析。结果干预后,观察组腹胀、便秘症状自评量表(PAC-SYM)两项评分相比于对照组均更低,差异有统计学意义(P<0.05);观察组干预总有效率为96.67%,对照组为66.67%,观察组有效率更高,差异有统计学意义(P<0.05);观察组生理、心理功能以及精神状态评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率3.33%低于对照组的26.67%,差异有统计学意义(χ^(2)=6.405,P<0.05)。结论针对骨科长期卧床后出现腹胀、便秘的患者,以集束化护理为基础联合应用中医护理干预可加速其临床症状改善,并减少其他并发症的发生,患者的生活质量明显提升,干预效果更好。Objective Study on the effect of combined intervention of bundled nursing and traditional Chinese medicine nursing on abdominal distension and constipation in orthopedic bedridden patients.Methods From November 2021 to November 2023,a total of 60 orthopedic patients with abdominal distension and constipation who were admitted to the orthopedic department of our hospital were selected as the study subjects.The patients were divided into two groups using odd and even number method:the control group(n=30)received bundled nursing care,while the observation group(n=30)received combined traditional Chinese medicine nursing intervention based on the control group's nursing.After nursing,the symptoms of abdominal distension and constipation in both groups and the overall intervention effect were evaluated Comparative analysis of quality of life and complications.Results After intervention,the observation group had lower scores on the Self Rating Scale for Abdominal distension and Constipation Symptoms(PAC-SYM)compared to the control group,and the diff erence was statistically signifi cant(P<0.05);The total eff ective rate of intervention in the observation group was 96.67%,while in the control group it was 66.67%.The observation group had a higher eff ective rate,and the diff erence was statistically significant(P<0.05);The physiological,psychological,and mental state scores of the observation group were higher than those of the control group,and the diff erence was statistically signifi cant(P<0.05);The incidence of complications in the observation group was 3.33%,which was statistically signifi cant compared to 26.67%in the control group(χ^(2)=6.405,P<0.05).Conclusion For patients with abdominal distension and constipation after long-term bed rest in orthopedics,the combination of bundled nursing and traditional Chinese medicine nursing intervention can accelerate the improvement of clinical symptoms and reduce the occurrence of other complications.The quality of life of patients is signifi cantly improved,and the int

关 键 词：骨科 集束化护理 中医护理 腹胀 便秘 

分 类 号：R248.9[医药卫生—中医临床基础]