系统化便秘干预方案对老年慢性心力衰竭患者便秘症状的影响研究  

Effects of systematic constipation intervention program on constipation symptoms in elderly patients with chronic heart failure

作　　者：陈燕[1] 黄艳 何梦婷 黄慧[2] Chen Yan;Huang Yan;He Mengting;Huang Hui(Department of Cardiovascular Medicine,Huguan Hospital Area,Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215000,P.R.China;Department of Nursing,Sanxiang Hospital Area,Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215000,P.R.China)

机构地区：[1]苏州大学附属第二医院浒关院区心血管内科,江苏苏州215000 [2]苏州大学附属第二医院三香院区护理部,江苏苏州215000

出　　处：《老年医学与保健》2025年第1期136-140,共5页Geriatrics & Health Care

基　　金：苏州市科技发展计划项目(SYSD2018110)。

摘　　要：目的观察系统化便秘干预方案对老年慢性心力衰竭(CHF)患者便秘症状的影响,以期为临床患者预后改善提供方法。方法回顾性分析2023年1月—2023年12月在苏州大学附属第二医院接受治疗的84例老年CHF合并便秘症状患者的临床资料,依据不同的干预方式分为试验组与对照组,每组42例。对照组患者给予常规干预,试验组在与对照组相同干预的基础上加用系统化便秘干预方案。记录并比较2组患者的临床疗效、便秘症状评分和生活质量情况。结果试验组患者临床治疗有效率高于对照组(97.62%vs 83.33%,P<0.05)。干预后,2组患者PAC-SYM量表大便症状、腹部症状、直肠症状评分及总评分均较同组干预前降低(P<0.05),且试验组上述评分均低于对照组(P<0.05),试验组前后评分差值均大于对照组(P<0.05);2组患者PAC-QOL量表满意度、担忧度、社会心理、躯体不适评分及总评分均较同组干预前降低(P<0.05),且试验组上述评分均低于对照组(P<0.05),试验组干预前后评分差值均大于对照组(P<0.05)。结论系统化便秘干预方案对老年CHF合并便秘患者的疗效显著,可改善患者临床症状,提高其生活质量水平,具有一定的临床应用价值。Objective To analyze the effects of systematic constipation intervention program on constipation symptoms in elderly patients with chronic heart failure(CHF),and provide a new idea for improving clinical prognosis of patients.Methods A retrospective analysis was performed on 84 elderly CHF patients with constipation treated in Second Affiliated Hospital of Soochow University from January 2023 to December 2023.According to different intervention methods,they were divided into experimental group and control group.The control group received routine intervention,and the experimental group received systematic constipation intervention program on the basis of the control group.The clinical efficacy,constipation symptoms score(PAC-SYM scale)and quality of life(PAC-QOL scale)score were recorded and compared between the two groups.Results The clinical effective rate of the experimental group was higher than that of the control group(97.62%vs 83.33%,P<0.05).After intervention,the scores of stool symptoms,abdominal symptoms and rectal symptoms and total score of PAC-SYM of both groups were lower than those of the same group before intervention,and the experimental group was lower than the control group(P<0.05).After intervention,the scores of satisfaction,worry,social psychology and physical discomfort and total score of PAC-QOL of both groups were lower than those of the same group before intervention,and the experimental group was lower than the control group(P<0.05).Conclusion The systematic constipation intervention program significantly alleviates constipation symptoms and improves quality of life in elderly CHF patients complicated with constipation.It can improve clinical symptoms and quality of life of patients,and has certain clinical application value.

关 键 词：老年 慢性心力衰竭 便秘 临床疗效 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病] R574.62[医药卫生—内科学]