摘要
目的分析辨证施护脐疗法在改善阿片类药物所致便秘患者便秘及排便困难程度中的作用以及护理效果。方法以随机数字表法将江苏省溧阳市人民医院肿瘤内科2021年9月至2022年9月期间收治的120例阿片类药物所致便秘患者分为对照组和观察组(各60例)。对照组以常规疗法进行治疗及护理,观察组在其基础上以辨证施护脐疗法进行治疗护理,观察两组患者便秘症状Wexner评分在治疗护理前后的变化,同时比较两组患者大便性状在治疗护理后的分型差异以及护理满意度差异。结果治疗护理后,两组患者的便秘症状评分均低于治疗护理前(P<0.05),且观察组评分明显低于对照组(P<0.05);观察组治疗护理后大便性状为Ⅳ型以及Ⅴ型的患者比例高于对照组(P<0.05);观察组护理总满意率91.67%(55/60)高于对照组71.67%(43/60)(χ^(2)=8.015,P=0.005)。结论对于阿片类药物所致便秘患者,辨证施护脐疗法可以有效改善其便秘症状,更有助于帮助其减轻排便困难程度,促进大便性状恢复,提高护理满意度。
Objective:To analyze the effect and nursing effect of umbilical care based on syndrome differentiation in improving constipation and defecation difficulty in patients with opioid-induced constipation.Methods:A total of 120 patients with opioid-induced constipation admitted to the Department of Oncology,Liyang People's Hospital,Jiangsu Province from September 2021 to September 2022 were divided into control group and observation group(60 cases each)by random number table method.The control group received treatment and nursing with conventional therapy,and the observation group received treatment and nursing with umbilical umbilical therapy based on syndrome differentiation.The changes of Wexner score of constipation symptoms in the two groups were observed before and after treatment and nursing,and the differences in stool traits and nursing satisfaction after treatment and nursing were compared between the two groups.Results:After treatment and nursing,the score of constipation symptom in 2 groups was lower than before treatment and nursing(P<0.05),and the score in observation group was significantly lower than that in control group(P<0.05).The proportion of patients with typeⅣand typeⅤstool traits in observation group was higher than that in control group(P<0.05);The total satisfaction rate of the observation group was 91.67%(55/60)higher than that of the control group(71.67%(43/60)(χ^(2)=8.015,P=0.005).Conclusion:For the patients with opioid-induced constipation,the treatment of umbilical protection based on syndrome differentiation can effectively improve their constipation symptoms,reduce the difficulty of defecation,promote the recovery of stool characteristics,and improve nursing satisfaction.
作者
戚俊
芮小燕
蒋露
QI Jun;RUI Xiaoyan;JIANG Lu(Department of Oncology,Liyang People's Hospital,Liyang 213300,China)
出处
《生命科学仪器》
2023年第5期100-103,共4页
Life Science Instruments
基金
项目编号:2021YJKT009,项目名称:热盐敷脐对预防阿片类药物相关性便秘的临床研究
关键词
辨证施护脐疗法
阿片类药物
便秘
排便困难
护理效果
umbilical protection therapy based on syndrome differentiation
Opioids
Constipation
Difficulty defecating
Nursing effect
