引用本文:杨琳,王红美,贾玉梅.[cn_title][J].[journal_cn_name],2019,[volume]([issue]):280-282.[点击复制]
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“治未病”方案对老年功能性便秘患者护理 效果的观察
杨琳,王红美,贾玉梅
0
(镇江市中西医结合医院)
摘要:
目的观察并评价“治未病”护理方案对老年功能性便秘患者的实施效果。方法将镇江市中西医结合医院2017年8月至2018年4月诊治为功能性便秘的老年患者42例,按就诊先后顺序随机分为观察组和对照组各21例,对照组患者采用常规护理(饮食管理、活动管理、常规健康教育);观察组患者采用“治未病”护理方案,即根据患者的生活、饮食习惯、情志等因素了解、收集护理需求,通过症状、情绪、生活、信息等方面进行全面管理。对两组患者定期随访,第6个月时采用便秘生活质量量表(PAC、QOL)、便秘症状量化评分表、护理满意度评估问卷对两组患者进行护理效果评价及比较分析。结果观察组患者便秘症状评分明显降低,和对照组比较差异有统计学意义(P<0.05);观察组在生理不适、社会心理不适、担忧等得分都明显低于对照组,差异有统计学意义(P<0.05);对照组满意率为61.90%,观察组满意率为90.48%,观察组高于对照组(P<0.05)。结论“治未病”护理方案可以辅助改善老年功能性便秘患者便秘症状,提高预防保健能力满意度,提升患者生活质量。
关键词:  治未病  护理方案  老年  功能性便秘  效果观察
DOI:
基金项目:
Effect of "preventive treatment of disease" nursing program in functional constipation of the elderly
杨琳,WangHongmei,JiaYumei
(Zhenjiang Integrated Chinese and Western Medicine Hospital)
Abstract:
ObjectiveThe aim of this study is to evaluate the effect of “preventive treatment of disease” nursing program on elderly patients with functional constipation. MethodsFrom August 2017 to April 2018, 42 elderly patients with functional constipation were randomly divided into experimental group(n=21) and control group(n=21), who were diagnosed and treated in Zhenjiang Integrated Traditional Chinese and Western Medicine Hospital.The patients in the control group were treated with routine nursing(diet management, activity management, routine health education).The patients in the observation group received nursing care according to their habits of life, feelings and other factors. The nursing needs were collected to improve the comprehensive management through symptoms, emotions, life, information and other aspects. The patients in the two groups were followed up regularly. In the 6th month, the quality of life constipation scale (PAC、QOL) was used to quantify the symptoms of constipation, and the nursing satisfaction assessment questionnaire was used to evaluate the effects of nursing between the two groups.ResultsAccording to the nursing program of “preventive treatment of disease”, the scores of constipation symptom in the observation group were significantly lower than those in the control group (P<0.05). The scores of physiological discomfort, social psychological discomfort and worry in the observation group were significantly lower than those in the control group (P<0.05). The satisfaction rate in the control group was significantly lower than that in the observation group (61.90% vs 90.48%, P<0.05). ConclusionsIn the nursing of functional constipation for the elderly, the program of “preventive treatment of disease” can improve the symptoms of constipation and the ability of prevention and healthcare as well as the satisfaction degree, so as to lighten the family burden, maintain family harmony and improve the quality of life for the elderly.
Key words:  Preventive treatment  Nursing program  Old age  Functional constipation  Effect observation

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