摘要
目的:观察神阙穴穴位贴敷联合推拿对脑卒中后便秘患者胃肠道功能、粪便性状和特质焦虑的影响。方法:选取155例脑卒中后便秘患者,按照护理方式的不同分为常规组79例和试验组76例。常规组实施神经外科常规护理,试验组在常规护理基础上给予神阙穴穴位贴敷联合推拿治疗。比较2组胃肠道功能[胃肠道症状评定量表(GSRS)评分]、粪便性状[Bristol粪便性状量表(BSFS)评分]、特质焦虑[焦虑状态特质问卷(ST-AI)评分]、生活质量[便秘患者生活质量量表(PAC-QOL)评分]以及护理满意度。结果:治疗后,2组GSRS评分均较治疗前降低(P<0.05),且试验组GSRS评分低于常规组(P<0.05);2组BSFS评分均较治疗前升高(P<0.05),且试验组BSFS评分高于常规组(P<0.05);2组S-AI、T-AI评分及总分均较治疗前下降(P<0.05),且试验组S-AI、T-AI评分及总分均低于常规组(P<0.05);2组PAC-QOL量表中躯体功能、心理社会不适、负面情绪、满意度评分均较治疗前降低(P<0.05),且试验组PAC-QOL量表各项评分均低于常规组(P<0.05)。治疗后,试验组护理满意度为93.42%,常规组为82.28%,2组比较,差异有统计学意义(P<0.05)。结论:神阙穴穴位贴敷联合推拿可以改善脑卒中后便秘患者胃肠道功能、粪便性状和特质焦虑,提高患者生活质量及护理满意度。
Objective:To observe the effect of point application of Shenquepoint(RN8)combined with Chinese massage on gastrointestinal function,fecal traits and trait anxiety in patients with post-stroke constipation.Methods:A total of 155 patients with post-stroke constipation were selected and divided into the routine group(79 cases)and the trial group(76 cases)according to different nursing methods.The routine group was given routine neurosurgical nursing,and the trial group was given point application of Shenque point(RN8)combined with Chinese massage on the basis of routine nursing.Gastrointestinal function[Gastrointestinal Symptom Rating Scale(GSRS)],fecal traits[Bristol Stool Form Scale(BSFS)],trait anxiety[State-Trait Anxiety Inventory(ST-AI)],quality of life[Patient Assessment of Constipation Quality of Life(PAC-QOL)]and nursing satisfaction were compared between the two groups.Results:After treatment,the GSRS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the GSRS score in the trial group was lower than that in the routine group(P<0.05);the BSFS scores in the two groups were increased when compared with those before treatment(P<0.05),and the BSFS score in the trial group was higher than that in the routine group(P<0.05);the S-AI and T-AI scores and the total scores in both groups were reduced when compared with those before treatment(P<0.05),and the S-AI,T-AI scores and the total score in the trial group were lower than those in the routine group(P<0.05);the scores of physical function,psychosocial discomfort,negative emotion and satisfaction in PAC-QOL scale in both groups were reduced when compared with those before treatment(P<0.05),and the scores of PAC-QOL scale in the trial group were all lower than those in the routine group(P<0.05).After treatment,the nursing satisfaction was 93.42%in the trial group and 82.28%in the routine group,the difference being significant(P<0.05).Conclusion:The therapy of point application of Shenque point(RN8)combined with Chinese mass
作者
李燕
王莉
吴琪芬
LI Yan;WANG Li;WU Qifen(Department of Neurosurgery,Lishui Central Hospital,Lishui Zhejiang 323000,China)
出处
《新中医》
CAS
2024年第20期190-194,共5页
New Chinese Medicine
基金
丽水市科技计划项目(2020GYX15)。