摘要
目的:观察择时穴位贴敷联合情志调护对急性心肌梗死经皮冠脉介入术(PCI)后便秘的影响。方法:观察78例急性心肌梗死PCI术后便秘患者,按时间不同分为对照组34例及试验组44例。对照组实施情志调护,试验组实施择时穴位贴敷联合情志调护治疗。比较2组便秘发生率、生活质量评分,比较2组治疗前后排便情况、焦虑自评量表(SAS)、抑郁自评量表(SDS)、Bristol粪便形态量表(BSFS)、克利夫兰便秘评分(CCS)的变化。结果:试验组便秘发生率为4.54%,对照组便秘发生率为23.52%,2组便秘发生率比较,差异有统计学意义(P<0.05)。治疗后,2组首次排便、排便间隔、排便费力程度、便意评分均较治疗前下降(P<0.05),试验组上述4项评分均低于对照组(P<0.05)。治疗后,试验组生理不适、心理不适、担忧度、满意度评分及总分均低于对照组,差异有统计学意义(P<0.05)。治疗后,2组SAS、SDS评分均较治疗前下降,试验组上述2项评分均低于对照组(P<0.05)。治疗后,2组BSFS、CCS评分均较治疗前下降(P<0.05),试验组上述2项评分均低于对照组(P<0.05)。结论:择时穴位贴敷联合情志调护能有效减少急性心肌梗死PCI术后便秘的发生,改善排便症状,缓解负性情绪,提高生活质量。
Objective:To observe the effect of timing point application combined with emotional nursing on constipation after percutaneous coronary intervention(PCI)for acute myocardial infarction.Methods:A total of 78 patients with constipation after PCI for acute myocardial infarction were observed and divided into the control group and the trial group,with 34 and 44 cases in each group respectively,according to different time periods.The control group received emotional nursing,and the trial group received timing point application combined with emotional nursing treatment.Compared the incidence of constipation and quality of life scores between the two groups,and compared the changes in bowel movements,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Bristol Stool Form Scale(BSFS),and Cleveland Constipation Score(CCS)before and after treatment.Results:The incidence of constipation was 4.54%in the trial group,and 23.52%in the control group,the difference being significant(P<0.05).After treatment,the first defecation,the interval between bowel movements,the degree of difficulty in defecation,and the defecation desire scores in both groups were decreased when compared with those before treatment(P<0.05),and the trial group had lower scores in the above four items than the control group(P<0.05).After treatment,the physiological discomfort,psychological discomfort,worry level,satisfaction score,and total score in the trial group were lower than those in the control group,the difference being significant(P<0.05).After treatment,the SAS and SDS scores in both groups were decreased when compared with those before treatment,and the scores in the trial group were lower than those in the control group(P<0.05).After treatment,the BSFS and CCS scores in both groups were decreased when compared with those before treatment(P<0.05),and the scores in the trial group were lower than those in the control group(P<0.05).Conclusion:Timing point application combined with emotional nursing can effectively reduce the occurrence of
作者
翁楠
房兆飞
周敏
WENG Nan;FANG Zhaofei;ZHOU Min(Cardiovascular Department,Zhoushan Hospital,Zhoushan Zhejiang 316021,China)
出处
《新中医》
CAS
2024年第23期178-182,共5页
New Chinese Medicine
关键词
急性心肌梗死
经皮冠脉介入术
便秘
穴位贴敷
择时
情志调护
Acute myocardial infarction
Percutaneous coronary intervention
Constipation
Point application
Timing
Emotional nursing
