5E护理干预对脑梗死患者便秘的影响(1)
【摘要】 目的：探讨5E护理干预对脑梗死患者便秘的影响。方法：选取厦门大学附属第一医院2018年2月-2019年2月神经内科诊治的100例脑梗死并发便秘患者为研究对象，将其随机分为观察组与对照组，每组50例。对照组予以常规护理，观察组予以5E护理，比较两组患者便秘症状评分、大便性状及护理满意度。结果：护理后，观察组患者便秘症状评分均优于对照组，差异有统计学意义(P<0.05)。观察组大便性状优于对照组，差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组，差异有统计学意义(P<0.05)。结论：在脑梗死并发便秘患者中采用5E护理干预能显著改善患者便秘症状，提高护理满意度，值得临床推广。
【关键词】 脑梗死 便秘 5E护理干预 护理满意度
[Abstract] Objective： To investigate the effects of 5E nursing intervention on constipation in patients with cerebral infarction. Method： A total of 100 patients with cerebral infarction complicated with constipation diagnosed and treated by neurology department of the first affiliated hospital of xiamen university from February 2018 to February 2019 were selected as the study objects. They were randomly divided into the observation group and the control group， with 50 cases in each group. The control group received routine nursing， and the observation group received 5E nursing. The constipation symptom score， stool characteristics， and nursing satisfaction were compared between the two groups. Result： After nursing， the constipation symptom score of the observation group was better than that of the control group， the difference was statistically significant (P<0.05). The stool characteristics of the observation group was better than that of the control group， and the difference was statistically significant (P<0.05). The total nursing satisfaction of the observation group was higher than that of the control group， and the difference was statistically significant (P<0.05). Conclusion： 5E nursing intervention in patients with cerebral infarction complicated with constipation can significantly improve the symptoms of constipation and improve the satisfaction of nursing. It is worthy of clinical promotion.
[Key words] Cerebral infarction Constipation 5E nursing intervention Nursing satisfaction
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361001， China
目前腦梗死的发病率越来越高，老年患者由于消化系统中胃肠道腺体萎缩，肌肉的弹性减少和功能减退等，容易发生萎缩性胃炎及肠道功能紊乱[1]。加之老年患者牙齿松动脱落，食物在口腔中咀嚼不够充分等，唾液分泌少，极易引发便秘和(或)腹胀等[2]。脑梗死患者易并发偏瘫，导致肢体活动差、缺乏运动，同时需要长期卧床，患者排便习惯发生改变，进一步加重了患者便秘的发生。此外，脑梗死患者因疾病住院产生焦虑、抑郁等心理问题，也会使相关排便神经反射发生功能紊乱从而导致便秘[3]。脑梗死患者发生便秘时容易产生腹胀、腹痛症状，在排便困难时会增加腹压，从而使得心率加快，严重时可导致心脑血管意外，给患者造成心理负担[4]。医务人员应重视脑梗死患者便秘的发生，为改善患者便秘采取有效的护理干预措施。本研究探讨5E护理干预对脑梗死患者便秘的影响，现报告如下。
1 资料与方法
1.1 一般资料
选取厦门大学附属第一医院2018年2月-2019年2月神经内科诊治的脑梗死并发便秘的100例患者为研究对象，纳入标准：(1)完善脑梗死相关检查如头部CT、MRI等，经3名神经内科主治以上医师独立确诊为脑梗死。(2)神志清楚，无沟通障碍;(3)无精神障碍。排除标准：(1)意识障碍者;(2)病情危重，生命体征不稳定者;(3)需绝对卧床者。将其随机分为观察组与对照组，每组50例。观察组中男23例，女27例;年龄50～75岁，平均(62.21±4.15)岁。对照组中男24例，女26例;年龄52～76岁，平均(60.00±3.17)岁。两组一般资料比较差异无统计学意义(P>0.05)，有可比性。患者及家属对本研究知情同意并签字。, http://www.100md.com(邱松旺)
【关键词】 脑梗死 便秘 5E护理干预 护理满意度
[Abstract] Objective： To investigate the effects of 5E nursing intervention on constipation in patients with cerebral infarction. Method： A total of 100 patients with cerebral infarction complicated with constipation diagnosed and treated by neurology department of the first affiliated hospital of xiamen university from February 2018 to February 2019 were selected as the study objects. They were randomly divided into the observation group and the control group， with 50 cases in each group. The control group received routine nursing， and the observation group received 5E nursing. The constipation symptom score， stool characteristics， and nursing satisfaction were compared between the two groups. Result： After nursing， the constipation symptom score of the observation group was better than that of the control group， the difference was statistically significant (P<0.05). The stool characteristics of the observation group was better than that of the control group， and the difference was statistically significant (P<0.05). The total nursing satisfaction of the observation group was higher than that of the control group， and the difference was statistically significant (P<0.05). Conclusion： 5E nursing intervention in patients with cerebral infarction complicated with constipation can significantly improve the symptoms of constipation and improve the satisfaction of nursing. It is worthy of clinical promotion.
[Key words] Cerebral infarction Constipation 5E nursing intervention Nursing satisfaction
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361001， China
目前腦梗死的发病率越来越高，老年患者由于消化系统中胃肠道腺体萎缩，肌肉的弹性减少和功能减退等，容易发生萎缩性胃炎及肠道功能紊乱[1]。加之老年患者牙齿松动脱落，食物在口腔中咀嚼不够充分等，唾液分泌少，极易引发便秘和(或)腹胀等[2]。脑梗死患者易并发偏瘫，导致肢体活动差、缺乏运动，同时需要长期卧床，患者排便习惯发生改变，进一步加重了患者便秘的发生。此外，脑梗死患者因疾病住院产生焦虑、抑郁等心理问题，也会使相关排便神经反射发生功能紊乱从而导致便秘[3]。脑梗死患者发生便秘时容易产生腹胀、腹痛症状，在排便困难时会增加腹压，从而使得心率加快，严重时可导致心脑血管意外，给患者造成心理负担[4]。医务人员应重视脑梗死患者便秘的发生，为改善患者便秘采取有效的护理干预措施。本研究探讨5E护理干预对脑梗死患者便秘的影响，现报告如下。
1 资料与方法
1.1 一般资料
选取厦门大学附属第一医院2018年2月-2019年2月神经内科诊治的脑梗死并发便秘的100例患者为研究对象，纳入标准：(1)完善脑梗死相关检查如头部CT、MRI等，经3名神经内科主治以上医师独立确诊为脑梗死。(2)神志清楚，无沟通障碍;(3)无精神障碍。排除标准：(1)意识障碍者;(2)病情危重，生命体征不稳定者;(3)需绝对卧床者。将其随机分为观察组与对照组，每组50例。观察组中男23例，女27例;年龄50～75岁，平均(62.21±4.15)岁。对照组中男24例，女26例;年龄52～76岁，平均(60.00±3.17)岁。两组一般资料比较差异无统计学意义(P>0.05)，有可比性。患者及家属对本研究知情同意并签字。, http://www.100md.com(邱松旺)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 中风(脑卒中)