首页|循证护理联合生物反馈训练对功能性便秘儿童的疗效及生活质量的影响

循证护理联合生物反馈训练对功能性便秘儿童的疗效及生活质量的影响

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目的 探讨循证护理联合生物反馈训练在功能性便秘儿童中的应用效果.方法 将80例功能性便秘儿童随机分为观察组和对照组,每组40例.对照组予以常规护理干预;观察组在常规护理基础上,予以循证护理与生物反馈训练干预.比较2组临床疗效及干预前后排便状况(包括排便不尽感、排便费力、次均排便时间等)、心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评估]、胃肠激素水平[包括胃泌素(GSA)、胃动素(MLT)、P物质(SP)等指标]与身心健康状况[采用世界卫生组织五项身心健康指标(WHO-5)进行评定]改善情况.结果 观察组总有效率显著高于对照组(95.0%比80.0%,x2=4.114、P=0.043).2组干预后排便状况、心理状态、胃肠激素水平与身心健康状况均较干预前明显改善,且观察组改善程度显著优于对照组,差异均有统计学意义(P<0.01).结论 循证护理联合生物反馈训练能够有效改善患儿排便情况和胃肠激素水平,有助于患儿疗效及生活质量的提升.
Effect of Evidence-Based Nursing Combined with Biofeedback Training on Functional Constipation and Quality of Life in Children
Objective To analyze the effect of evidence-based nursing combined with biofeed-back training on functional constipation in children.Methods Eighty children with functional con-stipation were given routine nursing intervention alone(control group,n=40)or in combination with evidence-based nursing and biofeedback training(observation group,n=40).Clinical efficacy,defecation status(feeling of incomplete evacuation,defecation difficulty,average defecation time,etc.),and gastrointestinal hormone levels(gastrin,motilin,substance P,etc.)were compared be-tween the two groups.The psychological status was assessed using Self-rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS).The physical and mental health status was evalua-ted using the World Health Organization(WHO)-Five Well-being Index(WHO-5).Results The total effective rate in the observation group was higher than that in the control group(95.0%vs 80.0%,X2=4.114,P=0.043).The defecation status,psychological state,gastrointestinal hormone levels,and physical and mental health were significantly improved after intervention in both groups,and the improvement in the observation group was more obvious than that in the control group(P<0.01).Conclusion Evidence-based nursing combined with biofeedback training can ef-fectively improve defecation,gastrointestinal hormone levels and quality of life in children.

functional constipationevidence-based nursingbiofeedback trainingclinical effectnal hormones

胡玉、管丽霞、文娜

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江西省儿童医院综合内科,南昌 330038

江西省儿童医院耳鼻咽喉科,南昌 330038

功能性便秘 循证护理 生物反馈训练 临床效果

2024

实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
年,卷(期):2024.25(1)
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