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穴位贴敷护理在重症监护室脑血管病患者中的应用效果

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目的:观察穴位贴敷护理在重症监护室(ICU)脑血管病患者中的应用效果.方法:选取 2019 年 1 月至 2022 年 8 月该院ICU收治的 70 例脑血管病患者进行前瞻性研究,以抽签法将其分为对照组和观察组各 35 例.对照组行常规护理,观察组在对照组基础上给予穴位贴敷护理,比较两组护理前后胃肠功能、便秘评分、生命质量[便秘患者生活质量量表(PAC-QOL)]评分、胃肠电图仪参数水平和胃肠恢复情况(每次排便时间、腹胀缓解时间).结果:护理后,观察组胃动素和P物质水平均高于对照组,差异有统计学意义(P<0.05);护理后,观察组便秘和PAC-QOL评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组升结肠波幅、横结肠波幅、升结肠蠕动频率、横结肠蠕动频率均高于对照组,差异有统计学意义(P<0.05);观察组每次排便时间和腹胀缓解时间均短于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上应用穴位贴敷护理可提高ICU脑血管病患者胃动素、P物质和胃肠电图仪参数水平,缩短每次排便时间和腹胀缓解时间,降低便秘和生命质量评分,效果优于单纯常规护理.
Application effects of acupoint application nursing in patients with cerebrovascular disease in intensive care unit
Objective:To observe application effects of acupoint application nursing in patients with cerebrovascular disease in intensive care unit(ICU).Methods:A prospective study was conducted on 70 patients with cerebrovascular disease admitted to the ICU of the hospital from January 2019 to August 2022.They were divided into control group and observation group by drawing lots,35 cases in each group.The control group was given routine nursing,while the observation group was given the acupoint application nursing on the basis of that of the control group.The gastrointestinal function,the constipation score,the quality of life[patient assessment of constipation quality of life(PAC-QOL)]score,the electrogastrogram apparatus parameter levels,and the gastrointestinal recovery(each defecation time and abdominal distension relief time)were compared between the two groups before and after the nursing.Results:After the nursing,the levels of motilin and substance P in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the constipation score and the PAC-QOL score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ascending colon amplitude,transverse colon amplitude,ascending colon peristalsis frequency and transverse colon peristalsis frequency in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,each defecation time and the abdominal distension relief time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05)..Conclusions:The acupoint application nursing on the basis of the routine nursing can improve the levels of motilin,substance P and electrogastrogram apparatus parameters in the ICU patients with cerebrovascular disease,shorten each defecation time and the abdominal distension relief time,and reduce the constipation scores and the quality of life scores.Moreover,it is superior to single routine nursing.

Acupoint application nursingIntensive care unitCerebrovascular diseaseGastrointestinal functionQuality of lifeElectrogastrogram apparatus

张静

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开封市第二中医院ICU,河南 开封 475000

穴位贴敷护理 重症监护室 脑血管病 胃肠功能 生命质量 胃肠电图仪

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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