护理干预对出血性脑卒中患者便秘的影响(1)
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[摘要] 目的 分析护理干预对于出血性脑卒中患者便秘情况的影响。 方法 将本院收治的62例出血性脑卒中患者随机均分为对照组与干预组，每组各31例。对照组给予脑卒中常规护理及健康宣教，干预组在对照组的基础上给予护理干预，对比两组的便秘发生率与便秘程度。 结果 对照组便秘发生率为61.29%，其中重度及严重便秘者4例；干预组便秘发生率为12.90%，无重度及严重便秘发生，干预组便秘发生率显著低于对照组，P < 0.01。 结论 护理干预可有效降低出血性脑卒中患者的便秘发生率及便秘程度。
[关键词] 出血性脑卒中；护理干预；影响；内科
[中图分类号] R473.5 [文献标识码] B [文章编号] 1674-4721(2012)02(b)-0129-02
The impact of nursing intervention for constipation in patients with hemorrhagic stroke
HUANG Aijing, QIU Xiulin, WANG Xiaojing
Department of Internal Medicine, Longhua Branch of People's Hospital of Shenzhen City in Guangdong Province , Shenzhen 518109，China
[Abstract] Objective To analyze the impact of nursing intervention for constipation in patients with hemorrhagic stroke. Methods Sixty two cases of patients with hemorrhagic stroke admitted to our hospital were randomly divided into control group and intervention group, there were 31 cases in each group. Control group were given conventional stroke care and health education, on the basis of control group, intervention group were given nursing intervention, the incidence of constipation and the degree of constipation of two groups were compared. Results The incidence of constipation of control group was 61.29%, including severe and serious constipation 4 cases; The incidence of constipation of intervention group was 12.90%, there were no severe or serious constipation, the incidence of constipation of intervention group was significantly lower than control group, P < 0.01. Conclusion Nursing intervention can effectively reduce the incidence of constipation and the degree of constipation of patients with hemorrhagic stroke.
[Key words] Hemorrhagic stroke; Nursing intervention; Impact; Internal medicine
出血性脑卒中是一种严重威胁患者健康与生命安全的疾病，致残、致死率及复发率均高[1]。患者由于患病后需长期卧床且排便反射遭破坏，加之采取脱水治疗及摄食量减少等因素易出现便秘，而便秘后的用力排便可导致颅内压升高易诱发再次出血[2]。本院针对出血性脑卒中患者的临床特征制定出一套行之有效的护理干预措施，经临床应用后取得了满意的护理效果，现将具体情况报道如下：
1 资料与方法
1.1 一般资料
选取本院2009年1月～2010年12月收治的出血性脑卒中患者共计62例，将全部患者随机均分为对照组与干预组，每组31例。对照组中男22例，女9例；年龄为43～82岁，平均(64.27±9.31)岁；脑出血26例，蛛网膜下腔出血5例。干预组男19例，女12例；年龄为44～83岁，平均(65.09±8.22)岁；脑出血25例，蛛网膜下腔出血6例。全部患者均经头颅CT或者MRI确诊，均符合中华医学会于第四届全国脑血管病会议上修订的相关标准[3]。两组患者一般资料差异无统计学意义 ......
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