Application analysis of case nursing management model in preventing senile constipation
个案护理管理模式在预防老年便秘的应用分析

摘要

目的 分析探讨个案护理管理模式在预防老年便秘的应用效果。方法 选取我科2019年7月-2021年12月接收老年患者100例为观察对象，随机将其分为观察组与对照组，其中对照组患者采用通便发贴神阙穴治疗，观察组患者在对照组治疗基础上再采用个案护理管理模式，将两组患者护理前后的排便困难情况、排便间隔时间、便秘与不良反应发生情况以及护理效果进行比较。结果 将两组患者护理前后的排便困难积分与排便间隔时间进行比较，两组患者护理前的排便困难积分排便间隔时间对比差异不明显，无统计学意义（P＞0.05），护理后观察组患者的排便积分低于对照组，排便间隔时间低于对照组，数据对比差异有统计学意义（P<0.05）；将两组患者便秘与不良反应发生情况进行比较，观察组便秘与不良反应发生情况低于对照组，两组数据对比差异有统计学意义（P<0.05）；将两组患者的护理效果进行对比，观察组的护理总有效率明显高于对照组，两组数据对比差异有统计学意义（P<0.05）。结论 个案护理管理模式在预防老年便秘的应用效果明显，能够有效改善患者排便困难情况，预防便秘发生，降低因为便秘带来的不良反应，从而提高护理效果，有重要临床应用价值。

Abstract

Objective To analyze the application effect of case nursing management model in preventing senile constipation.
Methods 100 elderly patients received by our department from July 2019 to December 2021 were selected as observation objects, and they were randomly divided into observation group and control group. On the basis of the treatment of the control group, the case nursing management mode was adopted, and the defecation difficulties, defecation interval, occurrence of constipation and adverse reactions, and nursing effects were compared between the two groups before and after nursing.
Results The scores of defecation difficulty and the interval time of defecation were compared between the two groups of patients before and after nursing. There was no significant difference between the two groups of patients in the defecation score before nursing and the interval between defecation and defecation was not statistically significant (P>0.05). The defecation score of the two groups was lower than that of the control group, and the defecation interval was lower than that of the control group, and the difference was statistically significant (P<0.05). Compared with the control group, the difference in the data between the two groups was statistically significant (P<0.05). Comparing the nursing effect of the two groups of patients, the total nursing effective rate of the observation group was significantly higher than that of the control group, and there was a statistical difference between the two groups of data. Academic significance (P<0.05).
Conclusion   The case nursing management model has obvious application effect in the prevention of senile constipation, which can effectively improve the patient's difficulty in defecation, prevent the occurrence of constipation, and reduce the adverse reactions caused by constipation, thereby improving the nursing effect, which has important clinical application value.