Efficacy of systematic specialist nursing on management of constipation in patients with ischemic stroke
系统化专科护理对缺血性脑卒中患者便秘管理的疗效

摘要

目的 探讨系统化专科护理对急性缺血性脑卒中患者便秘管理的疗效。方法 随机分配法将76例于2019-08至2020-08期间在本院治疗的缺血性脑卒中后便秘的患者分为两组，均38例，对照组进行常规护理，观察组实施系统化专科护理，比较两组患者的治疗前后的Bristol大便性状、排便困难和生活质量评分。结果 治疗前，两组患者的Bristol评分、排便困难严重程度评分和大便次数之间均无明显差异（P＞0.05），治疗后，观察组Bristol评分高于对照组，排便困难严重程度评分低于对照组，大便次数多与对照组，组间有明显差异（P＜0.05）。治疗前，两组患者生活质量中各项评分均无明显差异（P＞0.05）；治疗后，观察组生活质量中各项评分均低于对照组，组间有明显差异（P＜0.05）。结论 脑卒中后便秘患者在使用系统化专科护理干预后，效果显著，值得临床推广。

Abstract

Objective To explore the effect of systematic specialized nursing on constipation management in patients with acute ischemic stroke.
Methods 76 patients with constipation after ischemic stroke treated in our hospital from August 2019 to August 2020 were randomly divided into two groups, with 38 cases in both groups. The control group received routine nursing, and the observation group received systematic specialized nursing. Bristol stool traits, defecation difficulties and quality of life scores of the two groups were compared before and after treatment.
Results before treatment, there was no significant difference in Bristol score, severity score of defecation difficulty and defecation frequency between the two groups (P > 0.05). After treatment, Bristol score in the observation group was higher than that in the control group, the severity score of defecation difficulty was lower than that in the control group, and there was significant difference in defecation frequency between the two groups (P < 0.05). Before treatment, there was no significant difference in the scores of quality of life between the two groups (P > 0.05); After treatment, the scores of quality of life in the observation group were lower than those in the control group, and there was significant difference between the groups (P < 0.05).
Conclusion   the effect of systematic special nursing intervention in patients with post-stroke constipation is significant, which is worthy of clinical promotion.