上海交通大学学报（医学版）

上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (6): 828-834.doi: 10.3969/j.issn.1674-8115.2020.06.019

• 论著·临床研究 • 上一篇    下一篇

脊髓损伤肠道功能障碍干预方案的临床应用研究

韦小梅1，胡三莲2，钱会娟2，魏薇萍1，王飞燕1   

  1. 1. 上海交通大学附属第六人民医院急诊科，上海 200233；2. 上海交通大学附属第六人民医院护理部，上海 200233
  • 出版日期:2020-06-28 发布日期:2020-06-28
  • 作者简介:韦小梅（1993—），女，护士，硕士；电子信箱：wxiaomei1219@163.com。
  • 基金资助:
    2018年度上海市卫生和计划生育委员会课题（201840105）；上海市教育委员会护理高原学科建设项目——多学科创新基金项目（Hlgy1808dxk）；上海市教育委员会护理高原学科建设项目——国际交流基金项目（Hlgy1860qnhb）；上海市教育委员会护理高原学科建设项目——科研型临床护士基金（Hlgy1820kyx）。

Study on the clinical application of the intervention program of bowel dysfunction in patients with spinal cord injury

WEI Xiao-mei1, HU San-lian2, QIAN Hui-juan2, WEI Wei-ping1, WANG Fei-yan1   

  1. 1. Department of Emergency, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China; 2. Department of Nursing, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2020-06-28 Published:2020-06-28
  • Supported by:
    2018 Shanghai Municipal Commission of Health and Family Planning Project (201840105); Shanghai Municipal Education Commission of Nursing Gaoyuan Discipline Construction Project—Multidisciplinary Innovation Fund Project (Hlgy1808dxk); Shanghai Municipal Education Commission of Nursing Gaoyuan Discipline Construction Project—International Exchange Fund Project (Hlgy1860qnhb); Shanghai Municipal Education Commission of Nursing Gaoyuan Discipline Construction Project—Scientific Research Clinical Nurse Fund (Hlgy1820kyx).

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摘要： 目的·验证前期构建的脊髓损伤（spinal cord injury，SCI）肠道功能障碍干预方案的有效性。方法·选择2018年1—12月入院上海市某康复中心的80例脊髓损伤肠道功能障碍患者，按入院时间分为干预组和对照组，每组40例。对照组采用常规护理进行干预，干预组采用该研究构建的干预方案进行干预。比较2组患者入院时、干预后4周、出院后1个月的肠道功能指标和入院时、出院前1 d的生存质量。结果·干预后，干预组患者的排便频率、粪便性状评分、排便时间、腹胀、便秘发生率和药物依赖率均低于对照组（均P<0.05），其生存质量总分和各领域得分均高于对照组（均P<0.05）。除社会领域外，2组患者干预后和入院时生存质量差值比较在总分和其他领域间差异均具有统计学意义（均P<0.05）。结论·脊髓损伤肠道功能障碍干预方案能有效恢复SCI患者肠道功能，降低肠道并发症的发生率，改善患者生存质量。

关键词: 脊髓损伤, 肠道功能障碍, 干预方案, 效果

Abstract:

Objective · To verify the effectiveness of the intervention program of bowel dysfunction in patients with spinal cord injury (SCI). Methods · Eighty bowel dysfunction patients with SCI in a rehabilitation hospital in Shanghai from Jan. to Dec. 2018 were included. According to the time of admission, the patients were divided into intervention group and control group, with 40 cases in each group. The patients in the control group received the routine nursing, and the patients in the intervention group were provided with the intervention program constructed by this study. The bowel function indexes of the two groups were compared at the time of admission, 4 weeks after intervention and 1 month after discharge. The quality of life in the two groups was compared at the time of admission and 1 day before discharge. Results · After intervention, the defecation frequency, fecal character score, defecation time, abdominal distention, constipation rate and drug dependence rate of the intervention group were lower than those of the control group (all P<0.05), and their total scores of quality of life and the scores in various fields were higher than those of the control group (all P<0.05). The differences in the quality of life between the two groups of patients after intervention and at the time of admission were statistically significant except for the social field (all P<0.05). Conclusion · The intervention program for bowel dysfunction patients with SCI can effectively lead to the recovery of the bowel function, reduce the incidence of bowel complications, and improve the quality of their life.

Key words: spinal cord injury (SCI), bowel dysfunction, intervention program, effectiveness

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