背景:便秘是長期臥床病人常見且重要的照護問題,單位病人便祕人數佔90%以上,多以甘油球灌腸為主要的解決方式,為改善此問題藉由實證文獻『腹部按摩改善便秘』,將其運用臨床上。目的:本研究旨在降低長期臥床病人便秘發生率。方法:給予護理師及照顧服務員辦理教育訓練,並示範「腹部劃線按摩法」技巧。選取單位年齡大於65歲、臥床超過六個月及日常生活需要他人協助,符合條件共30人,以電腦進行隨機抽樣分為實驗組及對照組各15人。實驗組採行腹部劃線按摩方式,一星期五天進行,每次持續10-15分鐘,對照組則依原來方法每週一次甘油球灌腸,執行六星期。結 果:長期臥床病人便秘發生率降低為68.5%,護理人員及照服員非藥物處置便秘護理認知完整性各項目皆>95.0%。結論與應用:執行結果可推行到普通病房,社區居家,達到接續性的照護,提升排便照護品質。
Background: Constipation is the most common gastrointestinal complaint reported in elderly living in long-term care facilities. Up to 90% of elderly chronic ward residents have the phenomenon of constipation and usually glycerol-ball enema are made use of treating it. Researchers try to use evidence-based of abdominal massage to manage clinical constipation problem for older patients. Purposes: The project aims to reduce the incidence rate of constipation. Methods: Researches performed abdominal scribing massage skill education training to nurses and care attendants. The patients included age > 65 years, bed ridden for over 6 months and daily life needs others to help were selected. A total of 30 persons were recruited in this study and were randomized into intervention group, 15 patients (receiving 15 minutes of abdominal scribing massage a day, 5 days per week)and control group, 15 patients (receiving glycerol ball enema once a week), executed for 6 weeks. Results: (1) The incidence of constipation was reduced to 68.5% in elderly long-term bed ridden patients. (2) Nurses and care providers' non-drug treatment constipation care on cognitive scores of integrity of all items are greater than 95.0% Conclusions: This study can be implemented to the general ward and community home, in order to achieve the continuity of care and elevate quality of care.
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