應用穴位按壓及非藥物處置降低神經加護單位病人便秘之改善專案

Acupressure and Non-Pharmacological Intervention to Improve Constipation in Neurological Intensive Care Unit

邱月桂(Yueh-Kuei Chiu) ； 蕭雅群(Ya-Chun Hsiao) ； 林秀真(Hsiu-Chen Lin) ； 陳虹如(Hung-Ju Chen) ； 高有怡(Yu-Yi Kao) ； 簡淑慧(Sui-Whi Jane)

《中西醫結合護理雜誌》 2期 (2012/11) Pp. 57-66

https://doi.org/10.6211/TTCMNA.NO2-2012-05

摘要

便秘是神經科最常見的生理問題之一，也是引發出血性腦血管病再次出血的主要誘因，嚴重威脅病人生命。文獻顯示穴位按壓可以有效改善便秘。本專案旨在探討護理人員應用「穴位按壓」，以降低神經科重症病人便秘發生率。經由現況分析發現，造成便秘的主要因素為：缺乏便秘非藥物處置的流程；護理人員應用便秘非藥物處置認知不足；護理人員執行穴位按壓技能不足。經由建立具有個別性的便秘非藥物處置流程；提昇人員應用非藥物處置護理技能；提昇人員執行穴位按壓技能等方式，便秘發生率由78% 下降至42.9%，本專案可應用於神經加護單位之護理實務中以改善便秘情形，進而提升神經科病人照護品質。

關鍵字

便秘 ； 神經科重症病人 ； 穴位按壓 ； 非藥物便秘處置

並列摘要

Constipation is a common physiological disturbance in neurological units. It seems to be strongly associated with re-bleeding hemorrhagic stroke, which can be life-threatening. This projects the use of non-pharmacological intervention to improve the rate of incidence of constipation in a neurological intensive care unit. Based on a survey, the major causes of constipation include lack of a systemic approach to solving the problem, nurses’ insufficient knowledge about non-pharmacological intervention, and poor acupressure skills. The incidence of constipation was reduced 78% to 42.9% individualized flowcharts for non-pharmacological intervention; educating nurses on non-pharmacological treatments, and improving their acupressure skills. The results of this project serve as a reference for nurses in neurological units to improve the quality of care for patients with constipation.

並列關鍵字

Constipation ； critically ill neurological patient ； non-pharmacological intervention ； acupressure