- 期刊
便祕中醫護理指導對於改善大學生便秘症狀及生活品質之成效
The Effectiveness of Chinese Medicine Nursing Instructions on Constipation for Managing Constipation Symptoms and Quality of Life among College Students
摘要
Background: Providing nursing instructions is an independent function of Chinese medicine nursing. Chinese medicine nursing instructions related to constipation have been shown to effectively relieve constipation symptoms and improve bowel movement intervals in the elderly. Little research has addressed the effectiveness of traditional Chinese medicine in managing constipation symptoms in college students.Purpose: This quasi‐experimental study examines the effectiveness of traditional‐Chinese‐medicine (TCM) nursing instructions in managing constipation symptoms and improving quality of life in college students.Methods: A quasi‐experimental research design was used. Participants comprised a purposive sampling of 55 college students (experimental group: 24 students; control group: 31 students). Experimental‐group participants received 4 hours of TCM nursing instructions within 2 weeks of being examined by a Chinese medical doctor, who used four Chinese medicine examination (inspection, listening/smelling, inquiry, and palpation) and pattern identification techniques. Control‐group participants received usual care comprising a health‐education pamphlet on constipation management. All participants completed a structured questionnaire prior to receiving their intervention. The second and third data collections were conducted during week 2 and 6. Generalized estimating equations (GEE) analysis examined the effects of TCM nursing instructions on constipation management. Pretest effect, growth effect, age, and body mass index (BMI) were all controlled to compare interactions between the two groups and pre‐test/post‐test differences.Results: GEE analysis showed that both groups had improved significantly at 2‐ and 6‐weeks post‐test. Intervention effects were: bowel movement interval (week two = ‐1.42, p ＜ .001; week six = ‐1.27, p ＜ .001), constipation symptoms (week two = ‐8.10, p ＜ .001; week six = ‐7.09, p ＜ .001), quality of life (week two = ‐19.69, p ＜ .001; week six = ‐20.58, p ＜ .001), and self‐reported constipation severity (week two = ‐1.35, p ＜ .001; week six = ‐1.31, p ＜ .05). Results found improvements in constipation symptoms in the intervention group to be significantly higher than in the control group.Conclusions: Study results support that Chinese medicine nursing instructions are effective in relieving constipation symptoms and may be more effective than current standard pamphlet recommendations.
並列摘要
Background: Providing nursing instructions is an independent function of Chinese medicine nursing. Chinese medicine nursing instructions related to constipation have been shown to effectively relieve constipation symptoms and improve bowel movement intervals in the elderly. Little research has addressed the effectiveness of traditional Chinese medicine in managing constipation symptoms in college students.Purpose: This quasi‐experimental study examines the effectiveness of traditional‐Chinese‐medicine (TCM) nursing instructions in managing constipation symptoms and improving quality of life in college students.Methods: A quasi‐experimental research design was used. Participants comprised a purposive sampling of 55 college students (experimental group: 24 students; control group: 31 students). Experimental‐group participants received 4 hours of TCM nursing instructions within 2 weeks of being examined by a Chinese medical doctor, who used four Chinese medicine examination (inspection, listening/smelling, inquiry, and palpation) and pattern identification techniques. Control‐group participants received usual care comprising a health‐education pamphlet on constipation management. All participants completed a structured questionnaire prior to receiving their intervention. The second and third data collections were conducted during week 2 and 6. Generalized estimating equations (GEE) analysis examined the effects of TCM nursing instructions on constipation management. Pretest effect, growth effect, age, and body mass index (BMI) were all controlled to compare interactions between the two groups and pre‐test/post‐test differences.Results: GEE analysis showed that both groups had improved significantly at 2‐ and 6‐weeks post‐test. Intervention effects were: bowel movement interval (week two = ‐1.42, p ＜ .001; week six = ‐1.27, p ＜ .001), constipation symptoms (week two = ‐8.10, p ＜ .001; week six = ‐7.09, p ＜ .001), quality of life (week two = ‐19.69, p ＜ .001; week six = ‐20.58, p ＜ .001), and self‐reported constipation severity (week two = ‐1.35, p ＜ .001; week six = ‐1.31, p ＜ .05). Results found improvements in constipation symptoms in the intervention group to be significantly higher than in the control group.Conclusions: Study results support that Chinese medicine nursing instructions are effective in relieving constipation symptoms and may be more effective than current standard pamphlet recommendations.
參考文獻
被引用紀錄
延伸閱讀
- 翁菁鄉、劉吉豐、曹麗英（2007）。從傳統中醫學的觀點談便秘的中醫照護。長庚護理，18(2)，196-202。https://www.airitilibrary.com/Article/Detail?DocID=10267301-200706-18-2-196-202-a
- 蘇進成、陳光偉、張惠玲、鐘景光、林昭庚（1997）。防風通聖散與大腸生理回饋對慢性便秘患者之臨床研究。中醫藥雜誌，8(4)，197-205。https://doi.org/10.6940/JCM.199712_8(4).02
- Tsai, Y. F., Shao, W., & Lin, K. Y. (2022). 【論文摘要】成人身體活動量與便祕之間的關係：系統性回顧及統合分析. 物理治療, 47(2), 131-131. https://doi.org/10.6215/FJPT.202206.P09
- Tsai, Y. F., Chen, P. C., & Lin, K. Y. (2022). 【論文摘要】物理治療對患有便祕的成人之可行性. 物理治療, 47(4), 299-300. https://doi.org/10.6215/FJPT.202212.P01
- 高彗凌、洪裕強（2015）。Literature Review of Traditional Chinese Medicine Pattern Identification and Treatment Administration in Irritable Bowel Syndrome。中醫藥研究論叢，18(2)，54-61。https://doi.org/10.6516/TJTCM.2015.18(2)54