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目的探讨认知行为干预在老年习惯性便秘患者中的应用价值。方法选取2013年2月至2015年2月沈阳七三九医院收治的104例老年习惯性便秘患者作为研究对象,按照随机数字表法将其分为观察组与对照组,各52例。对照组患者给予常规护理,观察组患者则在对照组基础实施认知行为干预,比较两组患者的护理效果、干预前后便秘程度改善情况及生命质量。结果观察组患者护理的总有效率明显高于对照组,差异有统计学意义(P<0.05);干预后,观察组患者的排便次数明显多于对照组,排便困难程度积分明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的生理功能、治疗、社会关系、心理和精神功能评分及总分均明显低于对照组,差异均有统计学意义(均P<0.05)。结论对老年习惯性便秘患者实施认知行为干预,能有效改善便秘程度,提升其生命质量。
Objective To explore the value of cognitive behavioral intervention in elderly patients with habitual constipation. Methods A total of 104 senile patients with habitual constipation who were treated at Shenyang 736 Hospital from February 2013 to February 2015 were selected as study subjects and divided into observation group and control group according to random number table method, with 52 cases in each group. The patients in the control group were given routine care. The patients in the observation group were given cognitive behavioral intervention on the basis of the control group. The nursing effect, the improvement of constipation and the quality of life before and after the intervention were compared. Results The total effective rate of patients in observation group was significantly higher than that in control group (P <0.05). After intervention, the number of defecation in observation group was significantly more than that in control group, and the degree of defecation difficulty score was significantly lower than that in control group (All P <0.05). The score of physical function, treatment, social relation, mental and mental function and total score in observation group were significantly lower than those in control group (all P <0.05), and the differences were statistically significant <0.05). Conclusion The implementation of cognitive behavior intervention in elderly patients with habitual constipation can effectively improve the degree of constipation and improve their quality of life.