个性化护理在大黄粉敷脐治疗化疗后便秘患者中的效果(1)
【摘要】 目的：探究个性化护理在大黄粉敷脐治疗化疗后便秘患者中的效果。方法：选择笔者所在医院收治的化疗后便秘患者68例，均使用大黄粉敷脐治疗。随机分为两组，对照组采用常规护理，研究组采用个性化护理，比较两组临床疗效、每周排便次数、每次排便时间、粪便性状及便秘严重程度。结果：研究组总有效率高于对照组，每次排便时间短于对照组，每周排便次数多于对照组，差异均有统计学意义(P<0.05);研究组Bristol评分高于对照组，CSS评分低于对照组，差异均有统计学意义(P<0.05)。结论：将个性化护理措施应用于大黄粉敷脐治疗的化疗后便秘患者中，能够提高治疗总有效率，增加每周排便次数，改善粪便性状及便秘程度，推荐临床应用。
【关键词】 个性化护理 大黄粉敷脐 化疗后便秘 治疗总有效率
[Abstract] Objective： To explore the effects of personalized nursing on patients with constipation after chemotherapy treated by applying umbilicus with Rhubarb Powder. Method： A total of 68 cases with constipation after chemotherapy in our hospital were selected， and they were treated by applying umbilicus with Rhubarb Powder. The patients were randomly divided into two groups. The control group was treated with routine nursing and the study group was treated with personalized nursing. The clinical efficacy， times of defecation per week， time of each defecation， character of excrement and severity of constipation were compared between the two groups. Result： The total effective rate in the study group was higher than that of the control group， and the time of each defecation was shorter than that of the control group， and times of defecation per week was more than that of the control group， and the differences were statistically significant (P<0.05). The Bristol scores in the study group was higher than that of the control group， and the CSS score was lower than that of the control group， and the differences were statistically significant (P<0.05). Conclusion： The application of personalized nursing measures in patients with constipation after chemotherapy treated by applying umbilicus with Rhubarb Powder can improve the total effective rate of the treatment， increase the times of defecation per week， improve the character of excrement and severity of constipation， and is recommended for clinical application.
化療是采用化学药物杀死癌细胞的一种治疗方式[1-2]。手术、放疗和化疗是治疗癌症的三大手段，但手术和放疗只能用于局部肿瘤。当机体内癌细胞扩散后，化疗药物可以随着血液遍布全身，适用于全身性肿瘤及中晚期肿瘤患者，治疗效果较佳，但治疗后的不良反应较多，其中便秘发生率较高[3-5]。个性化护理是根据患者具体情况而制定的护理方案，将其应用于大黄粉敷脐治疗化疗后便秘患者中具有积极意义[5]。本研究主要探究个性化护理在大黄粉敷脐治疗化疗后便秘患者中的效果，报道如下。
1 资料与方法
1.1 一般资料
选择2016年1月-2018年3月笔者所在医院收治的化疗后便秘患者68例。纳入标准：符合便秘诊断标准。排除标准：精神疾病，无法进行理性判定;临床资料不完整。所有患者均使用大黄粉敷脐治疗，随机分为两组，对照组34例，男18例，女16例;年龄29～68岁，平均(54.62±4.38)岁。研究组34例，男19例，女15例;年龄28～69岁，平均(54.53±4.27)岁。两组一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。患者均对本次研究内容知情同意。
1.2 方法
两组均采用大黄粉敷脐治疗，使用少量白醋将6 g大黄粉调和成糊状，敷于患者脐部，并使用透明敷贴固定，1次/d，4 h/次，共治疗3周。, http://www.100md.com(朱夏芸)
【关键词】 个性化护理 大黄粉敷脐 化疗后便秘 治疗总有效率
[Abstract] Objective： To explore the effects of personalized nursing on patients with constipation after chemotherapy treated by applying umbilicus with Rhubarb Powder. Method： A total of 68 cases with constipation after chemotherapy in our hospital were selected， and they were treated by applying umbilicus with Rhubarb Powder. The patients were randomly divided into two groups. The control group was treated with routine nursing and the study group was treated with personalized nursing. The clinical efficacy， times of defecation per week， time of each defecation， character of excrement and severity of constipation were compared between the two groups. Result： The total effective rate in the study group was higher than that of the control group， and the time of each defecation was shorter than that of the control group， and times of defecation per week was more than that of the control group， and the differences were statistically significant (P<0.05). The Bristol scores in the study group was higher than that of the control group， and the CSS score was lower than that of the control group， and the differences were statistically significant (P<0.05). Conclusion： The application of personalized nursing measures in patients with constipation after chemotherapy treated by applying umbilicus with Rhubarb Powder can improve the total effective rate of the treatment， increase the times of defecation per week， improve the character of excrement and severity of constipation， and is recommended for clinical application.
化療是采用化学药物杀死癌细胞的一种治疗方式[1-2]。手术、放疗和化疗是治疗癌症的三大手段，但手术和放疗只能用于局部肿瘤。当机体内癌细胞扩散后，化疗药物可以随着血液遍布全身，适用于全身性肿瘤及中晚期肿瘤患者，治疗效果较佳，但治疗后的不良反应较多，其中便秘发生率较高[3-5]。个性化护理是根据患者具体情况而制定的护理方案，将其应用于大黄粉敷脐治疗化疗后便秘患者中具有积极意义[5]。本研究主要探究个性化护理在大黄粉敷脐治疗化疗后便秘患者中的效果，报道如下。
1 资料与方法
1.1 一般资料
选择2016年1月-2018年3月笔者所在医院收治的化疗后便秘患者68例。纳入标准：符合便秘诊断标准。排除标准：精神疾病，无法进行理性判定;临床资料不完整。所有患者均使用大黄粉敷脐治疗，随机分为两组，对照组34例，男18例，女16例;年龄29～68岁，平均(54.62±4.38)岁。研究组34例，男19例，女15例;年龄28～69岁，平均(54.53±4.27)岁。两组一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。患者均对本次研究内容知情同意。
1.2 方法
两组均采用大黄粉敷脐治疗，使用少量白醋将6 g大黄粉调和成糊状，敷于患者脐部，并使用透明敷贴固定，1次/d，4 h/次，共治疗3周。, http://www.100md.com(朱夏芸)
参见：首页 > 中医药 > 中药专业 > 中草药汇编 > 中药大典 > 根茎类 > 大黄