早期护理干预对慢性心力衰竭患者便秘的影响

目的探讨慢性心力衰竭患者便秘的早期护理干预措施及效果。方法将140例慢性心力衰竭患者随机分为干预组和对照组各70例，干预组从入院时即实施腹部按摩、排便习惯训练、饮食指导、心理护理、环境管理等护理干预措施。对照组行慢性心力衰竭患者一般常规护理，预防性地给予常规剂量的通便药物。观察两组的便秘及不良反应发生率。结果干预组和对照组的便秘发生率分别是10．0％和22．9％，两组比较，差异有统计学意义（P〈0．05）。且干预组不良反应发生率明显低于对照组，两组比较，差异有统计学意义（P〈0．01）。结论通过对慢性心力衰竭患者早期实施针对性的护理干预措施，可有效改善患者便秘现象，且不良反应小，可降低由此引发的并发症。

Early nursing intervention on constipation of patients with chronic heart failure

Objective To research the effect of early nursing intervention on constipation of patients with chronic heart failure. Methods 140 cases with chronic heart failure were randomly divided into intervention group and control group with 70 cases in each group. The intervention group from the time of admission carried out namely abdominal massage, bowel habit training, diet guidance, psychological care, environmental management and nursing interventions. The control group received routine nursing care in patients with chronic heart failure in general, prophylactic given regular doses of laxatives. The constipation and the incidence of adverse reactions were observed. Results The incidence of constipation of intervention group and the control group were 10% and 22.9%, respectively （P〈0.05）. The incidence of adverse reactions of intervention group was significantly lower than that of the control group （P〈0.01）. Conclusion Early implementation of specific nursing intervention measures on patients with chronic heart failure can effectively improve the patients with constipation phenomenon and reduce the complications.