冠心病患者便秘的护理干预效果评价

目的探讨冠心病便秘患者有效的护理干预方法。方法收集2010年5月-2013年5月首都医科大学大兴医院心内科门诊以及病房冠心痛便秘患者80例。随机分为二组：干预组39例，对照组41例。采用自制问卷调查的方式了解冠心病便秘患者的排便次数、性状、排便习惯、方式、膳食结构等情况。干预组针对便秘的原因进行护理干预，包括心理宣教、加强排便生理教育、采用均衡的饮食、适量规律活动；对照组采用常规护理方法。结果冠心痛患者便秘的原因包括：年龄因素、排便环境及习惯的改变、饮食不当。干预组患者接受有针对性的护理干预后排便次数、大便性状与对照组比较明显改善，差异有统计学意义（P〈0．05）。结论对冠心痛便秘患者进行有针对性的护理干预，可以降低便秘的发生率，具有重要的临床意义。

EFFECT OF NURSING INTERVENTION ON CONSTIPATION IN PATIENTS WITH CORONARY HEART DISEASE

Objective To evaluate the effect of nursing intervention on constipation in patients with coronary heart disease. Methods Eighty patients with coronary heart disease and constipation were randomly assigned into nursing intervention group （39 cases） and control group （41 cases） in author＇s hospital from May 2010 to May 2013. Frequency of defecation, shape of stool, defecation habits, dietary habits were evaluated by using questionnaire designed by investigator. The patients in the intervention group were received nursing intervention care, while those in the control group were subjected to routing nursing care. Results The risk factors of constipation in patients with coronary heart disease included： age, habits of defecation, improper diet habits. The stool frequency, shape of stool were significantly improved after nursing intervention compared with control group, the difference was statistically significant（P〈0.05）. Conclusion Nursing intervention can decrease the incidence of constipation in the patients with coronary heart disease.