《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (12): 1161-1163.

• 康复护理 • 上一篇    下一篇

关节置换患者手术前后排便的观察与护理

代永静1a;张明学1b   

  1. 1.解放军总医院，a: 骨科二病区，b: 骨科六病区，北京市 100853
  • 收稿日期:2009-10-14 出版日期:2009-12-25 发布日期:2009-12-25
  • 通讯作者: 张明学

Nursing for Defecation before and after Arthroplasty

DAI Yong-jing,ZHANG Ming-xue   

  1. Orthopedics of General Hospital of PLA, Beijing 100853, China
  • Received:2009-10-14 Published:2009-12-25 Online:2009-12-25

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摘要： 目的 探讨关节置换患者手术前后排便的改变及护理要点。方法 选取择期行人工关节置换术患者30例，观察术前、术后第1次排便、术后第2次排便间隔时间、排便持续时间及自我主观感受评分并记录3个阶段排便时面色苍白、大汗淋漓、心跳加快不良症状的发生例数。结果 ①患者术后两次排便间隔时间及排便持续时间均较术前延长(P<0.05)；患者术后第2次排便间隔时间与持续时间较第1次排便缩短(P<0.05)。②患者术后两次排便时的自我主观感受得分及不良症状发生例数均较术前高(P<0.05)；患者术后第2次排便时的上述观察指标较第1次时分值、发生例数少(P<0.05)。结论 关节置换术后患者排便困难，护理人员术前应筛选易感人群，术后应突出重点环节并给予预见性护理干预，协助患者排便，增加排便时的舒适度。

关键词: 人工关节置换术, 排便, 护理

Abstract: Objective To explore nursing for defecation of the patients with hip or knee replacement before and after arthroplasty.Methods 30 patients with selective bilateral hip or knee replacement were observed at different phases, including interval time, duration, score of oneself subject feeling, and rate of negative symptoms.Results ① Interval time and duration of defecation was longer after arthroplasty than before arthroplasty (P<0.05)；The index mentioned above of the second defecation was shorter than the first one(P<0.05). ②The score of oneself subject feeling and rate of negative symptoms were higher after arthroplasty than before arthroplasty(P<0.05); The index mentioned above of the second defecation was lower than the first one(P<0.05).Conclusion Difficult defecation happens to the patients with arthroplasty and the nurse should screen susceptible patients before operation, then highlight the key links and give nursing intervention in order to assist defecation.

Key words: arthroplasty, defecation, nursing