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目的探讨急诊慢性阻塞性肺疾病患者便秘的影响因素及护理干预方法。方法选取2013年11月-2016年12月医院收治的急诊慢性阻塞性肺疾病合并便秘患者40例,设为观察组,选取同期入院治疗的单一慢性阻塞性肺疾病患者40例,设为对照组。采用自拟问卷调查表对2组临床资料进行调查统计,并进行单因素及多因素分析,并根据影响因素提出相应的护理干预方法。结果单因素结果显示:急诊慢性阻塞性肺疾病患者便秘发生率与受教育程度、习惯及方式和环境改变无统计学意义(P>0.05);急诊慢性阻塞性肺疾病患者便秘发生率与纤维饮食、活动量及日进水量关系密切(P<0.05);Logistic回归多因素分析显示:急诊慢性阻塞性肺疾病患者便秘发生率与纤维饮食、活动量及日进水量关系密切(P<0.05)。结论急诊慢性阻塞性肺疾病患者便秘的影响因素较多,应根据危险因素提出针对性的解决对策,降低便秘发生率。
Objective To investigate the influencing factors of constipation and nursing intervention in patients with chronic obstructive pulmonary disease. Methods From November 2013 to December 2016, 40 patients with acute obstructive pulmonary disease and constipation in our hospital were enrolled in the study. Forty patients with single chronic obstructive pulmonary disease admitted to hospital during the same period were selected as the control group . The self-made questionnaire was used to investigate and analyze the clinical data of two groups, and the univariate and multivariate analysis were conducted. According to the influencing factors, the corresponding nursing interventions were proposed. Results The results of univariate analysis showed that there was no significant difference in the incidence of constipation, educational level, habit, manner and environment in patients with COPD (P> 0.05). The incidence of constipation in patients with chronic obstructive pulmonary disease (P <0.05). Multivariate logistic regression analysis showed that the incidence of constipation in patients with chronic obstructive pulmonary disease was closely related to fiber diet, activity and daily influent (P <0.05). Conclusion There are many influencing factors of constipation in emergency patients with chronic obstructive pulmonary disease. According to the risk factors, we should put forward some countermeasures to reduce the incidence of constipation.