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Bedridden patients with constipation of the care management model


Between the 1-2d, smooth stool, fecal qualitative change after the soft disabled. ⑨ rational use of laxative: For more serious constipation,[link widoczny dla zalogowanych], laxatives can be applied as appropriate. However, this treatment should be considered as a short-term treatment, when the increase in dietary fiber and the water started after onset, the disabled laxative. Laxative should be to minimize the toxic side effects and drug dependence as a principle. Patients with fecal impaction can be done many times before retention enema cleansing enema. If the cleansing enema is invalid for the lifting of patients should wear gloves and remove the fecal pain. Application SPSSl1.0 1.3 statistical package statistical analysis, data were analyzed using × test: 2 results found constipation in both groups in the implementation of the program be stopped laxative 7d, 14d track the results. Force control of natural defecation (bowel movements as normal as the natural defecation,[link widoczny dla zalogowanych], said he was struggling hard,[link widoczny dla zalogowanych], with great abdominal pressure) is efficient, flexible scheduling will have efficiency, ≤ 2 天 day defecation rates were 44.68%, 40. 43%, 46.81%, constipation natural defecation efficient management team, will have exclusive soft-efficiency, ≤ 2 天 defecation time was 82.98% efficiency, 72.34%,[link widoczny dla zalogowanych], 80.85%. The difference between the parameter index was significant (P <0. A pair), Table 2. Table 2 Comparison of two groups of patients with defecation 3 If you can not discuss the long-term bedridden patients out of bed activity, constipation is likely to exist. General causes of constipation with the following factors: ① psychological factors: bowel movement in bed were worried about the air pollution unit. Or unwilling to make others find it too troublesome to others without regular bowel movements to increase or inhibit defecation 【,】: When depressed, the lack of bowel hidden environment, can also result in inhibition of defecation desire. ② bowel dysfunction: the long-term bed rest, slow down gastric motility, decreased appetite, less intake of food and water, not enough to stimulate the intestinal contents of normal motility: reduced activity, reduced the rate of manure because of the weight of the vertical down. For the above reasons lead to fecal stay too long in the intestines, constipation, dry Erzhi. ③ spinal cord injury: lack of patients due to colon reflex, peristalsis slows, leading to bowel problems. ④ and other side effects: bedridden patients with comorbidities and more often medication, side effects of some drugs can interfere with normal bowel movements. Pharmaceutical preparations such as calcium, iron drugs; antihypertensive drugs such as calcium channel blockers, diuretics; analgesic drugs such as cocaine, pethidine, anti-cholinergic medicines; antidepressants; other reasons, such as anal disease (hemorrhoids , fistula, fissure); colon cancer, diverticulitis, etc.; diabetes; Parkinson's disease; water and electrolyte disorders. As can be seen from Table 2, the study treatment for constipation, are commonly used in clinical l method. Control group only by your doctor the use of oral laxatives, enema or enema method for treatment of bedridden patients with symptomatic constipation, can also relieve constipation. But easy to relapse after drug withdrawal, increased defecation in patients with pain due to exertion, or even cause high blood pressure, stroke, heart attack, and dangerous. Fundamentally difficult to cure constipation. The new method of group by individual nursing management of constipation using the system, targeted psychological care from a health education a rational use of medicines: to develop good bowel patients studied. And timely treatment of the primary disease. Choose the appropriate measures of nursing management of constipation, relieve constipation in patients with constipation, stool quality and number of bowel movements were significantly higher than the control group areas ideal.
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