{"title":"艾灸加腹部按摩治疗住院老年便秘患者的安全性和有效性:一项回顾性研究。","authors":"Kexin Li","doi":"10.25270/wmp.2022.8.1624","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nEvidence about moxibustion and abdominal massage for treating constipation in older hospitalized patients is limited.\n\n\nPURPOSE\nTo investigate the safety and effectiveness of moxibustion and abdominal massage in hospitalized older patients with constipation.\n\n\nMETHODS\nHospitalized older patients (age ≥60 years) with constipation were retrospectively categorized as 2 cohorts according to whether the patients received moxibustion and abdominal massage in addition to routine nursing care. Gastrointestinal symptoms, Constipation Assessment Scale (CAS) scores, and Geriatric Depression Scale (GDS) scores were compared before and after treatment between cohorts.\n\n\nRESULTS\nThe 2 cohorts (n = 100 for each) had similar baseline characteristics and gastrointestinal symptoms; the control cohort and the additional intervention cohort also had similar CAS scores (7.14 ± 3.67 vs 7.48 ± 2.96, respectively), and GDS scores (>17: 31% vs 29%, respectively). Improvement in the 2 scores from baseline was observed after 2 weeks in both the control cohort and the additional intervention cohort (CAS, 5.37 ± 5.34 and 3.80 ± 4.47, respectively; GDS, >17: 28% and 15%, respectively). The cohort with additional interventions had a lower ineffective rate (defined as persistent symptoms or absence of decrease in CAS, 49% vs 32%; P = .028) but had more diarrhea (9% vs 21%; P = .017).\n\n\nCONCLUSION\nMoxibustion and abdominal massage may help relieve constipation in hospitalized elderly patients, but attention should be paid to the increased occurrence of diarrhea. More study is needed.","PeriodicalId":23741,"journal":{"name":"Wound management & prevention","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Safety and Effectiveness of Moxibustion and Abdominal Massage in Hospitalized Older Patients With Constipation: A Retrospective Study.\",\"authors\":\"Kexin Li\",\"doi\":\"10.25270/wmp.2022.8.1624\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\nEvidence about moxibustion and abdominal massage for treating constipation in older hospitalized patients is limited.\\n\\n\\nPURPOSE\\nTo investigate the safety and effectiveness of moxibustion and abdominal massage in hospitalized older patients with constipation.\\n\\n\\nMETHODS\\nHospitalized older patients (age ≥60 years) with constipation were retrospectively categorized as 2 cohorts according to whether the patients received moxibustion and abdominal massage in addition to routine nursing care. Gastrointestinal symptoms, Constipation Assessment Scale (CAS) scores, and Geriatric Depression Scale (GDS) scores were compared before and after treatment between cohorts.\\n\\n\\nRESULTS\\nThe 2 cohorts (n = 100 for each) had similar baseline characteristics and gastrointestinal symptoms; the control cohort and the additional intervention cohort also had similar CAS scores (7.14 ± 3.67 vs 7.48 ± 2.96, respectively), and GDS scores (>17: 31% vs 29%, respectively). Improvement in the 2 scores from baseline was observed after 2 weeks in both the control cohort and the additional intervention cohort (CAS, 5.37 ± 5.34 and 3.80 ± 4.47, respectively; GDS, >17: 28% and 15%, respectively). The cohort with additional interventions had a lower ineffective rate (defined as persistent symptoms or absence of decrease in CAS, 49% vs 32%; P = .028) but had more diarrhea (9% vs 21%; P = .017).\\n\\n\\nCONCLUSION\\nMoxibustion and abdominal massage may help relieve constipation in hospitalized elderly patients, but attention should be paid to the increased occurrence of diarrhea. More study is needed.\",\"PeriodicalId\":23741,\"journal\":{\"name\":\"Wound management & prevention\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wound management & prevention\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.25270/wmp.2022.8.1624\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wound management & prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.25270/wmp.2022.8.1624","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:艾灸加腹部按摩治疗老年住院患者便秘的证据有限。目的探讨艾灸加腹部按摩治疗住院老年便秘患者的安全性和有效性。方法根据住院的老年便秘患者在常规护理的基础上是否接受艾灸和腹部按摩,回顾性分为2组。比较各组治疗前后胃肠道症状、便秘评估量表(CAS)评分和老年抑郁量表(GDS)评分。结果两组患者(各100例)的基线特征和胃肠道症状相似;对照组和额外干预组的CAS评分(分别为7.14±3.67 vs 7.48±2.96)和GDS评分(分别为bbb17: 31% vs 29%)相似。2周后,对照组和额外干预组的2项评分均较基线有所改善(CAS分别为5.37±5.34和3.80±4.47);GDS, bbb17:分别为28%和15%)。有额外干预的队列无效率(定义为持续症状或没有减少CAS)较低,分别为49%和32%;P = 0.028),但腹泻较多(9% vs 21%;P = .017)。结论艾灸加腹部按摩对老年住院患者便秘有一定的缓解作用,但应注意腹泻的发生率增高。需要更多的研究。
Safety and Effectiveness of Moxibustion and Abdominal Massage in Hospitalized Older Patients With Constipation: A Retrospective Study.
BACKGROUND
Evidence about moxibustion and abdominal massage for treating constipation in older hospitalized patients is limited.
PURPOSE
To investigate the safety and effectiveness of moxibustion and abdominal massage in hospitalized older patients with constipation.
METHODS
Hospitalized older patients (age ≥60 years) with constipation were retrospectively categorized as 2 cohorts according to whether the patients received moxibustion and abdominal massage in addition to routine nursing care. Gastrointestinal symptoms, Constipation Assessment Scale (CAS) scores, and Geriatric Depression Scale (GDS) scores were compared before and after treatment between cohorts.
RESULTS
The 2 cohorts (n = 100 for each) had similar baseline characteristics and gastrointestinal symptoms; the control cohort and the additional intervention cohort also had similar CAS scores (7.14 ± 3.67 vs 7.48 ± 2.96, respectively), and GDS scores (>17: 31% vs 29%, respectively). Improvement in the 2 scores from baseline was observed after 2 weeks in both the control cohort and the additional intervention cohort (CAS, 5.37 ± 5.34 and 3.80 ± 4.47, respectively; GDS, >17: 28% and 15%, respectively). The cohort with additional interventions had a lower ineffective rate (defined as persistent symptoms or absence of decrease in CAS, 49% vs 32%; P = .028) but had more diarrhea (9% vs 21%; P = .017).
CONCLUSION
Moxibustion and abdominal massage may help relieve constipation in hospitalized elderly patients, but attention should be paid to the increased occurrence of diarrhea. More study is needed.