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題名：便秘中醫護理指導對於改善大學生便秘症狀及生活品質之成效
書刊名：護理暨健康照護研究
作者：林麗味／葉淑惠 引用關係／譚蓉瑩 引用關係／傅元聰／黃國城
作者(外文)：Lin, Li-wei／Yeh, Shu-hui／Tan, Jung-ying／Fu, Yuan-tsung／Huang, Kuo-cheng
出版日期：2013
卷期：9:4
頁次：頁320-330
主題關鍵詞：中醫護理指導；大學生；便秘；Traditional Chinese medicine nursing instructions；TCM nursing instructions；College students；Constipation
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:3
  • 點閱點閱:26
背景：健康指導是中醫護理獨立業務範圍之一，研究發現，便秘中醫護理指導可改善老人便秘症狀及排便次數，然而以便秘中醫護理指導來改善大學生便秘問題之實證研究有限。 目的：探討便秘中醫護理指導對於改善大學生便秘症狀及生活品質之成效。 方法：採類實驗雙組前後測設計，以立意取樣有便秘症狀之大學生共55位(實驗組24位，控制組31位)。實驗組首先由教學醫院中醫師進行便秘中醫四診評估及辨證，再由中醫護理教師提供四小時之便秘中醫護理指導；控制組則給予便秘衛教單張，介入前、介入第二週及第六週以結構性問卷進行資料的收集。以廣義估計方程式(generalized estimating equation, GEE)分析便秘中醫護理指導對改善便秘之成效，經控制「前測效應」、「控制組之成長效應」及年齡、身體質量指數(body mass index)後，以比較組別與前後測之交互作用。 結果：經GEE之迴歸模式檢定，發現實驗組與控制組間於第二週與第六週介入效果分別為排便間隔時間(第二週 = -1.42, p < .001；第六週 = -1.27, p < .001)、便秘症狀(第二週 = -8.10, p < .001；第六週 = -7.09, < .001)、便秘生活品質(第二週 = -19.69, p < .001；第六週 = -20.58, p < .001)及自覺便秘嚴重度(第二週 = -1.35, p < .001；第六週 = -1.31, p < .05)。表示便秘中醫護理指導較衛教單張能有效改善便秘之困擾。 結論：便秘中醫護理指導可提供照護指引及居家自我保健之參考。
Background: Providing nursing instructions is an independent function of Chinese medicine nursing. Chinese medicine nursing instructions related to constipation have been shown to effectively relieve constipation symptoms and improve bowel movement intervals in the elderly. Little research has addressed the effectiveness of traditional Chinese medicine in managing constipation symptoms in college students. Purpose: This quasi-experimental study examines the effectiveness of traditional-Chinese-medicine (TCM) nursing instructions in managing constipation symptoms and improving quality of life in college students. Methods: A quasi-experimental research design was used. Participants comprised a purposive sampling of 55 college students (experimental group: 24 students; control group: 31 students). Experimental-group participants received 4 hours of TCM nursing instructions within 2 weeks of being examined by a Chinese medical doctor, who used four Chinese medicine examination (inspection, listening/smelling, inquiry, and palpation) and pattern identification techniques. Control-group participants received usual care comprising a health-education pamphlet on constipation management. All participants completed a structured questionnaire prior to receiving their intervention. The second and third data collections were conducted during week 2 and 6. Generalized estimating equations (GEE) analysis examined the effects of TCM nursing instructions on constipation management. Pretest effect, growth effect, age, and body mass index (BMI) were all controlled to compare interactions between the two groups and pre-test/post-test differences. Results: GEE analysis showed that both groups had improved significantly at 2- and 6-weeks post-test. Intervention effects were: bowel movement interval (week two = -1.42, p < .001; week six = -1.27, p < .001), constipation symptoms (week two = -8.10, p < .001; week six = -7.09, p < .001), quality of life (week two = -19.69, p < .001; week six = -20.58, p < .001), and self-reported constipation severity (week two = -1.35, p < .001; week six = -1.31, p < .05). Results found improvements in constipation symptoms in the intervention group to be significantly higher than in the control group. Conclusions: Study results support that Chinese medicine nursing instructions are effective in relieving constipation symptoms and may be more effective than current standard pamphlet recommendations.
期刊論文
1.朱芬芬、林征、林琳、張紅杰、王美峰(2008)。護理干預對功能性便秘患者臨床症狀及生活品質的影響。中華護理雜誌，43(5)，424-426。  延伸查詢new window
2.李霞(2005)。健康指導在治療老年習慣性便秘中的應用。山西醫藥雜誌，34(11)，1009-1010。  延伸查詢new window
3.林儀貞、顏妙芬、陳清惠(20100800)。以實證護理探討老人便秘之處置。護理雜誌，57(4)，95-99。new window  延伸查詢new window
4.范利國(2006)。某高校女大學生便秘與及健康現狀調查。中國學校衛生，27(7)，635。  延伸查詢new window
5.翁菁鄉、劉吉豐、曹麗英(20070600)。從傳統中醫學的觀點談便秘的中醫照護。長庚護理，18(2)=58，196-202。new window  延伸查詢new window
6.張淑紅、蕭雅竹、江鳳葦、蔡慈儀(20020900)。某護專學生生活習慣與便秘問題相關因素之探討。長庚科技學刊，1，61-74。  延伸查詢new window
7.張琳、張利、閻雅更、董鳳麗、孫文廣、郭曉微、何梅(2009)。便秘患者飲食干預的療效觀察。中華疾病控制雜誌，13(5)，600-601。  延伸查詢new window
8.陳怡如(2001)。便秘在中醫上之辨證與治療。藥學雜誌，17(3)，71-74。  延伸查詢new window
9.陳書孌、張霞(2007)。健康教育用于老年慢性傳輸型便秘患者的效果評價。社區醫學雜誌，5(13)，58。  延伸查詢new window
10.馮玉榮、范利國(2007)。大學女生便秘相關因素分析。中國學校衛生，28(3)，287-288。  延伸查詢new window
11.靳彥、姜明杰(2002)。健康指導在治療老年習慣性便秘中的應用。護理研究，16(1)，30-31。  延伸查詢new window
12.魏柏、余保平(2006)。大學便秘情況的流行病學調查及危險因素分析。胃腸病學和肝病學雜誌，15(2)，167-169。  延伸查詢new window
13.Chung, M、Choi, E.(2011)。A comparison between effects of aroma massage and meridian massage on constipation and stress in women college students.。Journal of Korean Academy of Nursing，41(1)，26-35。  new window
14.Dong, Y. Y、Chen, F. X.、Yu, Y. B、Du, C.、Qi, Q. Q.、Liu, H.、Li, Y. Q(2013)。A school-based study with Rome III criteria on the prevalence of functional gastrointestinal disorders in Chinese college and university students。PLoS ONE，8(1)，54183。  new window
15.Frank, L.、Flynn, J、Rthman,M.(2001)。Use of a self-report constipation questionnaire with older adults in long term care。The Gerontologist，41(6)，778-786。  new window
16.Lin, L. W.、Fu, Y. T.、Dunning, T、Zhang, A. L.、Ho, T. H、Duke, M(2009)。Efficacy of traditional Chinese medicine for the management of constipation: A systematic review。Journal of Alternative and Complementary Medicine，15(12)，1335-1346。  new window
17.Johanson, J. F、Kralstein, J.(2007)。Chronic constipation: A survey of the patient perspective.。Alimentary Pharmacology and Therapeutics，25(5)，599-608。  new window
18.Longstreth, G. F.、Thompson, W. G.、Chey, W. D.、Houghton, L. A.、Mearin, F.、Spiller, R. C.(2006)。Functional bowel disorders。Gasteroenterology，130(5)，1480-1491。  new window
19.Marquis, P.、De La Loge, C.、Dominique, D、Mcdermott, A、Chassany, O.(2005)。Development and validation of the patient assessment of constipation quality of life questionnaire。Scandinavian Journal of Gastroenterology，40(5)，540-551。  new window
20.Murakami, K.、Sasaki, S.、Okubo, H.、Takahashi, Y.、Hosoi, Y.、Itabashi, M.(2007)。Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women。European Journal of Clinical Nutrition，61，616-622。  new window
21.Oliveira, J. N、Tahan, S.、Goshima, S.、Fagundes-Neto, U.、Morais, M. B.(2006)。Prevalence of constipation in adolescents enrolled in Sao Jose dos Campos, SP, Brazil,school’s and in their parents。Arquivos De Gastroenterolo，43(1)，50-54.。  new window
22.Ostaszkiewicz, J、Hornby, L、Millar, L、Ockerby, C(2010)。effects of conservative treatment for constipation on symptom severity and quality of life in community-dwelling adults。Journal of Wound, Ostomy, and Continence Nursing，37(2)，193-198。  new window
23.Peate, I.(2005)。An overview of constipation management for community nurses。British Journal of Community Nursing，10(2)，65-71。  new window
24.Ramkumar, D.、Rao, S. S.(2005)。Efficacy and safety of traditional medical therapies for chronic constipation: Systematic review。American Journal of Gastroenterology，100，936-971.。  new window
25.Wang, C. P.、Tsai, P. Y(2012)。Efficacy of spinal magnetic stimulation in elderly persons with chronic constipation。Journal of the Chinese Medical Association，75，127-131。  new window
26.Woodward, S、Norton, C、Barriball, K. L.(2010)。A pilot study of the effectiveness of reflexology in treating idiopathic constipation in women。Complementary Therapies in Clinical Practice，16(1)，41-46。  new window
27.van Wunnik, B. P、Peeters, B.、Govaert, B、Nieman, F. H.、Benninga, M. A、Baeten, C. G.(2012)。Sacral neuromodulation therapy: A promising treatment for adolescents with refractory functional constipation。Disease of the Colon and Rectum，55(3)，278。  new window
28.Zaslavsky, C.、De Barros, S. G、Gruber, A. C.、Maciel, A. C、Da Silveira, T. R.(2004)。Chronic Functional Constipation in Adolescents: Clinical Findings and Motility Studies。Journal of Adolescent Health，34(6)，517-522。  new window
學位論文
1.Lin, L. W.(2010)。Managing constipation in older people: The effects of education and acupressure(-)。Deakin University，Melbourne, Australia。  new window
圖書
1.Heaton, K. W、Thompson, W. G(1999)。Diagnosis。Irritable bowel syndrome。Oxford,England：Health press。  new window
2.Waltz, C. F.、Strickland, O.、Lenz, E. R.(1991)。Measurement in nursing。Philadelphia, PA：A. Davis。  new window
 
 
 
 
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