耳穴刺激对高校女大学生功能性便秘的效果

陈京; 李飞; 韩文意; 琚新梅

doi:10.16835/j.cnki.1000-9817.2021.04.020

耳穴刺激对高校女大学生功能性便秘的效果

doi: 10.16835/j.cnki.1000-9817.2021.04.020

陈京¹,
李飞²,
韩文意¹,
琚新梅^1, ,

1.
海南医学院国际护理学院，海口 570100
2.
海南医学院第二附属医院

基金项目:

海南省研究生创新课题项目 Hys2018-288

海南省教育厅课题项目 Hnjg2017-43

海南医学院专项课题项目 HYZX201601

详细信息

作者简介:
陈京(1993-)，女，四川广安人，在读硕士，护师，主要研究方向为中医外科护理

通讯作者:
琚新梅，E-mail：1152322272@qq.com

中图分类号: R179R725.7R246.1
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- 被引次数: 0
出版历程
- 收稿日期: 2020-09-28
- 修回日期: 2020-11-09
- 网络出版日期: 2021-04-16
- 刊出日期: 2021-04-25

Effects of auricular stimulation on functional constipation among female college students

CHEN Jing¹,
LI Fei²,
HAN Wenyi¹,
JU Xinmei^{1
, ,}

1.
School of International Nursing, Hainan Medical College, Haikou (570100), China

摘要

摘要: 目的探讨中医耳穴刺激对高校学生便秘的干预效果，为改善大学生便秘提供参考。方法 2019年9月15—30日，采用便秘评估量表(CAS)对海南医学院国际护理学院在校的603名女大学生进行调查，根据纳入及排除标准，确定90例存在功能性便秘的学生为研究对象，采用随机数字表法将其分为对照组(45例)和观察组(45例)。对照组给予饮食干预、运动干预、情绪管理干预、排便习惯指导等微信健康教育和行为指导相关内容，观察组在对照组措施的基础上增加耳穴刺激干预。干预前及干预2周后使用便秘Wexner评分、便秘者生活质量评分量表作为评价指标，评价耳穴刺激对便秘学生的影响。结果两组学生干预前Wexner便秘评分比较，差异无统计学意义(P值均＞0.05)；干预后，观察组Wexner便秘各项评分均低于对照组，差异均有统计学意义(t值分别为8.38，8.95，11.96，9.08，6.45，13.18，11.93，6.19，P值均 < 0.05)。干预前，两组学生便秘者生活质量评分差异无统计学意义(P值均＞0.05)；干预后，对照组生活质量各维度及总分较前降低，差异均有统计学意义(t值为5.29，6.64，10.28，7.81，9.60，P值均 < 0.01)，观察组生活质量各项评分较干预前降低(t值为7.98，11.81，11.44，6.93，8.81)，差异均有统计学意义(P值均 < 0.01)，观察组各维度分值及总分比较均明显低于对照组，差异均有统计学意义(P值均 < 0.05)。结论中医耳穴刺激能够明显改善高校学生的便秘Wexner评分，提高生活质量。
- 穴位按压 /
- 耳 /
- 便秘 /
- 干预性研究 /
- 学生 /
- 女(雌)性
Abstract: Objective To explore the effects of auricular point stimulation on constipation among college students and to provide a reference for improving constipation among college students. Methods Between September 15 and September 30, 2019, the International Nursing College of Hainan Medical College Nursing School Survey, which included the constipation assessment scale (CAS), was conducted among 603 female college students. There were 90 cases of functional constipation, which were divided into a control group and an observation group of 45 cases each using the random number table method. The control group was given health education and behavioral guidance, such as a diet intervention, an exercise intervention, an emotional management intervention, and guidance on defecation habits, etc, via WeChat. The observation group received auricular stimulation intervention in addition to the control group measures. Before and two weeks after the intervention, the Wexner constipation and the Patient Assessment of Constipation Quality of Life (PAC-QOL) scales were used to assess the effect of auricular stimulation on students with constipation. Results Before intervention, there was no significant difference in the Wexner constipation scores between the two groups (P>0.05). After the intervention, the Wexner constipation scores in the observation group were lower than those in the control group, and the differences were statistically significant (t=8.38, 8.95, 11.96, 9.08, 6.45, 13.18, 11.93, 6.19, P < 0.05). Before intervention, there was no statistically significant difference in PAC-QOL score between the two groups (P>0.05). After intervention, the difference in the control group's PAC-QOL scores on all dimensions and total dimension score lower earlier, was statistically significant (t=5.29, 6.64, 10.28, 7.81, 9.60, P < 0.01). The observation group's PAC-QOL scores after the intervention were lower compared to before the intervention (t=7.98, 11.81, 11.44, 6.93, 8.81, P < 0.01), and the difference was statistically significant. All individual and total dimension scores of the observation group and the control group were significantly lower than those of the control group, and the difference was statistically significant(P < 0.05). Conclusion Auricular stimulation of TCM can significantly improve the constipation score of college students and improve their quality of life.
- Acupressure /
- Ear /
- Constipation /
- Intervention studies /
- Students /
- Female

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表 1 两组女大学生干预前后便秘Wexner评分比较(x±s)

Table 1. Comparison of scores of constipated Wexner between the two groups before and after intervention (x±s)

组别	时间	统计值	排便频率	困难程度	所需时间	不完全感	腹痛	辅助工具	失败次数	病史	总分
对照组	干预前		2.38±0.44	2.23±0.52	2.23±0.43	2.02±0.43	1.33±0.51	1.25±0.20	2.03±0.36	2.18±0.42	15.65±4.28
(n=45)	干预后		2.02±0.32	1.94±0.39	2.01±0.33	1.83±0.41	1.05±0.34	0.85±0.12	1.53±0.36	2.18±0.42	10.18±2.76
		t值	4.44	2.99	2.72	2.15	3.06	11.50	6.59	-	2.42
		P值	0.00	0.00	0.00	0.04	0.00	0.00	0.00	-	0.00
观察组	干预前		2.41±0.52	2.29±0.53	2.28±0.45	2.09±0.41	1.35±0.49	1.33±0.18	2.05±0.43	2.21±0.48	16.02±4.38
(n=45)	干预后		1.34±0.44^*	1.25±0.34^*	1.11±0.38^*	1.15±0.29^*	0.65±0.24^*	0.53±0.11^*	0.75±0.25^*	2.21±0.48	6.83±2.36^*
		t值	10.54	11.08	13.33	12.56	8.61	22.27	17.53	-	3.15
		P值	0.00	0.00	0.00	0.00	0.00	0.00	0.00	-	0.00
注：与对照组干预后比较，*P < 0.05。

下载: 导出CSV

表 2 两组女大学生干预前后生活质量评分比较(x±s)

Table 2. Comparison of constipated quality of life between the two groups before and after intervention (x±s)

组别	时间	统计值	躯体不适	心理社会不适	焦虑恐惧	满意度	总分
对照组	干预前		10.53±3.56	21.65±6.53	31.04±9.08	14.26±3.65	77.47±7.60
(n=45)	干预后		7.68±0.63	14.63±2.76	16.04±3.65	9.83±1.08	48.17±2.56
		t值	5.29	6.64	10.28	7.81	9.60
		P值	0.00	0.00	0.00	0.00	0.00
观察组	干预前		10.15±3.38	21.48±6.29	29.84±7.86	13.09±4.13	74.55±7.22
(n=45)	干预后		6.08±0.53^*	10.05±1.60^*	15.36±3.21^*	8.53±1.56^*	40.01±2.33^*
		t值	7.98	11.81	11.44	6.93	8.81
		P值	0.00	0.00	0.00	0.00	0.00
注：与对照组干预后比较，*P < 0.05。

下载: 导出CSV

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