Page 89 - 健康與建築Vol.4 No.2

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運用腹部按摩改善長期臥床老人便秘問題之實證研究 80 究
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Evidence-Based Abdominal Massage for Long-Term Bed Ridden

Elderly With Chronic Constipation

Yang, Hui-Shan1 Lu, Yun-Ping2* Wang, Shu-Min3 Hsu, Nan-Ly4

1RN, Nurse, Department of Nursing,Yee Zen General Hospital

2RN, Head Nurse, Department of Nursing,Yee Zen General Hospital

3MSN, RN, Director, Department of Nursing,Yee Zen General Hospital
4Professor,Yuan-pei University of Medical Technology

Abstract

Background: Constipation is the most common gastrointestinal complaint reported in elderly living in

long-term care facilities. Up to 90% of elderly chronic ward residents have the phenomenon of constipation
and usually glycerol-ball enema are made use of treating it. Researchers try to use evidence-based of ab-

dominal massage to manage clinical constipation problem for older patients.

Purposes: The project aims to reduce the incidence rate of constipation.

Methods: Researches performed abdominal scribing massage skill education training to nurses and care

attendants. The patients included age > 65 years, bed ridden for over 6 months and daily life needs others to
help were selected. A total of 30 persons were recruited in this study and were randomized into intervention

group, 15 patients (receiving 15 minutes of abdominal scribing massage a day, 5 days per week)and control

group,15 patients (receiving glycerol ball enema once a week), executed for 6 weeks.

Results: (1)The incidence of constipation was reduced to 68.5% in elderly long-term bed ridden patients. (2)

Nurses and care providers’ non-drug treatment constipation care on cognitive scores of integrity of all items
are greater than 95.0%

Conclusions: This study can be implemented to the general ward and community home, in order to achieve
the continuity of care and elevate quality of care.

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Keywords: abdominal massage, constipation.
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Accepted for publication: January 19, 2017
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Corresponding author: Lu ,Yun-Ping
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Address: No.30,Ln.321,Yangxin N.Rd.,Yangmei Dist.,Taoyuan City 32645,Taiwan(R.O.C) tur
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Tel: 03-4855566 ext 3200
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E-mail: n9177@yeezen.com.tw
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