Analysis of the application effect of behavior change nursing intervention in patients with neurogenic intestinal dysfunction caused by spinal cord injury
分析行为改变护理干预在脊髓损伤神经源性肠道功能障碍患者中的应用效果

摘要

目的 探讨行为改变护理干预在脊髓损伤（SCI）神经源性肠道功能障碍（NBD）患者中的应用效果。方法 选取2023年1月至2025年1月我院收治的74例SCI合并NBD患者，随机分为对照组和观察组各37例。对照组接受常规护理，观察组在常规护理基础上实施基于健康信念模型的行为改变护理，共干预8周。比较两组干预前后排便频率、排便时间、失禁频率、便秘腹胀发生率及SF-36生活质量得分。结果 观察组干预后排便频率显著增加，排便时间和失禁频率显著降低（P<0.05），便秘和腹胀发生率显著低于对照组（P<0.05），生活质量各维度得分显著高于对照组（P<0.05）。结论 行为改变护理能有效改善SCI患者NBD症状，降低便秘腹胀发生率，提升生活质量，具有临床推广价值。

Abstract

Objective To explore the application effect of behavior change nursing intervention in patients with neurogenic gastrointestinal dysfunction (NBD) caused by spinal cord injury (SCI).
Methods 74 patients with SCI combined with NBD admitted to our hospital from January 2023 to January 2025 were randomly divided into a control group and an observation group, with 37 patients in each group. The control group received routine care, while the observation group received behavior change care based on the health belief model on the basis of routine care, for a total of 8 weeks of intervention. Compare the frequency of defecation, defecation time, incontinence frequency, incidence of constipation and bloating, and SF-36 quality of life scores between two groups before and after intervention.
Results After intervention, the observation group showed a significant increase in defecation frequency, a significant decrease in defecation time and incontinence frequency (P<0.05), a significantly lower incidence of constipation and abdominal distension compared to the control group (P<0.05), and significantly higher scores in various dimensions of quality of life compared to the control group (P<0.05).
Conclusion   Behavioral change nursing can effectively improve NBD symptoms in SCI patients, reduce the incidence of constipation and bloating, improve quality of life, and has clinical promotion value.