運用非藥物措施處理慢性便秘之護理經驗

The Nursing Experience of Chronic Constipation Management with Non-pharmacological Interventions

本文主旨為分享運用非藥物護理措施，於一位進行性肌肉骨化症病人，緩解已持續五年之慢性便秘的護理經驗。筆者護理期間為2009年10月12日至2009年12月6日，經深入的護理評估，藉由持續性高纖維飲食的提供與腹部按摩，解決個案慢性便秘的問題，協助重建排便型態。經過約2個月的照護介入，進而改善個案腹脹不適及因腹脹引起之呼吸困難與減少嗎啡的用量，並同時提升個案生活品質。筆者期望透過本篇護理經驗，提供臨床使用非藥物護理措施作為緩解病人慢性便秘問題之參考。

The purpose of this case report is to share a nursing experience of using a non- pharmacological approach in resolving a chronic constipation problem for a progressive fibrodyspiasia ossificans patient. The author had cared for this patient from October 12, 2009 to December 6, 2009. The patient’s chronic constipation problem was improved by using a continuous high fiber diet and abdominal massage. The bowel function is restored. The patient’s feeling of abdominal fullness and the associated dyspnea were subsided. In addition, the consumption of morphine was reduced. The patient’s quality of life was improved. This case report can be used as a reference for clinical professionals to plan a non-pharmacological nursing care for the chronic constipation condition.