| Object:Exploration discusses the clinical effect of four weeks of intervention on elderly people with functional dyspepsia and functional constipation in nursing homes.Methods:The 36 elderly people who will meet the inclusion criteria are divided into passive and active groups of massage.The passive group of massage which is carried out by the researchers.And the active group of massage which training the elderly to carry out active massage.The two groups total intervene of 28 days.For elderly with functional dyspepsia,evaluation of two groups of TCMSS in front of intervention,3 days after intervention,7 days after intervention,14 days after intervention,28 days after intervention respectively.And the weight of two groups was recorded before and after intervention.And the height of two group was recored before intervention.For elderly with functional constipation,evaluation of two groups of defecate frequency,defecate shape and borborygmus in front of intervention,3 days after intervention,7 days after intervention,14 days after intervention,28 days after intervention respectively.And the BMI of two groups was recorded before and after intervention.The SPSS19.0 statistical software was used for data analysis.The independent sample T test for age,BMI and bowel sound.The rank and mann-whitney U test were used for the degree of culture and daily stools.Using the analysis of variance with repeated measures analyze functional dyspeptic integrals and functional costive integrals.The type of stool shape is described by composition ratio.There difference is statistically sifnificant(P<0.05).Results:1.In the end,the information of 31 elderly people was completed.The passive group of massage has 15 elderly,the age was 80.53±5.67.And the active group of massage has 16,the age was 78.63±4.67.2.For elderly with functional constipation,the abdominal intervention in the two groups after the old man's stomach bloated stomach has a burning gas saturation noisy early after eating full bilge wait for a symptom significantly reduced symptoms integral,compared with before intervention symptoms integral difference was statistically significant(P<0.05),and passive abdominal clinical curative effect is superior to active the abdominal group(P<0.05).There was no statistically significant difference between the weight of both group before and after the intervention(P>0.05).3.The clinical efficacy difference between the two groups of patients with functional constipation was statistically significant(P<0.05),and the clinical efficacy of the passive group of massage was better than that of the active group of massage.There was significant effect on the clinical symptoms of functional constipation(the number of daily defecation and the number of bowel sounds were statistically significant(P<0.05),and the difference in the shape of the defecate was statistically significant(P<0.05).There was no statistically significant difference between the BMI of both group before and after the intervention(P> 0.05).Conclusion:1.The abdomen can alleviate the clinical symptoms of the elderly with functional dyspepsia and functional constipation,increase the number of defecation,and promote the gastrointestinal peristalsis,but it has little effect on the change of the old man's BMI.2.After 7 days of continuous abdominal massag intervention which has clinically effective for elderly people with functional constipation and functional dyspepsia.3.Passive rubbing abdomen and active rubbing abdomen were both useful for functional dyspepsia and functional constipation.And the effect of passive the abdomen is superior to active the abdomen.However it is more consistent with the self-management behavior of the elderly.And it can also respond positively to the measures to promote and advocate the healthy and health-oriented self-management behaviors of the elderly under the healthy China strategy,so as to improve the quality of life of the elderly. |
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