The Effects of Hot Moist Compresses Applied to the Lumber Region on Daily Living Behaviors and Comfort

腰部热湿敷对日常生活行为和舒适度的影响

• 批准号: 16390631
• 负责人: HISHINUMA Michiko
• 金额: $ 6.53万
• 依托单位: St Luke's College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16390631/
• 关键词: Nursing; hot compresses; constipation; clinical intervention trial; 腰部; 湿熱; 健常女性; 実験研究; 下痢; 整腸作用; 自律神経活動; 腰背部熱布罨法; 体位; 自律神経; 事例研究; 皮膚温

The purpose of this study was to clarify if hot moist compresses applied to the lumber region would be a useful nursing skill to provide comfort and ease suffering from constipation disorder.1. Seven patients incapacitated by stroke were subjects. One month was the control period and the next month was the experimental period. During the experimental period, a hot moist compresses at 60℃ were applied for 10 minutes every day, 4 patients had natural bowel movements without enemas.2: Fifty-nine women with constipation were subjects. One month was the control period and the next month was the experimental period. During the experimental period, hot moist compress at 40℃ were applied for 5 hours for thirty subjects, and those at 60℃ were applied for 10 minutes every day for twenty-nine subjects. The data showed that the frequency of defecation increased significantly and the consciousness of constipation decreased during the experimental period. The number of laxatives decreased significantly for the group with hot moist compress at 60℃.3: In a clinical setting, we checked the temperature of the skin and the towels with the eleven patients. Hot towels within plastic bags were applied to their lumber region. The temperature of the towels started at 49.8℃. The temperature of the skin rose 3.1℃ when 20 minutes passed, after 90 minutes it was 1.8℃ higher compare to the beginning.These findings suggest that hot compresses either at 40℃ for an extended time or at 60℃ for 10 minutes when applied to the lumbar region is a useful nursing skill that promotes bowel movements. Further understanding of the temperature and the time period is required so that hot compresses might be promoted as nursing skill to ease constipation disorder in the clinical setting.

本研究的目的是阐明对腰部进行热湿敷是否是一种有用的护理技巧，可以为患有便秘的患者提供舒适和缓解。1. 七名因中风而丧失能力的患者为受试者，一个月为对照期。次月为实验期，实验期间每天60℃热湿敷10分钟，4例患者自然排便，无需灌肠。2：59名女性。一个月为对照期，次月为实验期，实验期间对三十名受试者进行40℃热湿敷5小时，60℃热湿敷每次10分钟。 29名受试者实验期间排便次数明显增加，便秘意识下降，60℃热湿敷组泻药次数明显减少。3：在临床环境中，我们对11名患者进行了皮肤和毛巾的温度测量，将塑料袋中的热毛巾敷在他们的腰部，毛巾的温度开始为49.8℃，皮肤温度上升了3.1℃。 20分钟后，90分钟后比开始时高1.8℃。这些结果表明，在40℃下长时间热敷或在60℃下热敷10分钟。腰部区域是一种有用的护理技能，可以促进排便，需要进一步了解温度和时间段，以便在临床环境中推广热敷作为缓解便秘疾病的护理技能。