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        便秘研究生毕业论文 影响老年人便秘的饮食因素相关护理

        版权:原创标记本站原创 星级:★★★★★5.0主题:中医便秘范文 级别:完整论文参考文献 范畴:研究生学年论文 论文范文编号:biyelunwendq074786 期刊发表:权威期刊 全文字数:2000字 投稿作者:cnjvzx 审稿编辑:知名学者 阅读次数:26005

        本论文是一篇免费优秀的关于便秘论文范文资料.

        浅谈影响老年人便秘的饮食因素及相关护理【关键词】老年;便秘;饮食;护理

        中医便秘论文 中医便秘

        中国房地产金融风险影响因素相关性

        农业技术推广相关的影响相关因素

        影响我国房地产经济稳定的因素相关

        对影响房价的相关因素

        1005-0019(2015)01-0122-01

        随着社会的老龄化,老年人越来越多,老年人习惯性便秘也日益受到人们的重视[1]。老年人由于活动量少、进食少,致使肠蠕动减慢,而引起大便秘结。同时,由于老年人肠平滑肌、膈肌、腹直肌及提肛肌收缩无力,致使排便困难。粪便在结肠内停留时间过久,经肠道细菌的分解作用,产生大量对人体有害的物质,被肠壁吸收进入血液循环,对人体极为不利,应引起我们足够的认识。我国素有“药食同源”之说。传统的中医学认为食即是药,或者说相当于药,因为它们同源同效。正常的进食,既能补充营养,又不会给人体内环境带来不良影响和干扰,可是如果食物能治病,那么食物即是最好的药物。

        自2009年9至2010年9月50例老年人便秘进行了针对性饮食营养治疗,获得良好效果,现报告如下。

        1.临床资料

        50例老年便秘患者,年龄68-85岁,平均年龄75岁,其中男性31例,女性19例。均给钡剂灌肠或电子结肠镜检查排除结肠、直肠器质性病变。50例均以便秘,排便费力为主诉,50例根据不同类型饮食营养治疗,给予适当的饮食,养成定时排便的生活习惯,适当增加体力活动,均能使便秘显著改善。

        2.结果

        经转变饮食习惯,给予饮食治疗后例患者主诉便秘及排便费力程度明显减轻,14例诉排便已不费力。

        2.1老年功能性便秘的危险因素

        饮食不合理食物过于精细和摄入总量不足是老年功能性便秘的常见危险因素之一。有许多研究显示,膳食纤维可影响结肠传输时间、粪便量和肠蠕动次数。而老化所致的咀嚼功能减退常促使老年人选择一些缺乏膳食纤维的精细食物。再者,水摄入不足也可导致结肠传输缓慢和粪便排出量减少。

        2.2老年人便秘的理由[2]

        (1)肠道蠕动功能减退,排空功能迟缓;

        (2)水分和纤维素摄人过少;

        (3)进食偏少,营养不良;

        (4)活动量减少;

        (5)药物因素:许老多年患者要长期服药治疗,而一些药物如抗高血压药物可引起便秘。

        (6)肠道器质性疾病等。

        不管什么理由,合理饮食都对其具有重要的影响,合理饮食护理干预改善便秘症状。

        3.护理干预[3]

        3.1充足的水分摄入多饮水,

        尤其每天清晨饮1杯温开水或盐开水可有效改善便秘。有研究显示[4],早晨饮用冷水较温开水能更好地刺激胃,结肠反射而达到推动缓解便秘的作用,但需注意因根据对象和季节适当调节水的温度。施永敏等对60例老年慢性功能性便秘患者的研究显示,应注意饮水技巧:患者饮水宜大口多量,晨起空腹饮温开水!300ml~400ml,分2次~3次饮尽,每天饮水2000ml~3000ml

        3.2摄取足够的膳食纤维

        膳食纤维具有亲水性,能使食物残渣膨胀并形成润滑凝胶,达到增加粪便容积,刺激肠蠕动的作用。顾清等对120例老年便秘患者的研究显示,实验组增加膳食纤维的摄取后,其排便次数、排便状况和粪便性状均明显改善,且明显优于对照组(p<0.01)[5]。老年患者多食粗纤维含量丰富的食物是缓解便秘的必要措施。针对老年人咀嚼功能下降的特点,可将富含膳食纤维的蔬菜做成菜末,使之便于老年人食用。不同的食物品种所含膳食纤维的多寡不一。阴文娅等报道[6],干豆类食物的总膳食纤维含量最多,平均为36%,其次是粗粮类和鲜豆类,分别是16%和14%,而细粮、蔬菜类和水果类的总膳食纤维含量较低,小于10%;豆类食物中的可溶性膳食纤维明显高于其他种类食物,干豆类和粗粮类的不可溶性膳食纤维含量较高,鲜豆类、薯类、蔬菜类的可溶性膳食纤维/不溶性膳食纤维明显高于干豆类和谷类食物。因此,老年便秘患者可增加不溶性膳食纤维含量高的干豆及粗粮类食物的摄入。

        功能性便秘

        关于护理的医学论文大专医学护理毕业论文医学护理专业论文医学护理类毕业论文妇产科护理医学论文护理医学毕业论文

        3.3供给B族维生素多食用含B族维生素丰富食物

        影响老年人便秘的饮食因素相关护理硕士学位毕业论文范文相关参考属性
        有关论文范文主题研究: 关于便秘论文范文集 大学生适用: 3000字学院论文
        相关参考文献下载数量: 34 写作解决问题: 毕业论文怎么写
        毕业论文开题报告: 论文提纲、论文总结 职称论文适用: 期刊发表、职称评中级
        所属大学生专业类别: 中医便秘方向 论文题目推荐度: 优质便秘选题

        供给B族维生素多食用含B族维生素丰富食物,可推动消化液分泌,维持和推动肠道蠕动,有利于排便,如粗粮、酵母、豆类及其制品等。

        3.4多食产气食物多食易产气食物

        多食产气食物多食易产气食物,推动肠蠕动加快,有利于排便,如洋葱、萝卜、蒜苗等。

        3.5高脂肪适当增加高脂肪食物

        高脂肪适当增加高脂肪食物,植物油能直接润肠,且分解产物脂肪酸,有刺激蠕动作用,如花生、芝麻、核桃及花生油、芝麻油、豆油等,每天脂肪总量可达lOOg[7]。供给润肠通便食物,如洋粉及其制品、银耳羹等。

        3.6饮食禁忌禁忌烟酒及辛辣食物等

        饮食禁忌禁忌烟酒及辛辣食物,因这些食物对通便不利。

        3.7痉挛性便秘饮食护理无粗纤维低渣饮食[8]

        先食低渣半流质饮食,禁食蔬菜及水果,后改为低渣软食。适当增加脂肪,脂肪润肠,脂肪酸推动肠囊动,有利于排便;但不宜过多,应根据身体状况适可而行。多饮水,保持肠道粪便中水分,以利于通便,如早晨饮蜂蜜水等。进食洋粉制品:洋粉在肠道吸收水分,使粪便软滑,有利于排泄。禁止食用酒、浓茶、咖啡、辣椒、咖喱等刺激性食品。

        3.8梗阻性便秘饮食护理若为器质性病变[9]

        应首先治疗疾病,去除病因,如直肠癌、结肠癌等。若为不完全性梗阻,可考虑给予清流质饮食仅限于提供部分热能,并最低限度制约食物残渣,以胃肠外营养作为供给热能的主要方式。

        3.9合理饮食习惯

        吃饭定时定量,每餐进食不宜过饱。尤其禁忌暴饮暴食,吃饭要细嚼慢咽。饭前先喝几口汤,正像运动员做预备活动一样,可调动整个消化系统活动起来,消化腺开始分泌消化液,消化器官开始蠕动,为进食做好准

        4.小结

        为了使食物易于消化,加工食物应切碎煮烂,避开油炸过腻的食物。通过对老年便秘患者实施的临床护理,有效改善了老年便秘症状。这说明便秘

        2

        参考材料:

        [1]老年人便秘的饮食护理

        [2]老年人便秘的饮食护理

        名家点评

        如何写便秘学位论文?此文是一篇功能性便秘论文范文,为你的毕业论文写作提供有价值的参考,可用于不知道怎么写食物和膳食和饮食论文范文课题研究的大学硕士与本科毕业论文开题报告和文献综述及职称论文的作为参考文献资料下载.

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