Objective To explore the effects of auricular point stimulation on constipation among college students and to provide a reference for improving constipation among college students.
Methods Between September 15 and September 30, 2019, the International Nursing College of Hainan Medical College Nursing School Survey, which included the constipation assessment scale (CAS), was conducted among 603 female college students. There were 90 cases of functional constipation, which were divided into a control group and an observation group of 45 cases each using the random number table method. The control group was given health education and behavioral guidance, such as a diet intervention, an exercise intervention, an emotional management intervention, and guidance on defecation habits, etc, via WeChat. The observation group received auricular stimulation intervention in addition to the control group measures. Before and two weeks after the intervention, the Wexner constipation and the Patient Assessment of Constipation Quality of Life (PAC-QOL) scales were used to assess the effect of auricular stimulation on students with constipation.
Results Before intervention, there was no significant difference in the Wexner constipation scores between the two groups ( P>0.05). After the intervention, the Wexner constipation scores in the observation group were lower than those in the control group, and the differences were statistically significant ( t = 8.38, 8.95, 11.96, 9.08, 6.45, 13.18, 11.93, 6.19, P<0.05). Before intervention, there was no statistically significant difference in PAC-QOL score between the two groups ( P>0.05). After intervention, the difference in the control group’s PAC-QOL scores on all dimensions and total dimension score lower earlier, was statistically significant ( t = 5.29, 6.64, 10.28, 7.81, 9.60, P<0.01). The observation group’s PAC-QOL scores after the intervention were lower compared to before the intervention ( t = 7.98, 11.81, 11.44, 6.93, 8.81, P<0.01), and the difference was statistically significant. All individual and total dimension scores of the observation group and the control group were significantly lower than those of the control group, and the difference was statistically significant ( P<0.05).
Conclusion Auricular stimulation of TCM can significantly improve the constipation score of college students and improve their quality of life.
【摘要】 目的 探讨中医耳穴刺激对髙校学生便秘的干预效果, 为改善大学生便秘提供参考。 方法 2019 年 9 月 15—30 日, 采用便秘评估量表 (CAS) 对海南医学院国际护理学院在校的 603 名女大学生进行调査, 根据纳人及排除标准, 确定 90 例存在功能性便秘的学生为研究对象, 采用随机数字表法将其分为对照组 (45 例) 和观察组 (45 例)。对照组给予饮食干 预、运动干预、情绪管理干预、排便习惯指导等微信健康教育和行为指导相关内容, 观察组在对照组措施的基础上增加耳穴 刺激干预。干预前及干预 2 周后使用便秘 Wexner 评分、便秘者生活质量评分量表作为评价指标, 评价耳穴刺激对便秘学 生的影响。 结果 两组学生干预前 Wexner 便秘评分比较, 差异无统计学意义 ( P 值均>0.05); 干预后, 观察组 Wexner 便秘 各项评分均低于对照组, 差异均有统计学意义 ( t 值分别为 8.38, 8.95, 11.96, 9.08, 6.45, 13.18, 11.93, 6.19, P 值均<0.05)。干预前, 两组学生便秘者生活质量评分差异无统计学意义 ( P 值均>0.05); 干预后, 对照组生活质量各维度及总分较前降 低, 差异均有统计学意义 ( t 值为 5.29, 6.64, 10.28, 7.81, 9.60, P 值均<0.01), 观察组生活质量各项评分较干预前降低 ( t 值 为 7.98, 11.81, 11.44, 6.93, 8.81), 差异均有统计学意义 ( P 值均<0.01), 观察组各维度分值及总分比较均明显低于对照组, 差异均有统计学意义 ( P 值均<0.05)。 结论 中医耳穴刺激能够明显改善髙校学生的便秘 Wexner 评分, 提髙生活质量。