Shen Dan, Lu Kaiping, Wu Hao, Xie Chenying, Wang Yufen, Chen Lei, Wang Xuelin, Wang Haiyun
Department of Vascular Surgery, General Surgery, Cancer Center, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang Province, China.
Medicine (Baltimore). 2025 Aug 8;104(32):e43822. doi: 10.1097/MD.0000000000043822.
Preoperative constipation in patients with Stanford type B aortic dissection (TBAD) poses significant risks by increasing abdominal pressure, potentially complicating aortic stability. Traditional constipation management may be limited by both physiological and psychological factors. This study evaluates the efficacy of auricular acupressure combined with virtual reality (VR) technology in preventing preoperative constipation in TBAD patients, exploring its impact on both constipation severity and nursing satisfaction. This retrospective study included 116 patients with TBAD who received preoperative care at our hospital from January 2022 to December 2023. Participants were divided into 2 groups: a control group (n = 60) receiving standard care and an observation group (n = 56) receiving auricular acupressure combined with VR in addition to standard care. Data on constipation severity were collected pre- and posttreatment using the Wexner Constipation Score and Bristol Stool Form Scale, while nursing satisfaction was evaluated through a custom questionnaire. Statistical analyses were performed using SPSS Version 27.0 (Chicago). Pretreatment constipation scores showed no significant differences between groups. Posttreatment, however, the observation group demonstrated significantly improved scores for both the Wexner Constipation Score (from 12.94 ± 3.28 to 4.14 ± 1.23, P < .001) and the Bristol Stool Scale (from 1.50 ± 0.46 to 4.41 ± 1.39, P < .001) compared to the control group. Nursing satisfaction rates were also higher in the observation group, with an overall satisfaction rate of 94.6%, significantly surpassing the 78.3% in the control group (P = .010). Auricular acupressure combined with VR technology effectively reduces preoperative constipation severity and enhances nursing satisfaction in TBAD patients. This integrative, non-pharmacologic approach addresses both physiological and psychological factors, suggesting a valuable addition to conventional preoperative care protocols in this high-risk population.
斯坦福B型主动脉夹层（TBAD）患者术前便秘会因腹压升高带来重大风险，可能使主动脉稳定性复杂化。传统的便秘管理可能受到生理和心理因素的限制。本研究评估耳穴按压联合虚拟现实（VR）技术在预防TBAD患者术前便秘方面的疗效，探讨其对便秘严重程度和护理满意度的影响。这项回顾性研究纳入了2022年1月至2023年12月在我院接受术前护理的116例TBAD患者。参与者分为两组：对照组（n = 60）接受标准护理，观察组（n = 56）除标准护理外还接受耳穴按压联合VR。使用韦克斯纳便秘评分和布里斯托大便形状量表在治疗前后收集便秘严重程度数据，同时通过定制问卷评估护理满意度。使用SPSS 27.0版（芝加哥）进行统计分析。治疗前便秘评分在两组之间无显著差异。然而，治疗后，观察组的韦克斯纳便秘评分（从12.94±3.28降至4.14±1.23，P <.001）和布里斯托大便量表评分（从1.50±0.46升至4.41±1.39，P <.001）与对照组相比均有显著改善。观察组的护理满意度也更高，总体满意率为94.6%，显著超过对照组的78.3%（P = 0.010）。耳穴按压联合VR技术可有效降低TBAD患者术前便秘严重程度并提高护理满意度。这种综合的非药物方法兼顾了生理和心理因素，表明在这一高危人群的传统术前护理方案中是一项有价值的补充。
