摘要
目的分析鼻窦冲洗护理用于功能性鼻内镜下鼻窦手术患者的效果。方法选择2020年6月至2022年6月在郑州大学第一附属医院开展功能性鼻内镜下鼻窦手术的94例患者进行研究,按随机数字表法分至对照组(依据常规开展鼻科手术护理)和观察组(于对照组基础上开展鼻窦冲洗护理)各47例,比较两组护理前后嗅觉功能、鼻部阻塞症状疾病特异性量表(NOSE)及鼻腔鼻窦结局-22测量量表(SNOT-22)得分、术后并发症情况及对护理工作的满意度。结果护理前,两组嗅觉功能及NOSE得分比较,差异无统计学意义(P>0.05);护理后,两组嗅觉功能及NOSE得分均较前降低,差异有统计学意义(P<0.05),且观察组嗅觉功能及NOSE得分均低于对照组,差异有统计学意义(P<0.05)。护理前,两组睡眠功能症状、心理情感结果、生理问题方面的SNOT-22得分比较,差异无统计学意义(P>0.05);护理后,两组各项SNOT-22得分均较前降低,差异有统计学意义(P<0.05),且观察组各项SNOT-22得分均低于对照组,差异有统计学意义(P<0.05)。观察组鼻黏膜粘连、囊泡、积脓和息肉样水肿等术后并发症发生比例(4.26%)低于对照组(17.02%),差异有统计学意义(P<0.05)。观察组对护理工资的满意度(93.62%)高于对照组(78.72%),差异有统计学意义(P<0.05)结论鼻窦冲洗护理用于功能性鼻内镜下鼻窦手术患者能缓解鼻部阻塞症状,改善嗅觉功能,提高生活质量和满意度,值得采用。
Objective To analyze the effect of sinus irrigation nursing in patients with functional endoscopic sinus surgery.Methods A total of 94 patients who underwent functional endoscopic sinus surgery in the First Affiliated Hospital of Zhengzhou University from June 2020 to June 2022 were selected for the study.According to the random number table method,they were divided into the control group(routine nasal surgery nursing)and the observation group(sinus irrigation nursing on the basis of the control group),with 47 cases in each group.The olfactory function,disease-specific scales of nasal obstruction symptoms(NOSE)and nasal-sinus outcome-22 measurement scale(SNOT-22),postoperative complications and satisfaction with nursing work were compared between the two groups before and after nursing.Results Before care,the olfactory function and NOSE scores between groups were not significantly different(P>0.05);After nursing,the scores of olfactory function and NOSE in the two groups were lower than before,and the differences were statistically significant(P<0.05),and the scores of olfactory function and NOSE in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in the scores of SNOT-22 in sleep function symptoms,psychological and emotional results,and physiological problems between the two groups(P>0.05).After nursing,the SNOT-22 scores of the two groups were lower than before,and the differences were statistically significant(P<0.05),and the SNOT-22 scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications such as nasal mucosal adhesion,vesicles,empyema and polypoid edema in the observation group(4.26%)was lower than that in the control group(17.02%),and the difference was statistically significant(P<0.05).The satisfaction of nursing work in the observation group(93.6
作者
汪岳
WANG Yue(Department of Rhinology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《临床研究》
2023年第9期146-149,共4页
Clinical Research
关键词
鼻窦冲洗护理
功能性鼻内镜
鼻窦手术
嗅觉功能
并发症
满意度
sinus irrigation and nursing
functional endoscopic sinus surgery
sinus surgery
olfactory function
complications
satisfaction
