|
|
Influence of comprehensive care on patients with chronic sinusitis treated by endoscopic surgery |
ZHOU Xiao-ling XU Wen-ting |
Department of Otolaryngology,People′s Hospital of Wanzai County,Jiangxi Province,Wanzai 336100,China |
|
|
Abstract Objective To investigate the nursing intervention of patients with chronic sinusitis treated by endoscopic surgery.Methods A total of 90 patients with chronic sinusitis who underwent nasal endoscopic surgery in our hospital from June 2016 to November 2017 were divided into two groups according to random numberl table method,45 cases in each group.In the control group,routine nursing intervention was used,while comprehensive care was adopted in the rest participants (comprehensive care group).Satisfaction with nursing services,perioperative pain,surgical treatment compliance,self-rating anxiety scale(SAS)score and heart rate(HR)before and after nursing,and incidence of complications such as conjunctival chemosis and local hemorrhage during endoscopic surgery for chronic sinusitis in the two groups were compared.Results In the comprehensive care group,satisfaction with nursing services was higher than that in the control group (P<0.05).The perioperative pain in the comprehensive care group was lower,and the surgical treatment compliance was higher than those in the control group with statistical significance (P<0.05).Before nursing,there was no great difference in SAS score or HR between the two groups (P>0.05).After nursing,the SAS score and HR in the comprehensive care group were both lower than those in the control group with statistical significance(P<0.05).The incidence of complications such as conjunctival chemosis and local hemorrhage in the comprehensive care group were lower than that in the control group (P<0.05).Conclusion Comprehensive care obtains a definite effect in the nursing of chronic sinusitis with endoscopic surgery.It can increase patient′s compliance,alleviate pain,relieve physical and psychological stress,and reduce complications with high nursing satisfaction from patients.
|
|
|
|
|
[1] |
肖二斌,毕朝煜,赵宝建,等.鼻内镜手术在鼻窦炎、鼻息肉治疗中的临床疗效分析及影响因素研究[J].现代预防医学,2013,40(7):1390-1391.
|
[2] |
戴俊,怀德,徐敏,等.修正性鼻内镜手术并鼻甲切除系统治疗难治性鼻息肉鼻窦炎[J].中华临床医师杂志(电子版),2015,9(16):3043-3047.
|
[5] |
朱俊所,马明.鼻内镜鼻窦手术后鼻腔冲洗联合丙酸氟替卡松喷雾剂治疗慢性鼻窦炎、鼻息肉的疗效观察[J].安微医药,2015,19(9):1813-1815.
|
[6] |
林海鹏,李娜,许彤,等.不保留中上鼻甲的内镜鼻窦手术对慢性鼻-鼻窦炎伴鼻息肉患者生存质量及嗅觉功能的影响[J].临床耳鼻喉头颈外科杂志,2016,30(16):1283-1286.
|
[3] |
Willis,J,Michael DD,Boyer H,et al.Prevalence and Severity of Dysphonia in Patients with Cystic Fibrosis:a pilot study[J].Otolarynqol Head Neck Surg,2015,153(1):88-93.
|
[4] |
Catalano P,Hester J,Mandrusov E,et al.Osmotic self-expanding dilation technology for treatment of sinusitis:the Vent-Os sinus dilation system[J].Expert Rev Med Devices,2015,12(1):19-24.
|
[7] |
Chmielik LP,Raczkowska-Labuda K,Zawadzka-Glos L,et al.Macroscopic findings during endoscopic sinus surgery for chronic rhinosinusitis in children[J].Int J Pediatr Otorhinolarynqol,2015,79(9):1561-1565.
|
[8] |
马迪将,诸琦,方李丽,等.经泪前隐窝入路鼻内镜下上颌窦手术相关应激心理障碍的术前心理护理干预效果分析[J].中国中西医结合耳鼻咽喉科杂志,2016,24(5):367-368,352.
|
[9] |
Kang H, Takahashi Y,Nishimura K,et al.Invasive fungal sinusitis involving the orbital apex in a patient with chronic renal failure[J].Neuroophthalmology,2015,39(4):183-186.
|
[10] |
谢文涛,梁立雪.综合护理干预在鼻内镜手术治疗慢性鼻窦炎中的应用[J].齐鲁护理杂志,2014,6(10):84-85.
|
[11] |
朱红.护理干预对鼻内窥镜手术治疗鼻窦炎患者的影响[J].中国继续医学教育,2014,13(2):68-69.
|
[12] |
肖巧华,胡艳宁.鼻内镜手术治疗慢性鼻窦炎鼻息肉的临床观察与护理[J].广西中医药大学学报,2014,17(4):113-115.
|
[13] |
唐瑶.鼻内窥镜术对慢性鼻-鼻窦炎患者的疗效观察及护理[J].实用临床医药杂志,2015,19(18):111-114.
|
[14] |
徐艳秋,张淑丽.鼻内镜手术治疗慢性鼻窦炎的围术期护理[J].中国药物经济学,2013,8(S3):671-672.
|
[15] |
吴艳清,陈婵娟,李彦娟,等.围术期系统护理干预对鼻内镜治疗鼻窦炎鼻息肉患者的影响[J].中国药物经济学,2015,10(6):137-138.
|
|
|
|