鼻内镜鼻窦手术后患者治疗依从性的护理干预

Nursing intervention for treatment compliance in patients undergoing endoscopic sinus surgery

目的探讨护理干预对鼻内镜鼻窦手术后患者治疗依从性的方法和疗效，为临床护理提供指导。方法回顾性分析本院于2010年1-6月收治入院的80例鼻内镜鼻窦手术后患者。采用随机抽取法分为2组，实验组40例，行综合护理干预。对照组40例，行普通护理干预。随访6个月-1年，对比2组患者护理后认知和行为变化，并统计依从性改变。结果随访期间两组内相比，护理后患者的依从性均优于护理前，差异有统计学意义（P〈0．05）；两组间相比，实验组患者的治疗依从性均优于对照组，差异有统计学意义（P〈0．05）。两组相比，实验组患者的认知及行为改变明显优于对照组，差异有统计学意义（P〈0．05）。结论应用综合措施早期对鼻内镜鼻窦手术实施护理干预，能有效提高患者的治疗依从性，改善其认知及行为，提高患者的生存质量，值得在临床护理中推广使用。

Objective To explore the methods and efficacy of nursing intervention for treat- ment compliance in patients undergoing endoscopic sinus surgery, and to provide guidance for clinical care. Methods The data on 80 patients who had treated with endoscopic sinus surgery during the period of January 2010 to June 2010 were retrospectively analyzed. The patients were randomly assigned to receive comprehensive nursing intervention （ 40 patients, study group ）, or routine nursing intervention （ 40 patients, control group ）, and then were followed up for 6 montha to one year. The cognitive and behavioral changes were compared between the two groups and changes in treatment compliance were recorded. Results During a follow-up, patient compliance was better in the two groups after receiving nursing intervention, with a significant statistical difference （ P 〈 0.05 ）; patient compliance was better in the study group than in the control group, with a significant statistical difference （ P〈 0.05 ）. The study group was superior to the control group in cognitive and behavioral changes, with a significant statistical difference （ P 〈 0.05 ）. Conclusions Early nursing intervention with comprehensive measures for endoscopic sinus surgery can effective enhance treatment compliance in patients, improve cognition and behavior, and increase quality of life, and is worth popularizing in clinical care.