综合护理干预措施对慢性鼻窦炎鼻内窥镜手术患者生活质量的影响

Application of comprehensive nursing intervention in patients with chronic sinusitis and nasal endoscopic surgery

目的探讨综合护理干预措施对慢性鼻窦炎鼻内窥镜手术患者生活质量的影响。方法选取首都医科大学附属北京朝阳医院收治的110例慢性鼻窦炎并接受鼻内窥镜手术治疗的患者作为研究对象,根据数字随机分组方法将其分为观察组和对照组,每组各55例。观察组患者予以综合护理干预,对照组予以常规护理,比较两组术前术后生活质量评分及焦虑自评量表（SAS）评分、视觉模拟量表（VAS）评分。结果术前两组患者鼻部症状、鼻窦炎相关症状、睡眠障碍和情感障碍评分,以及SAS评分比较差异无统计学意义（P〉0.05）,术后均较术前明显改善,且观察组明显优于对照组,差异有统计学意义（P〈0.05）。术后5～10min及术后24h观察组患者VAS评分明显优于对照组,组间比较差异有统计学意义（P〈0.05）。结论采用综合护理干预措施对慢性鼻窦炎鼻内窥镜手术患者进行护理能缓解患者的焦虑症状,减轻术后疼痛,提高患者生活质量,值得临床推广应用。

Objective To investigate the effect of comprehensive nursing intervention on the life quality of patients with chronic sinusitis and nasal endoscopic surgery.Methods Totally 110 patients with chronic sinusitis and nasal endoscopic surgery were selected,according to the digital random grouping method,patients were divided into observation group and control group,55 cases in each group,the observation group were given comprehensive nursing,the control group received routine nursing,the quality of life score and VAS,SAS score were compared before and after intervation.Results Before operation,the nasal symptoms,sinusitis symptoms,sleep disorders and affective disorder score,SAS score of two groups had no significant difference（P〈0.05）,improved significantly after the intervention,the observation group was better than the control group（P〈0.05）.Postoperative 5-10 min and postoperative 24 h,VAS scores in observation group were significantly better than that of the control group（P〈0.05）.Conclusion The comprehensive nursing intervention measures can relieve the symptoms of anxiety in patients with chronic sinusitis and nasal endoscopic surgery,reduce postoperative pain,improve patient′s quality of life,it is worthy of popularization and application.