护理干预对鼻内镜下咽鼓管球囊扩张术治疗慢性分泌性中耳炎的效果研究

The value of nursing intervention in the treatment of chronic secretory otitis media by balloon dilatation of eustachian tube under the nasal endoscope

目的探讨护理干预对于鼻内镜下咽鼓管球囊扩张术治疗慢性分泌性中耳炎的价值。方法选择2016年6月—2017年6月本院接诊的64例慢性分泌性中耳炎患者作为研究对象,按照随机数字表法均分为观察组和对照组各32例,两组患者均择期行鼻内镜下咽鼓管球囊扩张术治疗,对照组围术期采取常规护理,观察组围术期采取强化护理,比较两组患者术前30 min心理状态、手术效果、术后并发症以及护理满意度和舒适度评分。结果观察组术前30 min SAS评分和SDS评分均显著低于对照组(P<0.05);观察组手术总有效率显著高于对照组(P<0.05);观察组术后并发症总发生率显著低于对照组(P<0.05);观察组护理满意度评分和舒适度评分均显著高于对照组(P<0.05)。结论慢性分泌性中耳炎患者行鼻内镜下咽鼓管球囊扩张术治疗的围术期采取强化护理能够改善术前心理状态、提高手术预后和护理质量,值得临床推荐。

Objective To explore the value of nursing intervention in the treatment of chronic secretory otitis media by balloon dilatation of eustachian tube under the nasal endoscope.Methods From June 2016 to June2017,64 cases of chronic secretory otitis media in our hospital were included in the study and they were randomly divided into observation group and control group,with 32 cases in each group. Both two groups of patients undergoing endoscopic balloon dilatation of the eustachian tube,the control group take the routine nursing care in perioperative period,while the observation group adopted strengthened perioperative nursing. Mental state of patients(30 min before operation）,operative effect,postoperative complications and nursing satisfaction and comfort score of patients in two groups were compared. Results The preoperative(30 min） SAS score and SDS score of observation group were significantly lower than the control group(P〈0. 05）. The total efficiency of observation group was significantly higher than the control group(P〈0.05）. The overall complication rate in the observation group was significantly lower than the control group(P〈0. 05）. The nursing satisfaction score and comfort the scores of observation group were significantly higher than those in control group(P〈0. 05）.Conclusions Intensive care during perioperative period of endoscopic sinus eustachian tube balloon dilatation can improve preoperative mental state, improve operative prognosis and nursing quality, and is worthy of clinical recommendation.