慢性鼻窦炎鼻内镜手术护理的临床护理路径及效果探讨

Clinical nursing pathway and effect of nasal endoscopic surgery on chronic sinusitis

目的观察慢性鼻窦炎鼻内镜手术护理的临床护理路径及效果。方法选取2015年11月~2017年11月慢性鼻窦炎患者99例作为研究样本,以术后护理措施的不同随机分为观察组(n=48)和对照组(n=51),两组患者均进行鼻内镜手术治疗,术后对照组予以常规护理,观察组予以临床护理路径干预。观察两组患者各项临床指标情况、心理改善情况以及护理满意度。结果观察组手术时间(62.02±8.71)min、术中出血量(56.97±6.62)m L、住院时间(8.67±1.28)d以及健康知识掌握情况(9.88±0.33)分,对照组分别为:(88.96±6.78)min、(93.64±7.88)m L、(13.65±2.94)d、(6.39±0.57)分;观察组护理后SAS评分、SDS评分分别为(30.75±8.81)分、(28.34±8.96)分,对照组分别为(38.64±9.59)分、(33.65±9.27)分;观察组护理满意度为95.83%,高于对照组为82.35%,两组比较,差异有统计学意义(P<0.05)。结论慢性鼻窦炎鼻内镜手术护理的临床护理路径及效果显著,值得借鉴。

Objective To observe the clinical nursing pathway and effect of endoscopic sinus surgery for chronic sinusitis. Methods The study was performed from November 2015 to November 2017. 99 patients with chronic sinusitis were selected as study samples. Participants were randomly divided into observation group（n=48） and control group（n=51） according to postoperative nursing methods. Both groups were treated with endoscopic sinus surgery. The control group received routine nursing after operation, and the observation group received clinical nursing intervention. Then we compared the clinical indicators, psychological improvement and nursing satisfaction of two groups. Results In the observation group,The duration of operation was（62.02±8.71）min, intraoperative blood loss was（56.97±6.62）mL, duration of hospitalization was（8.67±1.28）d and health knowledge score was （9.88±0.33）; the indicators above in the control group were （88.96±6.78）min, （93.64 ± 7.88）mL, （13.65±2.94）d and （6.39±0.57）, respectively. The scores of SAS and SDS were （30.75±8.81） and （28.34±8.96） in the observation group, and （38.64±9.59） and （33.65±9.27） respectively in the control group. The nursing satisfaction was 95.83% in the observation group, which was higher than 82.35% in the control group. The differences between the two groups were significant （P〈0.05）. Conclusion The clinical nursing pathway and effect of chronic sinusitis endoscopic surgery nursing is remarkable and worth learning from.