综合护理干预在先天性耳前瘘管反复感染中的影响效果

Effect of comprehensive nursing intervention on recurrent infection of patients with congenital preauricular fistula

目的分析综合护理干预在先天性耳前瘘管(CPF)反复感染中的效果。方法选择2018年3月至2020年3月期间东莞市第八人民医院耳鼻喉科收治的CPF反复感染症状患者86例,随机数字表法分为两组。对照组43例,男17例,女26例,年龄(28.08±5.81)岁,给予常规药物治疗及护理措施;观察组43例,男16例,女27例,年龄(28.84±5.73)岁,则在对照组的基础上给予综合护理干预。比较两组临床护理效果、患者的生活质量(QOL)评分及护理满意度,运用独立样本秩和检验、χ^(2)、t检验进行比较。结果观察组的总有效率为95.35%(41/43),明显高于对照组的74.42%(32/43),差异有统计学意义(χ^(2)=7.3404,P=0.0012)。干预后观察组与对照组QOL评分均较干预前显著升高,差异均有统计学意义(均P<0.05);干预后观察组QOL评分为(8.71±1.39)分,明显高于对照组的(7.53±1.34)分,差异有统计学意义(t=4.7913,P=0.0043);观察组创面愈合时间为(6.13±1.28)d,明显低于对照组(11.57±1.64)d,差异有统计学意义(t=5.8574,P=0.0016);观察组接受手术率为86.05%(37/43),明显高于对照组的62.79%(27/43),差异有统计学意义(χ^(2)=6.1080,P=0.0010);观察组护理满意度为97.67%(42/43),显著地高于对照组的74.42%(32/43),差异有统计学意义(χ^(2)=9.6847,P=0.0017)。结论对CPF反复感染的患者进行综合护理干预能够显著提高临床疗效及QOL,有效提高患者接受手术率及护理满意度,显著降低创面愈合时间,值得临床大力推广应用。

Objective To analyze the effect of comprehensive nursing intervention on recurrent infection of patients with congenital preauricular fistula(CPF).Methods From March 2018 to March 2020,86 patients with recurrent CPF symptoms who were admitted to Department of Otolaryngology,Dongguan Eighth People's Hospital were selected,and were divided into a control group and an observation group by the random number table method,with 43 cases in each group.The control group had 17 males and 26 females who were(28.08±5.81)years old,and were given routine drug treatment and nursing measures.The observation group had 16 males and 27 females who were(28.84±5.73)years old,and were given comprehensive nursing intervention on the basis of the control group.The clinical nursing effects,scores of quality of life(QOL),and satisfaction with nursing were compared between these two groups.The independent-sample rank-sum,χ^(2),and t tests were applied.Results The total effective rate of the observation group was significantly higher than that of the control group[95.35%(41/43)vs.74.42%(32/43)],with a statistical difference(χ^(2)=7.3404,P=0.0012).After the intervention,the scores of QOL in both groups were higher than those before the intervention,with statistical differences(both P<0.05);the score in the observation group was higher than that in the control group[(8.71±1.39)vs.(7.53±1.34)],with a statistical difference(t=4.7913,P=0.0043).The wound healing time of the observation group was significantly lower than that of the control group[(6.13±1.28)d vs.(11.57±1.64)d],with a statistical difference(t=5.8574,P=0.0016).The acceptance rate of surgery in the observation group was significantly higher than that in the control group[86.05%(37/43)vs.62.79%(27/43)],with a statistical difference(χ^(2)=6.1080,P=0.0010).The satisfaction with nursing of the observation group was significantly higher than that of the control group[97.67%(42/43)vs.74.42%(32/43)],with a statistical difference(χ^(2)=9.6847,P=0.0017).Conclusion Comprehensive nursing intervention for patients with recurrent infection of CPF can significantly improve the clinical efficacy,QOL,patients'acceptance rate of surgery,and satisfaction with nursing,and significantly reduce wound healing time,so it is worth being clinically generalized.