递进式护理模式对慢性化脓性中耳炎患者继发性鼓膜穿孔发生率及复诊率的影响

Effect of Progressive Nursing Mode on Secondary Tympanic Membrane Perforation Incidence and Return Visit Rate in Patients with Chronic Suppurative Otitis Media

目的:探究递进式护理对慢性化脓性中耳炎患者继发性鼓膜穿孔发生率及复诊率的影响。方法:选取滨州市中心医院2020年8月-2021年8月收治的90例慢性化脓性中耳炎患者作为研究对象,随机分为对照组与试验组,各45例。对照组给予常规护理,试验组在此基础上引入递进式护理,对比两组患者听力指标、并发症发生率、复诊率及生活质量评分。结果:试验组轻度听力障碍、中度听力障碍例数均高于对照组,而重度听力障碍、极重度听力障碍例数均低于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组出院30 d、60 d复诊率明显低于对照组,差异有统计学意义(P<0.05)。干预前,两组SF-12评分比较,差异无统计学意义(P>0.05);干预后,试验组SF-12评分明显高于对照组,差异有统计学意义(P<0.05)。结论:予以慢性化脓性中耳炎患者递进式护理,可有效改善患者的听力指标,减少并发症的发生,降低复诊率,有利于患者疾病快速康复,值得应用并予以推广。

Objective: To explore the effect of progressive nursing on the incidence of secondary tympanic membrane perforationand return visit rate in patients with chronic suppurative otitis media. Methods: A total of 90 patients with chronic suppurativeotitis media admitted to Binzhou Central Hospital from August 2020 to August 2021 were selected as the research objects, and theywere randomly divided into the control group and the experimental group, with 45 cases in each group. The control group adoptedroutine nursing care, and the experimental group introduced progressive nursing on this basis. The hearing indicators, complicationrate, return visit rate and quality of life score of the two groups were compared. Results: The number of cases with mild andmoderate hearing indicators in the experimental group was higher than that in the control group, and the number of cases withsevere and very severe hearing indicators was lower than that in the control group, with a statistically significant difference(P<0.05). The overall incidence of complications in the experimental group was lower than that in the control group, and the differencewas statistically significant(P<0.05). The return visit rate at 30 days and 60 days after discharge in the experimental group wassignificantly lower than that in the control group, and the difference was statistically significant(P<0.05). Before the intervention,there was no significant difference in SF-12 scores between the two groups(P>0.05). After intervention, the SF-12 score in theexperimental group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05).Conclusion: The implementation of progressive nursing for patients with chronic suppurative otitis media can effectively improvethe patient’s hearing indicators, reduce the occurrence of complications, reduce the return visit rate, and is beneficial to the rapidrecovery of patients from the disease. It is worthy of promotion and application.