慢性鼻窦炎伴鼻息肉患者术后自我管理效能感状况及与嗅觉恢复的关系

Relationship Between Postoperative Self-management Efficacy and Olfactory Recovery in Patients with Chronic Rhinosinusitis with Nasal Polyps

目的分析慢性鼻窦炎伴鼻息肉(CRSwNP)患者术后自我管理效能感状况,并探讨术后自我管理效能感与嗅觉恢复的关系。方法选取2022年1—9月郑州大学第一附属医院收治的76例CRSwNP术后患者进行调查。由研究者设计制作一般资料调查问卷,详细记录患者的资料并比较,并使用慢性病自我管理效能感量表(CDSES)评估患者自我管理效能感情况,使用T&T标准嗅觉测试评估患者嗅觉恢复情况,分析CRSwNP患者术后自我管理效能感与嗅觉恢复的关系。结果本次共调查符合条件的CRSwNP患者76例,发放76份问卷,回收有效问卷72份,有效回收率为94.74%(72/76)。72例CRSwNP患者术后自我管理效能感存在不同程度的差异,CDSES评分为(6.72±0.89)分,其中CDSES评分≥7分有30例,占比41.67%;72例CRSwNP术后患者中有12例嗅觉未恢复,占比16.67%。术后规律冲洗鼻腔、嗅觉恢复患者的CDSES评分高于术后未规律冲洗鼻腔、嗅觉未恢复的患者,差异有统计学意义(P<0.05)。经logistic回归分析结果显示,CDSES评分高、术后规律冲洗鼻腔是CRSwNP术后患者嗅觉恢复的保护因素(OR<1,P<0.05)。结论CRSwNP患者术后缺乏自我管理效能感,其自我管理效能感与嗅觉恢复有关,且患者的嗅觉恢复还与术后是否规律冲洗鼻腔存在一定关联。

Objective To analyze the status of postoperative self-management efficacy in patients with chronic rhinosinusitis with nasal polyps(CRSwNP),and to explore the relationship between postoperative self-management efficacy and olfactory recovery.Methods A total of 76 patients with CRSwNP who were admitted to the First Affiliated Hospital of Zhengzhou University from January to September 2022 were selected for investigation.The general information questionnaire was designed by the researchers,and the data of the patients were recorded and compared in detail.The chronic disease self-management efficacy scale(CDSES)was used to evaluate the self-management efficacy of the patients,and the T&T standard olfactory test was used to evaluate the olfactory recovery of the patients.The relationship between self-management efficacy and olfactory recovery in patients with CRSwNP was analyzed.Results A total of 76 eligible CRSwNP patients were investigated,76 questionnaires were distributed,and 72 valid questionnaires were recovered,with an effective recovery rate of 94.74%(72/76).There were different degrees of differences in postoperative self-management efficacy among 72 patients with CRSwNP.The CDSES score was(6.72±0.89)points,of which 30 cases had CDSES score≥7 points,accounting for 41.67%.Among the 72 patients with CRSwNP,12 patients did not recover their sense of smell,accounting for 16.67%.The CDSES score of patients with regular nasal lavage and olfactory recovery after operation was higher than that of patients without regular nasal lavage and olfactory recovery after operation,and the difference was statistically significant(P<0.05).The results of logistic regression analysis showed that high CDSES score and regular nasal irrigation were protective factors for olfactory recovery of patients after CRSwNP(OR<1,P<0.05).Conclusion CRSwNP patients lack a sense of self-management efficacy after surgery,and their self-management efficacy is related to olfactory recovery,and there is a certain correlation between the patient’s olfactory recovery and whether the nasal cavity is washed regularly after surgery.