赋能健康教育结合正念减压疗法在慢性鼻窦炎患者围手术期的应用

Application of empowerment health education combined with mindfulness-based stress reduction in chronic sinusitis patients during perioperative period

目的探讨赋能健康教育结合正念减压疗法在慢性鼻窦炎患者中的应用效果。方法选取2019年3月至2021年8月在上海交通大学医学院附属仁济医院拟行鼻内镜下手术治疗的120例慢性鼻窦炎患者作为研究对象,根据围手术期护理方案的不同分成对照组(60例)和观察组(60例)。其中对照组予以围手术期常规护理,观察组予以赋能健康教育结合正念减压疗法。比较2组的临床症状评分、血清总免疫球蛋白(TIgE)、嗜酸性粒细胞阳离子蛋白(ECP)、健康知识掌握状况及术后并发症发生情况。结果出院当天,观察组的血清TIgE、ECP水平,以及鼻腔通气、干燥、流涕、头疼评分均较对照组低,健康知识掌握程度各项评分均较对照组高,且2组均较入院时更优,均有统计学差异(P均<0.05)。对比2组的术后并发症总发生率,观察组较对照组低(P<0.05)。结论赋能健康教育结合正念减压疗法应用于鼻内镜下慢性鼻窦炎患者,可有效促进患者术后恢复,改善其血清指标,提升其对健康知识的掌握程度,降低并发症的发生风险。

Objective To explore the application effect of empowerment health education combined with mindfulness-based stress reduction in chronic sinusitis patients.Methods A total of 120 patients with chronic sinusitis who planned to undergo nasal endoscopic surgery at Renji Hospital,Shanghai Jiaotong University School of Medicine from March 2019 to August 2021 were selected as the study subjects.They were divided into a control group(60 cases)and an observation group(60 cases)according to the different perioperative nursing plans.The control group received routine perioperative care,while the observation group received empowerment health education combined with mindfulness-based stress reduction.The clinical symptom scores,serum total immunoglobulin(TIgE),eosinophil cationic protein(ECP),mastery of health knowledge,and incidence of postoperative complications were compared between the two groups.Results On the day of discharge,the serum TIgE and ECP levels,as well as nasal ventilation,dryness,runny nose,and headache scores of the observation group were lower than those of the control group.The scores of health knowledge mastery of the observation group were higher than those of the control group,and the above indicators and scores of both groups were better than those at admission,with statistical differences(all P<0.05).The total incidence of postoperative complications was lower in the observation group compared to the control group(P<0.05).Conclusion The application of empowerment health education combined with mindfulness-based stress reduction in patients with chronic sinusitis under nasal endoscope can effectively promote postoperative recovery of patients,improve their serum indicators,enhance their mastery of health knowledge,and reduce the risk of complications.