现代护理方法在分泌性中耳炎患者围术期护理中的应用效果

Application effects of modern nursing methods in perioperative nursing of patients with secretory otitis media

目的:观察现代护理方法在分泌性中耳炎患者围术期护理中的应用效果。方法:回顾性分析2020年1月至2022年6月河南省第三人民医院收治的78例分泌性中耳炎患者的临床资料,根据围术期护理方法不同将其分为对照组和观察组各39例。对照组采用常规护理,观察组采用现代护理方法,比较两组护理前后听力指标水平、心理状态[抑郁-焦虑-压力量表中文精简版(DASS-21)]评分、舒适度[Kolcaba的舒适状况量表(GCQ)]评分和术后1周并发症发生率。结果:护理后,观察组气导听阈和骨导听阈均低于对照组,差异有统计学意义(P<0.05);观察组听力改善时间短于对照组,差异有统计学意义(P<0.05);护理后,观察组抑郁、焦虑和压力等DASS-21评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组生理、心理精神、环境和社会文化等GCQ评分均高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为5.13%(2/39),低于对照组的20.51%(8/39),差异有统计学意义(P<0.05)。结论:现代护理方法应用于分泌性中耳炎患者围术期护理中可提高舒适度评分,降低听力指标水平、心理状态评分和术后并发症发生率,效果优于常规护理。

Objective:To observe application effects of modern nursing methods in perioperative nursing of patients with secretory otitis media.Methods:The clinical data of 78 patients with secretory otitis media admitted to the Henan provincial third people’s hospital from January 2020 to June 2022 were retrospectively analyzed.According to the different perioperative nursing methods,they were divided into control group and observation group,39 cases in each group.The control group received routine nursing,while the observation group received the modern nursing methods.The hearing index levels,the psychological state[depression anxiety stress scale Chinese simplified edition(DASS-21)]score,comfort[general comfort questionnaire(GCQ)]score before and after the nursing,and the incidence of complications 1 week after the surgery were compared between the two groups.Results:After the nursing,the air conduction threshold and the bone conduction threshold of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The hearing improvement time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the DASS-21 scores of depression,anxiety and stress in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GCQ scores of physiology,psychology,environment and social culture in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 5.13%(2/39),which was lower than 20.51%(8/39)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The modern nursing methods in the perioperative nursing of the patients with secretory otitis media can improve the comfort scores and reduce the levels of hearing indexes,the psychological state scores and the incidence of postoperative complications.Moreover,it is superior to the routine nursing.