医护一体化护理对慢性分泌性中耳炎患者术后的影响

Effect of doctor-nurse integrated nursing on patients with chronic secretory otitis media after surgery

目的探讨医护一体化护理对慢性分泌性中耳炎术后患者的影响。方法选取2022年8月至2023年8月厦门大学附属中山医院耳鼻咽喉头颈外科收治的140例接受手术治疗的慢性分泌性中耳炎患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各70例。对照组患者采用常规护理模式,观察组患者采用医护一体化护理模式。观察并比较护理前后两组患者听力水平(气导听阈和气骨导差)、心理情况[抑郁自评量表(SDS)和焦虑自评量表(SAS)]。观察并比较护理后两组患者的并发症发生率和护理满意度。护理后6个月,比较两组患者的护理生活质量情况[慢性中耳炎评估量表(COMOT-15)]。结果护理后,观察组的气导听阈和气骨导差均低于对照组,SDS评分、SAS评分均低于对照组,并发症总发生率低于对照组,满意度高于对照组,差异有统计学意义(P<0.05)。护理后6个月,观察组的COMOT-15评分低于对照组,差异有统计学意义(P<0.05)。结论医护一体化护理模式在慢性分泌性中耳炎患者术后的应用,能够改善患者的听力水平,减少并发症的发生,降低焦虑、抑郁等心理障碍程度,提升患者护理满意度,并能够提高患者的远期生活质量,在慢性分泌性中耳炎的治疗中有着重要价值,值得临床大力推广应用。

Objective To explore the effect of doctor-nurse integrated nursing on patients with chronic secretory otitis media after surgery.Methods A total of 140 patients with chronic secretory otitis media who underwent surgical treatment in the Department of Otorhinolaryngology Head and Neck Surgery,Zhongshan Hospital Xiamen University from August 2022 to August 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 70 cases in each group.Patients in the control group were given routine nursing mode,while patients in the observation group were given doctor-nurse integrated nursing mode.The hearing level(air conduction hearing threshold and air-bone gap)and psychological status(self-rating depression scale[SDS]and self-rating anxiety scale[SAS])were observed and compared between the two groups before and after nursing.The incidence of complications and nursing satisfaction were observed and compared between the two groups after nursing.Six months after nursing,the quality of life(chronic otitis media outcome test[COMOT-15])was compared between the two groups.Results After nursing,the air conduction hearing threshold and air-bone gap of the observation group were lower than those of the control group,the SDS score and SAS score were lower than those of the control group,the total incidence of complications was lower than that of the control group,and the satisfaction was higher than that of the control group,and the differences were statistically significant(P<0.05).Six months after nursing,the COMOT-15 score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The doctor-nurse integrated nursing on patients with chronic secretory otitis media after surgery can improve the hearing level of patients,reduce the occurrence of complications,reduce the degree of anxiety,depression and other psychological disorders,improve the nursing satisfaction of patients,and improve the long-term quality of life of patients,which has important value in the treatment of chronic secretory otitis media and is worthy of clinical promotion and application.