一项多方法研究中慢性鼻窦疾病患者使用鼻腔冲洗的定性分析
Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study.
作者信息
Rabago David, Barrett Bruce, Marchand Lucille, Maberry Rob, Mundt Marlon
机构信息
Department of Family, University of Wisconsin Madison, Madison, Wisconsin 53715, USA.
出版信息
Ann Fam Med. 2006 Jul-Aug;4(4):295-301. doi: 10.1370/afm.552.
Abstract
PURPOSE
We qualitatively assessed attitudes regarding use of hypertonic saline nasal irrigation (HSNI) for frequent rhinosinusitis and chronic sinonasal symptoms in a 3-part, multimethod study.
METHODS
We conducted semistructured, in-depth interviews with 28 participants who recently used nasal irrigation in studies assessing HSNI.
RESULTS
Four themes emerged: (1) HSNI improved self-management of sinus symptoms, creating a sense of empowerment; (2) HSNI produced rapid and long-term improvement in quality of life; (3) participants identified discomfort, time, and mild side effects as barriers to HSNI use; and (4) participants identified aspects of training and at-home use that overcame these barriers.
CONCLUSION
HSNI is a safe, well-tolerated, inexpensive, effective, long-term therapy that patients with chronic sinonasal symptoms can and will use at home with minimal training and follow-up. Success with HSNI will likely be improved by patient education.
摘要
目的
在一项分为三个部分的多方法研究中，我们对使用高渗盐水鼻腔冲洗（HSNI）治疗频繁鼻窦炎和慢性鼻窦症状的态度进行了定性评估。
方法
我们对28名近期在评估HSNI的研究中使用鼻腔冲洗的参与者进行了半结构化的深入访谈。
结果
出现了四个主题：（1）HSNI改善了鼻窦症状的自我管理，产生了一种掌控感；（2）HSNI使生活质量得到快速和长期改善；（3）参与者认为不适、时间和轻微副作用是使用HSNI的障碍；（4）参与者确定了克服这些障碍的培训和在家使用方面。
结论
HSNI是一种安全、耐受性良好、廉价、有效的长期治疗方法，慢性鼻窦症状患者可以且将在接受最少培训和随访的情况下在家中使用。患者教育可能会提高HSNI的成功率。
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