Erskine S E, Verkerk M M, Notley C, Williamson I G, Philpott C M
Norwich Medical School, University of East Anglia, Norwich, UK.
Department of Otorhinolaryngology, James Paget Hospital, Norfolk, UK.
Clin Otolaryngol. 2016 Feb;41(1):8-14. doi: 10.1111/coa.12462.
To explore the experience of CRS and its management from the perspective of patients with CRS. To our knowledge, this is the first qualitative study exploring sinus disease.
Semi-structured qualitative interviews.
ENT outpatient clinic.
Twenty-one adult patients with CRS: 11 male, 10 female. Patients suffered from a range of types of CRS (including polyps and fungal disease) and differing durations of symptoms (1.5-47 years). Participants were purposively selected. Thematic analysis was used.
Patient experience of CRS and its management.
Patients had concerns regarding management of their symptoms by both healthcare professionals and themselves, including delays to referral and repeated medications. They reported reduced quality of life and high financial and psychosocial costs associated with living with CRS.
Despite guidelines for CRS treatment, outcomes remain variable leading to dissatisfaction with treatment. Adherence to existing guidelines may result in fewer repeated consultations in primary care and earlier referrals to secondary care.
从慢性鼻-鼻窦炎（CRS）患者的角度探讨CRS的患病体验及其管理情况。据我们所知，这是第一项探索鼻窦疾病的定性研究。
半结构化定性访谈。
耳鼻喉科门诊。
21例成年CRS患者，其中男性11例，女性10例。患者患有多种类型的CRS（包括息肉和真菌病），症状持续时间不同（1.5 - 47年）。参与者为目的抽样。采用主题分析法。
CRS患者的患病体验及其管理情况。
患者对医疗保健专业人员和他们自己对症状的管理都存在担忧，包括转诊延迟和反复用药。他们报告生活质量下降，以及与CRS相关的高昂经济和心理社会成本。
尽管有CRS治疗指南，但治疗结果仍存在差异，导致患者对治疗不满意。遵循现有指南可能会减少初级保健中的重复会诊，并更早地转诊至二级保健。
