精细化管理对鼻内镜下鼻窦炎手术患者康复的影响

Effect of refined management on the recovery of patients undergoing sinusitis surgery via nasal endoscopy.

作者信息

Pan Jianyun, Liu Xiaoyan, Chen Di, Zhao Wei, Tao Jing, Wu Shun

机构信息

Department of Otorhinolaryngology, Wuzhou Gongren Hospital Wuzhou, Guangxi Zhuang Autonomous Region, China.

出版信息

Am J Transl Res. 2023 Jan 15;15(1):522-530. eCollection 2023.

PMID:36777834

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9908483/

Abstract

OBJECTIVE

To explore the effect of refined management in the operation room on promoting postoperative recovery in patients undergoing sinusitis surgery via nasal endoscopy.

METHODS

In this retrospective study, the clinical data of 80 patients undergoing endoscopic sinus surgery were divided into study group (SG) and control group (CG) according to different nursing methods, with 40 cases in each group. The CG only received routine nursing, while the SG adopted refined management in addition to routine nursing. Postoperative pain, depression, anxiety, and nursing satisfaction were compared between the two groups.

RESULTS

There was no significant difference in Visual Analogue Scale (VAS) score between the two groups before operation (>0.05). After operation, VAS of the SG (1.05±0.24) was significantly better than that of the CG (2.39±0.45), the nursing satisfaction rate of the SG (92.5%) was higher than that of the CG (65.0%), and the overall effective rate of nursing in the SG (95.0%) was higher than that of the CG (77.5%) (all <0.05). The patients of SG had a lower rate of postoperative complications than CG patients (<0.05). The operation time and postoperative recovery time of the SG were shorter than those of the CG, and the intraoperative blood loss was less than that of the CG. Smoking history, family history, dust mite allergy, pollen allergy, pet keeping, opening air conditioner use, airing of bed linen, and window ventilation were the main prognostic factors of patients with sinusitis (<0.05). Family history, duration of immunotherapy, gender and complications were the factors affecting the prognosis of patients with sinusitis (<0.05). The incidence of depression and anxiety in the SG were lower than those in the CG (<0.05). The postoperative quality of life in the SG was better than that in the CG (<0.05).

CONCLUSION

Refined nursing can effectively alleviate pain, improve patients' satisfaction of nursing, and also significantly improve patient's depression and anxiety in endoscopic sinus surgery.

摘要

目的

探讨手术室精细化管理对鼻内镜下鼻窦炎手术患者术后恢复的促进作用。

方法

本回顾性研究将80例行鼻内镜鼻窦手术患者的临床资料按不同护理方法分为研究组（SG）和对照组（CG），每组40例。CG仅接受常规护理，而SG除常规护理外还采用精细化管理。比较两组术后疼痛、抑郁、焦虑及护理满意度。

结果

两组术前视觉模拟评分（VAS）差异无统计学意义（>0.05）。术后，SG的VAS（1.05±0.24）明显优于CG（2.39±0.45），SG的护理满意度（92.5%）高于CG（65.0%），SG的护理总有效率（95.0%）高于CG（77.5%）（均<0.05）。SG患者术后并发症发生率低于CG患者（<0.05）。SG的手术时间和术后恢复时间短于CG，术中出血量少于CG。吸烟史、家族史、尘螨过敏、花粉过敏、饲养宠物、使用空调、晾晒床单及开窗通风是鼻窦炎患者的主要预后因素（<0.05）。家族史、免疫治疗时间、性别及并发症是影响鼻窦炎患者预后的因素（<0.05）。SG的抑郁和焦虑发生率低于CG（<0.05）。SG的术后生活质量优于CG（<0.05）。