Deng Yunping, Tian Yu, Guo Chang, Fan Yunping, Guan Jiaoqiong, Wang Yue
Department of Ophthalmology and Otolaryngology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China.
Department of Nursing, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China.
Br J Hosp Med (Lond). 2024 Dec 30;85(12):1-17. doi: 10.12968/hmed.2024.0562. Epub 2024 Dec 18.
By addressing patients' physical, psychological, social, cultural, and environmental comfort needs holistically, Kolcaba's Comfort Theory raises the standard of care and increases patient satisfaction. This study explored the combined application of these nursing models during the perioperative period for patients undergoing nasal deformity correction surgery. 92 patients undergoing nasal deformity correction at the Seventh Affiliated Hospital of Sun Yat-sen University were randomly divided into two groups: the conventional group (46 patients), which received standard perioperative nursing care, and the experimental group (46 patients), which received concept map thinking nursing combined with Kolcaba's comfort nursing intervention during the perioperative period. Clinical indicators, including the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI), Rhinoplasty Outcome Evaluation (ROE) and General Comfort Questionnaire (GCQ), were compared between the two groups at multiple time points. The experimental group demonstrated significantly shorter operation times ( < 0.001), faster recovery of nasal breathing ( = 0.002), and shorter hospital stays ( < 0.001) compared to the conventional group. Additionally, the experimental group experienced less intraoperative blood loss ( < 0.001) and a lower incidence of complications ( = 0.013). At 2 days, 1 month, and 3 months post-surgery, both groups showed decreases in SAS, SDS, and PSQI scores, with the experimental group demonstrating significantly lower scores ( < 0.05). At these same time points, the ROE and GCQ scores increased in both groups, with the experimental group achieving significantly higher scores than the conventional group ( < 0.05). The integration of concept map thinking with Kolcaba's comfort nursing significantly improves the postoperative recovery of patients undergoing nasal deformity correction. Reduced surgical trauma, enhanced psychological health, better sleep, increased comfort, and quicker nasal function recovery are all results of this method. China Clinical Trial Registration Center (https://www.chictr.org.cn/showproj.html?proj=191278).
通过全面满足患者的身体、心理、社会、文化和环境舒适需求，科尔卡巴的舒适理论提高了护理标准并提升了患者满意度。本研究探讨了这些护理模式在鼻畸形矫正手术患者围手术期的联合应用。中山大学附属第七医院92例行鼻畸形矫正手术的患者被随机分为两组：常规组（46例患者）接受标准围手术期护理，实验组（46例患者）在围手术期接受概念图思维护理与科尔卡巴舒适护理干预相结合的护理。在多个时间点比较两组的临床指标，包括自评焦虑量表（SAS）、自评抑郁量表（SDS）、匹兹堡睡眠质量指数（PSQI）、鼻整形手术结果评估（ROE）和一般舒适问卷（GCQ）。与常规组相比，实验组的手术时间明显缩短（<0.001），鼻呼吸恢复更快（=0.002），住院时间更短（<0.001）。此外，实验组术中失血更少（<0.001），并发症发生率更低（=0.013）。术后2天、1个月和3个月，两组的SAS、SDS和PSQI评分均下降，实验组评分明显更低（<0.05）。在这些相同时间点，两组的ROE和GCQ评分均升高，实验组得分明显高于常规组（<0.05）。概念图思维与科尔卡巴舒适护理的整合显著改善了鼻畸形矫正手术患者的术后恢复。手术创伤减少、心理健康增强、睡眠改善、舒适度提高以及鼻功能恢复更快都是这种方法的结果。中国临床试验注册中心（https://www.chictr.org.cn/showproj.html?proj=191278）。
