首页|快速康复外科护理干预在难治性鼻出血鼻内镜下微创术中的护理效果观察

快速康复外科护理干预在难治性鼻出血鼻内镜下微创术中的护理效果观察

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目的:研讨和探究难治性鼻出血患者在鼻内镜下微创术中实施快速康复外科护理干预的应用情况以及临床效果.方法:随机选取于2020年01月~2022年06月间,在我院耳鼻喉外科就诊的难治性鼻出血患者120例,均行鼻内镜下微创术进行治疗.随机分为两组,每组患者各60例.常规组患者进行常规手术护理,干预组患者进行快速康复外科护理,统计、对比和分析两组患者的临床指标状况、再出血情况、护理效果以及护理满意度等.结果:经过护理,在止血时间、疼痛评分、功能评分方面,干预组均低于常规组,P<0.50;在抑郁、焦虑评分方面,两组较之护理前均有下降,且干预组低于常规组,P<0.05;在再出血率方面,干预组(5.00%)低于常规组(16.67%),P<0.05;在临床总有效率方面,干预组(96.67%)高于常规组(86.67%),P<0.05;在总满意度方面,干预组(93.33%)高于常规组(78.33%),P<0.05.结论:难治性鼻出血鼻内镜下微创术患者实施快速康复外科护理干预,能够有效促进止血,改善心理状态,降低再出血率,提高临床治疗效果,加速患者术后康复,临床满意度高,具有较高的临床应用价值.
Objective:To discuss and explore the application and clinical effect of rapid rehabilitation surgical nursing intervention in patients with intractable epistaxis during minimally invasive surgery under nasal endoscope.Methods:120 patients with intractable epistaxis were randomly selected from January 2020 to June 2022,who were treated in otolaryngology surgery of our hospital.All patients were treated with minimally invasive surgery under nasal endoscope.They were randomly divided into two groups with 60 patients in each group.The patients in the conventional group were given routine surgical care,and the patients in the intervention group were given rapid rehabilitation surgical care.The clinical indicators,rebleeding,nursing effect and nursing satisfaction of the two groups were statistically,compared and analyzed.Results:After nursing,in terms of hemostasis time,pain score and function score,the intervention group was lower than the conventional group(P<0.50);In terms of depression and anxiety scores,both groups were lower than those before nursing,and the intervention group was lower than the conventional group(P<0.05);In terms of rebleeding rate,the intervention group(5.00%)was lower than the routine group(16.67%),P<0.05;In terms of clinical total effective rate,the intervention group(96.67%)was higher than the conventional group(86.67%),P<0.05;In terms of total satisfaction,the intervention group(93.33%)was higher than the routine group(78.33%),P<0.05.Conclusion:Rapid rehabilitation surgical nursing intervention for patients with intractable epistaxis undergoing endoscopic minimally invasive surgery can effectively promote hemostasis,improve psychological status,reduce rebleeding rate,improve clinical treatment effect,accelerate postoperative rehabilitation of patients,with high clinical satisfaction and high clinical application value.

refractory epistaxisMinimally invasive surgery under nasal endoscopeRapid rehabilitation surgical nursingClinical effect

谢瑞娟、林艳、汤雪雪

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福建医科大学附属龙岩第一医院·福建龙岩 364000

难治性鼻出血 鼻内镜下微创术 快速康复外科护理 临床效果

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(2)
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