首页|基于症状管理理论的护理在慢性鼻窦炎鼻内镜手术患者中的应用效果

基于症状管理理论的护理在慢性鼻窦炎鼻内镜手术患者中的应用效果

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目的:探讨基于症状管理理论的护理在慢性鼻窦炎鼻内镜手术患者中的应用效果。方法:选取2023年1-12月在福建医科大学附属龙岩第一医院接受鼻内镜手术治疗的 254 例鼻窦炎患者,根据入院时间分为对照组(n=129)和观察组(n=125)。对照组接受围手术期常规护理,观察组在对照组的基础上采用基于症状管理理论的护理干预。比较两组患者干预效果,采用数字分级法(NRS)评估两组患者术后 24 h、48 h的疼痛程度,记录两组患者鼻腔出血、眶周淤血、感染等并发症的发生情况,比较两组患者护理满意度。结果:观察组总有效率显著高于对照组,差异有统计学意义(P<0。05)。术后24 h、48 h,观察组患者疼痛程度优于对照组,差异有统计学意义(P<0。05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0。05)。观察组患者整体护理满意度显著高于对照组,差异有统计学意义(P<0。05)。结论:基于症状管理理论的护理应用于慢性鼻窦炎鼻内镜手术患者能够有效提高干预效果,减轻术后疼痛等不适,减少术后并发症的发生,且护理满意度较高。
Application Effect of Nursing Based on Symptom Management Theory in Patients Undergoing Endoscopic Sinus Surgery for Chronic Sinusitis
Objective:To analyze the application effect of nursing based on symptom management theory in patients undergoing endoscopic sinus surgery for chronic sinusitis.Method:A total of 254 patients with chronic sinusitis undergoing endoscopic sinus surgery admitted to Longyan First Hospital Affiliated to Fujian Medical University from January to December 2023 were selected.According to the admission time,they were divided into a control group(n=129)and an observation group(n=125).The control group received routine nursing,while the observation group received nursing based on symptom management theory on the basis of control group.The treatment effect of the two groups was compared,and the pain degree of the two groups was evaluated at 24 h and 48 h after surgery by numeric rating scale(NRS).The occurrence of complications such as nasal bleeding,periorbital congestion and infection were recorded in the two groups,and the nursing satisfaction of the two groups was compared.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).At 24 h and 48 h after surgery,the pain level in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The overall satisfaction with nursing in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of nursing based on symptom management theory for patients undergoing endoscopic sinus surgery for chronic sinusitis can effectively improve nursing effectiveness,alleviate postoperative pain and discomfort,reduce the occurrence of postoperative complications,and achieve high nursing satisfaction.

SinusitisNasal endoscopySymptom management theory

苏葵花、林长水、林艳

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福建医科大学附属龙岩第一医院 福建 龙岩 364000

鼻窦炎 鼻内镜 症状管理理论

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(34)