首页|腕踝针联合系统化护理对慢性鼻窦炎伴鼻息肉患者疼痛症状及舒适度的影响

腕踝针联合系统化护理对慢性鼻窦炎伴鼻息肉患者疼痛症状及舒适度的影响

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目的 探讨腕踝针联合系统化护理在行手术治疗的慢性鼻窦炎伴鼻息肉(CRSwNP)患者中的运用效果。方法 选取2022 年1~12 月常州市第三人民医院收治的 78 例CRSwNP手术患者,按照随机数字表法分为 2 组,各39 例。2 组患者均行手术治疗,对照组采取常规护理,观察组实施腕踝针联合系统化护理。对比 2 组的康复情况。结果 术后72 h,2 组的视觉模拟评分法评分均比术后4h低;护理7d后,2 组的嗅觉功能评分、焦虑自评量表和抑郁自评量表评分均比护理前低,舒适状况量表中的生理、心理、精神、社会文化和环境评分均比护理前高;上述情况下,观察组均比对照组更优,结果均存在统计学差异(P均<0。05)。与对照组比较,观察组的并发症(鼻腔粘连、脑脊液鼻漏和鼻腔出血)总发生率更低(P<0。05)。结论 腕踝针联合系统化护理能减轻CRSwNP患者术后疼痛症状与不良情绪,改善其身心舒适度,减少并发症的发生,有助于嗅觉功能的恢复。
Effect of wrist-ankle acupuncture combined with systematic nursing on pain symptoms and comfort in patients with chronic rhinosinusitis and nasal polyps
Objective To explore the application effect of wrist-ankle acupuncture combined with systematic nursing in the surgical treatment of patients with chronic rhinosinusitis with nasal polyps(CRSwNP)patients.Methods A total of 78 patients undergoing CRSwNP surgery admitted to the Third People's Hospital of Changzhou from January to December 2022 were randomly divided into two groups using a random number table method,with 39 patients in each group.Both groups underwent surgical treatment,with the control group receiving routine care and the observation group receiving wrist-ankle acupuncture combined with systematic nursing.The rehabilitation status of the two groups was compared.Results At 72 hours after surgery,both groups had lower Visual Analogue Scale scores compared to 4 hours after surgery.After 7 days of nursing,the olfactory function scores,Self-Rating Anxiety Scale scores,and Self-Rating Depression Scale scores of both groups were lower than those before nursing,while the physiological,psychological,spiritual,socio-cultural,and environmental scores in the General Comfort Questionnaire were higher than those before nursing.In the above situations,the scores of the observation group were better than those of the control group,and the results showed statistical differences(all P<0.05).Compared with the control group,the observation group had a lower overall incidence of complications(nasal adhesion,cerebrospinal rhinorrhea,and nasal bleeding)(P<0.05).Conclusion The combination of wrist-ankle acupuncture and systematic nursing can alleviate postoperative pain symptoms and negative emotions in CRSwNP patients,improve their physical and mental comfort,reduce the occurrence of complications,and contribute to the recovery of olfactory function.

chronic rhinosinusitis and nasal polypswrist-ankle acupuncturesystematic nursingpaincomfort level

包娜、夏静、蒋舒仪、胡志邦

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常州市第三人民医院,江苏 常州,213000

慢性鼻窦炎伴鼻息肉 腕踝针 系统化护理 疼痛 舒适度

2020年度常州市卫生健康青苗人才培养工程

CZQM2020090

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(9)