吸入气体湿化对鼻内镜术后鼻导管双侧留置患者舒适度的影响  

Effect of inhaled humidified gases on comfort in bilateral nasal catheter patients after nasal endoscopic surgery

作　　者：刘永玲[1] 尚菲[1] 金晓婷[1] 杨光[1] 徐颖[1] 马佳[1] 邓倩[1] 张海利[1] 杨虹[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,100730

出　　处：《中华现代护理杂志》2017年第12期1644-1647,共4页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京同仁医院科研项目（2014-YJJ-HLL-028）

摘　　要：目的 依据3种吸入气体湿化方法对鼻内镜术后鼻导管双侧留置患者舒适度的影响,选择一种廉价、便携同时避免交叉感染的病房吸入气体湿化方法,提高患者对于鼻腔加湿的依从性.方法 120例鼻内镜术后鼻导管双侧留置患者简单随机化分组,随机分为4组：湿纱布组、加湿口罩组、空气加湿器组、对照组（空白对照）,每组各30例.患者术后第1～3天行鼻堵视觉模拟评分（VAS）和鼻腔鼻窦结局测试-20评分（SNOT-20）,并结合费用、方便程度和患者的接受程度进行分析.结果 VAS评分：术后第3天,研究组各组评分均明显高于对照组,差异有统计学意义（P＜0.05）,但研究组各组组间差异无统计学意义（P＞0.05）.SNOT-20评分：湿纱布组、加湿器组与对照组进行组间比较,术后第3天差异有统计学意义（P＜0.05）;加湿口罩组与对照组进行比较,术后第2、3天差异有统计学意义（P＜0.05）;所有研究组在术后第3天鼻部症状、其他症状和睡眠障碍等方面的评分均明显低于对照组,差异有统计学意义（P＜0.05）.结论 湿纱布、加湿口罩、空气加湿器3种吸入气体湿化方法均可明显改善鼻内镜术后鼻导管双侧留置患者鼻腔舒适度,临床护理实践应充分考虑患者客观情况,灵活综合应用,提高患者生活质量.Objective To select a cheap, portable along with avoiding cross infection method of inhaled humidified gases according to the effect of three methods for inhaled humidified gases on degree of comfort in bilateral nasal catheter patients with nasal endoscopic surgery so as to improve the compliance of humidification for nasal cavity.Methods A total of 120 bilateral nasal catheter patients with nasal endoscopic surgery were randomly divided into four groups including wet gauze group （n=30）, humidified gauze mask group （n=30）, humidifier group （n=30） and control group （n=30）. The assessment on the visual analogue scale （VAS） and SNOT-20 were carried out along with analysing the cost, convenience and acceptance in the first to the third day after surgery.Results The score of VAS in research groups was statistically higher than that in control group in the third day after surgery （P〈0.05） with no significant difference in that among research groups （P〉0.05）. There were statistically significant differences in the score of SNOT-20 between wet gauze group and control group, between humidifier group and control group in the third day after surgery （P〈0.05）. There was a statistically significant difference in the score of SNOT-20 between humidified gauze mask group and control group in the second and third day after surgery （P〈0.05）. The score of the nasal symptom, other symptoms and sleep disorder and so on in research groups was lower than those in control group in the third day after surgery with significant differences （P〈0.05）.Conclusions Three methods （wet gauze group, humidified gauze mask group, humidifier） for inhaled humidified gases can obviously improve the degree of comfort in bilateral nasal catheter patients with nasal endoscopic surgery. The clinical nursing practice should fully consider the objective condition of patients along with applying it neatly and synthetically so as to improve the quality of life of patients.

关 键 词：护理 经济效益 湿化 鼻内镜手术 SNOT-20 

分 类 号：R473.76[医药卫生—护理学]