系统性护理干预对鼻内镜手术患者术后疼痛、情绪及生活质量的影响  

Effect of systematic nursing intervention on post-operative pain, emotion and quality of life in patients undergoing endoscopic sinus surgery

作　　者：孙艳[1] SUN Yan(Laryngoscope Room,People＇s Hospital of Fengcheng City,Jiangxi Province,Fengcheng 331100,China)

机构地区：[1]江西省丰城市人民医院喉镜室,江西丰城331100

出　　处：《中国当代医药》2018年第27期216-218,共3页China Modern Medicine

摘　　要：目的探究鼻内镜手术患者采取系统化护理干预对疼痛、情绪及生活质量的影响。方法选择2015年4月～2016年4月在我院接受鼻内镜手术的85例患者作为对照组,选择2016年5月～2017年5月在我院接受鼻内镜术的85例患者作为观察组,对照组采取常规护理,观察组采取系统性护理干预,比较两组手术前后疼痛程度、负性情绪及术后生活质量评分。结果观察组术前VAS评分为(6.35±1.29)分、SDS评分为(55.47±5.58)分、SAS评分为(54.27±6.38)分,与对照组[(6.27±1.24)、(55.39±5.61)、(53.76±6.51)分]比较,差异无统计意义(P>0.05);术后观察组VAS评分[(3.33±0.35)分]、SDS评分[(49.27±3.01)分]、SAS评分[(46.72±4.16)分],均低于对照组[(4.27±0.84)、(52.16±3.42)、(50.27±5.24)分],差异有统计学意义(P<0.05);观察组术后GQOLI274量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论鼻内镜手术患者采取系统性护理干预可改善其焦虑、抑郁等负性情绪,减轻术后疼痛,提高患者的生活质量。Objective To explore the effects of systematic nursing intervention on pain, emotion and quality of life in patients undergoing endoscopic sinus surgery. Methods Altogether 85 patients who underwent endoscopic surgery in our hospital from April 2015 to April 2016 were selected as the control group; while, another 85 patients who received endoscopic sinus surgery in our hospital from May 2016 to May 2017 were selected as observation group. The control group was adopted routine nursing, and the observation group was took systematic nursing intervention. The pre-and post-operative pain, negative emotion and post-operative quality of life score were compared between two groups. Re- suits The pre-operativevisual analogue scale （VAS） score （6.35±1.29）, self-rating depression scale （SDS） score （55.47± 5.58） and self-rating anxiety scale （SAS） score （54.27±6.38） of observation group had no statistically significant differ- ence in comparison with those of control group （[6.27±1.24], [55.39±5.61] and [53.76±6.51] score）, （P〉0.05）. The post- operative VAS, SDS and SAS scores of the observation group were （3.33±0.35）, （49.27±3.01） and （46.72±4.16） score, lower than those of the control group （[4.27±0.84], [52.16±3.42] and [50.27±5.24] score）, with statistically significant difference （P〈0.05）. The score of each dimension of post-operative scale quality of life comprehensive assessment questionnaire（GQOL I274） of the observation group were higher than those of the control group, with statistically signif- icant difference （P〈0.05）. Conclusion Application of systematic nursing intervention in patients undergoing endoscopic sinus surgery can improve their negative emotions such as anxiety and depression, relieve postoperative pain and ame- liorate their quality of life.

关 键 词：鼻内镜术 系统性护理干预 术后疼痛 负性情绪 生活质量 

分 类 号：R473.76[医药卫生—护理学]