家属同步健康教育对鼻内镜术后患者康复的影响  

The Influence of Family Members'Synchronous Health Education on the Rehabilitation of Patients after Endoscopic Sinus Surgery

作　　者：徐灵 赵苏晓 李友然 闻庭 刘意群 XU Ling;ZHAO Suxiao;LI Youran;WEN Ting;LIU Yiqun(Department of Otorhinolaryngology,Head and Neck Surgery,No.900 Hospital,Joint Logistics Support Force,Fuzhou,Fujian Province,350025 China)

机构地区：[1]联勤保障部队第九〇〇医院耳鼻咽喉头颈外科,福建福州350025

出　　处：《中外医疗》2021年第16期163-165,169,共4页China & Foreign Medical Treatment

摘　　要：目的探讨家属同步健康教育对慢性鼻窦炎伴鼻息肉患者鼻内镜术后康复的影响。方法方便选取2017年7月—2018年5月期间收住该科经鼻内镜手术治疗的单纯慢性鼻-鼻窦炎伴鼻息肉患者50例,随机分为研究组(n=25)与对照组(n=25),对照组进行常规教育,研究组患者施行常规教育联合家属同步健康教育,分析干预效果差异。结果与对照组患者的(35.68±1.79)分、(38.74±2.35)分、(3.53±1.03)分相比,研究组患者焦虑评分(30.27±1.54)分、抑郁评分(32.87±2.26)分以及疼痛评分(2.64±0.39)分更低,两组差异有统计学意义(t=11.456、9.002、4.040,P<0.001﹚;与对照组家属的(16.34±1.39)分、(16.03±1.22)分、(16.72±0.60)分、(16.03±0.13)分、(15.45±1.29)分、(80.59±5.53)分相比,研究组家属疾病知识评分(18.10±0.98)分、药物使用评分(18.33±1.07)分、注意事项(18.95±0.53)分、鼻内镜手术相关知识评分(18.06±0.69)分、居家护理评分(18.84±0.69)分及总分(92.28±3.90)分更高,两组差异有统计学意义(t=5.174、7.087、13.928、7.666、11.586、8.638,P<0.001﹚。结论对行鼻内镜术的慢性鼻-鼻窦炎伴鼻息肉患者住院期间加强家属同步健康教育,不仅能够改善患者的负面情绪、减轻患者的疼痛感,提升家属对健康知识的了解程度,促进患者的术后康复。Objective To explore the effect of family health education on the rehabilitation of patients with chronic sinusitis and nasal polyps after endoscopic sinus surgery.Methods From July 2017 to May 2018,convenient to selected 50 patients with simple chronic rhinosinusitis and nasal polyps who were treated by endoscopic sinus surgery in the department were randomly divided into study group(n=25)and control group(n=25),the control group received routine education,and the study group received routine education combined with family health education to analyze the difference in intervention effects.Results Compared with the(35.68±1.79)points,(38.74±2.35)points,and(3.53±1.03)points of the control group,the study group's anxiety score(30.27±1.54)points,depression score(32.87±2.26)points and pain score(2.64±0.39)points was lower,and the difference between the two groups was statistically significant(t=11.456,9.002,4.040,P<0.001﹚;compared with the family members of the control group(16.34±1.39)points,(16.03±1.22)points,(16.72±0.60)points,(16.03±0.13)points,(15.45±1.29)points,(80.59±5.53)points,the study group’s family members’disease knowledge score was(18.10±0.98)points,the drug use score was(18.33±1.07)points,precautions was(18.95±0.53)points,nasal endoscopic surgery related knowledge score was(18.06±0.69)points,home care score was(18.84±0.69)points and total score was(92.28±3.90)points were higher,the difference between the two groups was statistical significance(t=5.174,7.087,13.928,7.666,11.586,8.638,P<0.001).Conclusion The strengthening of family members’health education for patients with chronic rhinosinusitis and nasal polyps undergoing nasal endoscopy during hospitalization can not only improve the patient’s negative emotions,reduce the patient’s pain,and improve the family’s understanding of health knowledge,and promote the patient's postoperative recovery.

关 键 词：家属同步健康教育 慢性鼻-鼻窦炎伴鼻息肉 鼻内镜术 术后康复 

分 类 号：R47[医药卫生—护理学]