慢性鼻窦炎伴鼻息肉患者鼻内镜术后主观症状与自我管理效能感的相关性分析  

Correlation between subjective symptoms and self-management efficacy in patients with chronic rhinosinusitis and nasal polyps after endoscopic sinus surgery

作　　者：商淼[1] 田梓蓉[2] 唐晓雪[1] 马新宇 Shang Miao;Tian Zirong;Tang Xiaoxue;Ma Xinyu(Department of Nasal Allergy,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院鼻过敏科,100730 [2]首都医科大学附属北京同仁医院护理部,100730

出　　处：《中华现代护理杂志》2021年第30期4115-4118,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基金(2018-YJJ-HLL-016)。

摘　　要：目的了解慢性鼻窦炎伴鼻息肉患者鼻内镜术后主观症状与自我管理效能感现状,并分析两者间的关系。方法本研究为横断面研究。采用便利抽样法,选取2018年7月—2020年6月在北京市某三级甲等医院行鼻内镜手术的228例慢性鼻窦炎伴鼻息肉患者为研究对象。采用一般资料调查表、视觉模拟评分法(VAS)以及慢性病自我管理效能量表(CDSES)进行调查。采用Pearson相关、Spearman秩相关进行相关性分析。结果228例慢性鼻窦炎伴鼻息肉患者中术后仍存有鼻塞症状184例(80.70%)、流涕症状134例(58.77%)、嗅觉障碍症状116例(50.88%)、头面部胀痛症状112例(49.12%)、整体不适感症状208例(91.22%);228例慢性鼻窦炎伴鼻息肉患者术后CDSES中症状管理自我效能维度得分为(6.19±1.04)分、疾病共性管理自我效能维度得分为(7.42±0.95)分,其中总分≥7分者32例,占14.04%(32/228);各项主观症状的VAS得分与CDSES总分及各维度得分均呈负相关(P<0.05)。结论慢性鼻窦炎伴鼻息肉患者在鼻内镜手术后仍存在疾病症状的困扰,自我管理效能需进一步加强,临床护理人员应该对这类患者术后主观症状给予重视,教会患者疾病症状管理方法,从而提高患者的自我管理效能感。Objective To understand the current status of subjective symptoms and self-management efficacy in patients with chronic rhinosinusitis and nasal polyps after endoscopic sinus surgery,and analyze the correlation between the two.Methods This study was a cross-sectional study.From July 2018 to June 2020,a total of 228 patients with chronic rhinosinusitis and nasal polyps who underwent endoscopic sinus surgery in a ClassⅢGrade A hospital in Beijing were selected as the research object.The survey was conducted using the General Information Questionnaire,Visual Analogue Scale(VAS),and Chronic Disease Self-Efficacy Scale(CDSES).Pearson correlation and Spearman rank correlation were used for the correlation analysis.Results Among 228 patients with chronic rhinosinusitis and nasal polyps,there were still 184 cases(80.70%)of nasal congestion,134 cases(58.77%)of runny nose,116 cases(50.88%)of olfactory symptoms,112 cases(49.12%)of head and face pain symptoms,and 208 cases(91.22%)of general discomfort.Among 228 patients with chronic rhinosinusitis and nasal polyps,the symptom management self-efficacy dimension in CDSES score was(6.19±1.04),and the disease common management self-efficacy dimension score was(7.42±0.95),and there were 32 cases with a total score of≥7,accounting for 14.04%(32/228).The VAS score of various subjective symptoms was negatively correlated with the total score of CDSES and the score of each dimension,and the difference was statistically significant(P<0.05).Conclusions Patients with chronic rhinosinusitis and nasal polyps still have disease symptoms after endoscopic sinus surgery,and the self-management efficacy needs to be further strengthened.Clinical nurses should pay attention to subjective symptoms of these patients after surgery,teach them how to manage disease symptoms,and improve the patient's self-management efficacy.

关 键 词：鼻窦炎 慢性 鼻息肉 鼻内镜 症状体验 自我管理效能 

分 类 号：R473.76[医药卫生—护理学]