全过程呼吸道管理方案在慢性鼻窦炎合并哮喘患者行鼻内镜手术中的应用  

Application of the whole-process respiratory management program in patients with chronic sinusitis complicated with asthma undergoing endoscopic sinus surgery

作　　者：杨光[1] 任晓波[1] 李秀雅[1] 王昌青 张媛[2] YANG Guang;REN Xiaobo;LI Xiuya;WANG Changqing;ZHANG Yuan(Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing100730,China;Department of Nasal Allergy Branch,Beijing Tongren Hospital,Capital Medical University,Beijing100730,China)

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,北京100730 [2]首都医科大学附属北京同仁医院鼻过敏科,北京100730

出　　处：《中国医药导报》2021年第36期139-142,共4页China Medical Herald

基　　金：国家自然科学基金面上项目(82071022);首都医科大学附属北京同仁医院科研基金项目(2018-YJJ-HLL-002)。

摘　　要：目的探讨全过程呼吸道管理方案在慢性鼻窦炎合并哮喘患者行鼻内镜手术中的应用效果。方法采用便利抽样法选择2018年1月至12月首都医科大学附属北京同仁医院耳鼻咽喉头颈外科行鼻内镜手术的慢性鼻窦炎合并哮喘的116例患者作为研究对象,依据随机数字表法分为对照组和观察组,每组各58例。对照组采用常规鼻内镜围手术期护理,观察组应用全过程呼吸道管理方案进行护理。比较两组围手术期哮喘发生率及哮喘感知控制力得分情况。结果干预后,观察组哮喘发生率低于对照组,差异有统计学意义(P<0.05)。两组哮喘感知控制力总得分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组心理控制源、自我效能感、习得无助感得分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论全过程呼吸道管理方案的应用可以有效降低慢性鼻窦炎合并哮喘患者行鼻内镜手术后哮喘的发生率,提高患者哮喘感知控制力,值得临床推广使用。Objective To investigate the effect of whole-process respiratory care management program in endoscopic sinus surgery for patients with chronic sinusitis complicated with asthma.Methods A total of 116 patients with chronic sinusitis complicated with asthma who underwent endoscopic sinus surgery in the Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University from January to December 2018 were selected as the study subjects by convenience sampling method.According to random number table method,they were divided into control group and observation group,with 58 cases in each group.The control group received routine endoscopic sinus perioperative nursing,and the observation group received whole-process respiratory management program nursing,the incidence of perioperative asthma and the score of perceived control of asthma were compared between the two groups.Results After intervention,the incidence of postoperative asthma in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total scores of perceived control of asthma in both groups were higher than those before intervention,and the total score of perceived control of asthma in observation group was higher than that in control group,the differences were statistically significant(P<0.05).The scores of locus of control,self-efficacy,and learned helplessness in the two groups were higher than those before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The application of whole-process respiratory management program can effectively reduce the incidence of asthma in patients with chronic sinusitis complicated with asthma after endoscopic sinus surgery,and improve the perception control of patients with asthma,which is worthy of clinical application.

关 键 词：呼吸道护理 安全护理 鼻窦炎 哮喘 鼻内镜手术 

分 类 号：R473[医药卫生—护理学]