多元化护理在鼻内镜治疗的鼻窦炎患者中的应用效果及对其情绪和睡眠的影响  

Effect of Diversified Nursing in Patients with Sinusitis Treated by Nasal Endoscopy and Its Influence on Their Mood and Sleep

作　　者：冯金铭 纪小云 林浮花 FENG Jinming;JI Xiaoyun;LIN Fuhua(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China;Department of Hepatobiliary and Pancreatic Vascular Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361000 [2]厦门大学附属第一医院肝胆胰血管外科,福建厦门361000

出　　处：《中外医疗》2024年第5期155-158,共4页China & Foreign Medical Treatment

摘　　要：目的探究采用鼻内镜治疗的鼻窦炎患者运用多元化护理对其负面情绪和睡眠质量的临床影响。方法方便选取2020年6月—2022年6月厦门大学附属第一医院行鼻内镜治疗的106例鼻窦炎患者作为研究对象,按照随机数表法分为对照组(n=53)和多元化组(n=53),对照组采用常规基础护理,多元化组在对照组的基础上进行多元化护理,比较两组术后恢复质量、护理前后的负面情绪、睡眠质量和生活质量。结果护理后,多元化组症状评分和黏膜形态评分均低于对照组,差异有统计学意义(P均<0.05)。多元化组汉密尔顿抑郁量表评分(9.12±2.56)分和汉密尔顿焦虑量表评分(8.27±2.13)分均低于对照组,差异有统计学意义(t=6.241、5.121,P均<0.05)。多元化组匹茨堡睡眠质量指数低于对照组,差异有统计学意义(P<0.05)。多元化组中文版鼻腔鼻窦结局测试-20评分低于对照组,差异有统计学意义(P<0.05)。结论采用鼻内镜治疗的鼻窦炎患者采用多元化护理不仅可以有效提高其术后恢复质量,还可缓解其负面情绪,改善其睡眠质量和生活质量。Objective To explore the clinical effects of multiple nursing on negative mood and sleep quality in patients with rhinosinusitis treated with nasal endoscopy.Methods A total of 106 patients with sinusitis who underwent nasal endoscopic treatment in the First Affiliated Hospital of Xiamen University from June 2020 to June 2022 were selected conveniently as the study objects,and were divided into control group(n=53)and diversified group(n=53)according to random number table method.The control group received routine basic nursing,while the diversified group received diversified nursing on the basis of the control group.Postoperative recovery quality,negative mood,sleep quality and quality of life before and after care were compared between the two groups.Results After nursing,symptom scores and mucosal morphology scores in the diversified group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The scores of Hamilton Depression Scale(9.12±2.56)points and Hamilton Anxiety Scale(8.27±2.13)points in the diversified group were lower than those in the control group,and the differences were statistically significant(t=6.241,5.121,both P<0.05).The Pittsburgh sleep quality index in the diversified group was lower than that in the control group,and the difference was statistically significant(P<0.05).The Chinese version of the sinusoid outcome test-20 score in the diversified group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with sinusitis treated with nasal endoscopy the use of diversified nursing can not only effectively improve the quality of postoperative recovery,but also alleviate their negative emotions,improve their sleep quality and quality of life.

关 键 词：鼻窦炎 鼻内镜治疗 多元化护理 恢复质量 负面情绪 睡眠质量 

分 类 号：R473[医药卫生—护理学]