中西医协同分级管理策略在鼻内镜术后鼻腔填塞患者口干症护理中的应用  

Application of collaborative grading management strategy of traditional Chinese and western medicine in the nursing of xerostomia patients with nasal tamponade after endoscopic surgery

作　　者：查慧芳 马倩[1] 葛兆霞[1] 佘万东[1] 俞晨杰[1] 汪洋[1] 庄宇 傅玉娟[1] ZHA Huifang;MA Qian;GE Zhaoxia;SHE Wandong;YU Chenjie;WANG Yang;ZHUANG Yu;FU Yujuan(Department of Otolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University medical School,Jiangsu,Nanjing,210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科,江苏南京210008

出　　处：《中国中西医结合耳鼻咽喉科杂志》2024年第4期303-308,313,共7页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：2022年度鼓楼医院中西医协同特色技术发展项目(CZXM2022116)。

摘　　要：目的探究中西医协同分级管理策略对鼻内镜术后鼻腔填塞患者口干症的改善效果。方法采用便利抽样法,选取2022年6月~11月南京市某三级甲等医院耳鼻咽喉头颈外科鼻内镜术后行鼻腔填塞的101例作为研究对象,按照住院时间分为对照组50例和试验组51例,对照组给予常规护理,试验组给予中西医协同分级管理策略。比较2组干预后三级口干的发生率、误吸的发生率、患者满意度。结果两组患者在手术日回室时的三级口干发生率对比并无统计学意义(P>0.05);试验组术后2h、4h、8h及术后2d的上、下午三级口干发生率、误吸发生率均低于对照组,差异有统计学意义(P<0.01);试验组的满意度为90.1%,高于对照组的64%,差异有统计学意义(P<0.05)。结论中西医协同分级管理策略能够有效降低鼻内镜术后鼻腔填塞患者三级口干的发生率,误吸发生率,提高患者满意度。Objective To explore the effectiveness of grading management strategy collaborated with Chinese and Western medicine on the alleviation of xerostomia in patients with nasal tamponade after endoscopic surgery.Methods Using the convenient sampling method,101 patients who underwent nasal tamponade after endoscopic surgery of otolaryngology,head and neck surgery in a third-class first-class hospital in Nanjing from June to November 2022 were selected as the study subjects.According to the length of stay,they were divided into the control group of 50 patients and the test group of 51 patients.The control group was given routine care,and the intervention group was given the strategy of collaborative grading management of Chinese and Western medicine.Compare the incidence of dry mouth,aspiration and patient satisfaction of the two groups after intervention.Results There was no statistical significance in the incidence of tertiary xerostomia between the two groups when the patient returned to the ward after operation(P>0.05).The incidence of xerostomia and aspiration of test group at 2h,4h,8h and 2d after surgery were significantly lower than those of control group(P<0.01).The satisfaction of experimental group was higher than that of control group(90.1%vs 64%),and the difference was statistically significant(P<0.05).Conclusion The collaborative grading management strategy of Chinese and Western medicine can effectively reduce the incidence of third-grade dry mouth and aspiration of patients with nasal tamponade after endoscopic surgery,and improve patient satisfaction.

关 键 词：中西医协同 分级管理策略 鼻内镜术后 鼻腔填塞 口干症 

分 类 号：R473.76[医药卫生—护理学]