慢性化脓性中耳炎围手术期应用个性化护理模式的效果研究  

of chronic suppurative otitis media Study on the effect of applying personalised nursing model in the perioperative period

作　　者：张娟[1] 吕亚莉 朵银莉[1] Zhang Juan;Lu Yai;Duo Yinli(Department of Otorhinolaryngology,General Hospital of Ningxia Medical University,Yinchuan,Ningxia,750000,China)

机构地区：[1]宁夏医科大学总医院,宁夏银川750000

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第2期200-204,共5页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探究慢性化脓性中耳炎围手术期应用个性化护理的干预效果。方法随机选取2022年1月-2022年12月我院收入慢性化脓性中耳炎患者60例,按照随机数字表法分为干预组和常规组各30例,干预组给予个性化护理,常规组接受常规护理措施,比较两组的围手术期指标(术前占床日、积液消失时间、住院时间)、听力情况差异,对比干预前后两组的疼痛程度[视觉模拟评分量表(VAS)]、焦虑情绪[焦虑自评量表(SDS)]、舒适度[简化舒适状况量表(GCQ)]和生活质量[中文版《慢性耳病调查量表》(CCES)]变化,比较两组并发症发生情况差异。结果干预组术前占床日、积液消失时间、住院时间均较常规组显著偏低(P<0.05);干预组听力障碍程度较常规组显著偏低(P<0.05);干预后,两组VAS、SAS评分均较同组干预前明显偏低,且干预组较常规组偏低(P<0.05);两组GCQ、CCES评分均较同组干预前明显偏高,且干预组较常规组偏高(P<0.05);两组的出血、恶心呕吐、继发性鼓膜穿孔、细菌感染、面瘫等并发症发生率比较,差异无统计学意义(P>0.05)。结论慢性化性中耳炎患者围手术期应用个性化护理可以有效改善术后听力恢复,减轻疼痛和焦虑情绪,改善舒适度和生活质量,值得临床推广应用。Objective To investigate the intervention effect of applying personalised nursing care in the perioperative period of chronic suppurative otitis media.Methods 60 patients with chronic suppurative otitis media were randomly selected from January 2022 to December 2022,and were divided into 30 cases each in the intervention group and the routine group according to the random number table method,the intervention group was given personalised nursing care,and the routine group received routine nursing measures,and the perioperative indexes(preoperative bed occupancy days,effusion disappearance time,hospitalisation time)and hearing conditions of the two groups were compared,and the differences in pain level[Visual Analogue Scale(VAS)],anxiety and pain were compared between the two groups before and after the intervention.Compare the changes of pain[Visual Analogue Scale(VAS)],anxiety[Self-assessment Scale of Anxiety(SDS)],comfort[Simplified Comfort Condition Scale(GCQ)],and quality of life[Chinese version of Chronic Ear Disease Survey(CCES)]between the two groups,and compare the differences in the occurrence of complications between the two groups.Results The preoperative bed-occupancy days,effusion disappearance time,and hospitalisation time of the intervention group were significantly lower than those of the conventional group(P<0.05);the degree of hearing impairment of the intervention group was significantly lower than that of the conventional group(P<0.05);after the intervention,the VAS and SAS scores of the two groups were significantly lower than those of the same group before the intervention,and were lower in the intervention group than those of the conventional group(P<0.05);the GCQ and CCES scores of the two groups were significantly higher than those of the same group before the intervention The GCQ and CCES scores of both groups were significantly higher than those of the same group before the intervention,and the intervention group was higher than the conventional group(P<0.05);and there was no statistical

关 键 词：慢性化脓性中耳炎 围手术期 个性化护理 

分 类 号：R473.76[医药卫生—护理学]