目的 探讨专职护理干预对鼻内镜下手术治疗鼻窦炎和鼻息肉患者心理状态及并发症的影响.方法 选择2015年6月~2017年1月解放军总医院收治的鼻内镜下手术治疗的鼻窦炎和鼻息肉患者104例,采用随机数字表法将其分为观察组和对照组,每组各52例.对照组给予常规护理干预,观察组给予专职护理干预,比较入院后24h及术后1周两组患者的症状自评量表(SCL-90)、抑郁自评量表(SDS)评分及术后并发症发生情况.结果 入院后24 h两组患者SCL-90各心理因子及SDS得分比较,差异无统计学意义(P>0.05).术后1周与入院后24 h对照组各心理因子得分比较,差异无统计学意义(P>0.05),观察组上述各因子得分均降低,且明显低于对照组,差异均有统计学意义(均P< 0.05).术后1周两组SDS得分均降低,观察组明显低于对照组,差异有统计学意义(P<0.05).观察组术后并发症发生率显著低于对照组(P<0.05).结论 专职护理能够有效缓解鼻内镜下手术治疗鼻窦炎和鼻息肉患者的负面情绪、减少术后并发症,值得临床推广应用
Objective To investigate the influences of full-time nursing intervention on the psychological status and complications in patients with sinusitis and nasal polyps underwent endoscopic sinus surgery.Methods From June 2015 to January 2017,104 cases of patients with sinusitis and nasal polyps treated in Chinese PLA General Hospital were selected as the research objects and divided into the observation group and the control group by random number table,with 52 cases in each group.The control group was given routine nursing intervention and the observation group was given full-time nursing intervention on the basis of control group.At the time of 24 h admission and 1 week postoperative,the psychological status of the patients were evaluated by the symptom checklist-90 (SCL-90) and the self-rating depression scale (SDS),the incidence of complications was compared between the two groups.Results At the time of 24 h admission,there were no significant differences in the scores of SCL-90 and SDS between the two groups (P > 0.05).There were no significant differences in the scores of psychological factors in the control group at the adimission time and at the time of 1 week after operation,but the factors above were all decreased in the observation group and all low-er than those of control group,with statistically significant differences (all P < 0.05).One week after operation,the scores of SDS in the two groups were all decreased and the observation group decreased more remarkably,with statistically significant differences (P > 0.05).The incidence of complications in the observation group was lower than that of control group,with statistically significant differences (P < 0.05).Conclusion Full-time nursing can effectively alleviate the negative emotions in patients with sinusitis and nasal polyps underwent endoscopic sinus surgery,reduce the the incidence of complicatons.It is worthy of promotion and application.