摘要
目的:探讨手术室优质护理在鼻内镜手术治疗慢性鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)患者中的应用效果。方法:选取2017年1月-2020年12月在笔者所在医院行鼻内镜手术的100例CRSwNP患者,按照随机数字表法将其分为观察组与对照组,每组50例。对照组实施手术室常规护理,观察组实施手术室优质护理。比较两组术中血气分析指标[动脉血氧分压(arterial partial pressure of oxygen,PaO2)、动脉血二氧化碳分压(arterial partial pressure of carbon dioxide,PaCO2)、碱剩余(base excess,BE)],SF-36生活质量量表评分与匹兹堡睡眠质量指数量表(PSQI)评分、鼻腔鼻窦结局测试20量表(SNOT-20)评分、满意度及手术室安全隐患事件发生率。结果:观察组术中PaO2明显高于对照组,PaCO2及BE均明显低于对照组,差异有统计学意义(P<0.05)。术后1 d,两组SF-36评分均较术前明显升高(P<0.05),PSQI评分及SNOT-20评分均较术前明显降低(P<0.05),且观察组SF-36评分明显高于对照组,PSQI评分及SNOT-20评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组总满意度明显高于对照组,差异有统计学意义(P<0.05)。观察组手术室安全隐患事件发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:手术室优质护理应用于鼻内镜手术治疗CRSwNP患者中,能够改善患者肺换气功能及酸碱平衡状态、鼻腔鼻窦结局、生活质量及睡眠质量,提高患者满意度,降低手术室安全隐患事件。
Objective:To investigate the application effect of high quality nursing in operation room on chronic rhinosinusitis with nasal polyps(CRSwNP)patients treated by nasal endoscopic surgery.Method:A total of 100 CRSwNP patients who underwent nasal endoscopic surgery in our hospital from January 2017 to December 2020 were selected and divided into the observation group and the control group according to random number table method,with 50 patients in each group.The control group received routine nursing in operating room,and the observation group received high quality nursing in operating room.The intraoperative blood gas analysis indicators[arterial partial pressure of oxygen(PaO;),arterial partial pressure of carbon dioxide(PaCO;),base excess(BE)],SF-36 quality of life scale score,pittsburgh sleep quality index(PSQI)score,nasal and sinus outcome test scale-20(SNOT-20)score,satisfaction and incidence of operating room safety hazards incidents were compared between two groups.Result:The intraoperative PaO;in the observation group was significantly higher than that in the control group,and the PaCO;and BE were significantly lower than those in the control group,the differences were statistically significant(P<0.05).One day after surgery,SF-36 scores in both groups were significantly higher than those before surgery(P<0.05),PSQI scores and SNOT-20 scores were significantly lower than those before surgery(P<0.05).The SF-36 score in the observation group was significantly higher than that in the control group,and the PSQI score and SNOT-20 score in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of operating room safety hazards incidents in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of high quality nursing in operating room in patients with CRSwNP treated by nasal endoscopic surgery can improve lung ventilation function,acid-base balance,nasal and sinus outcomes,quality of life and sleep quality,improve patient satisfaction,and reduce safety risks in the operating room.
作者
邹欣欣
ZOU Xinxin(The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)
出处
《中外医学研究》
2021年第30期92-95,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性鼻窦炎
鼻息肉
鼻内镜手术
手术室
优质护理
Chronic rhinosinusitis
Nasal polyps
Nasal endoscopic surgery
Operating room
High quality nursing
