摘要
目的探讨基于Cox健康行为互动模式的护理干预在慢性鼻窦炎伴鼻息肉(CRSwNP)嗅觉障碍患者中的应用价值,为临床护理人员提高此类患者嗅觉功能及生命质量、降低负性情绪提供参考。方法采用前瞻性、随机、单盲对照试验研究方法。便利抽样选取2022年2—8月在昆明医科大学第二附属医院耳鼻咽喉科住院的50例CRSwNP嗅觉障碍患者为研究对象,按照随机数字表法分为试验组与对照组,每组25例,对照组给予常规围手术期护理措施,试验组给予基于Cox健康行为互动模式的护理干预。记录并比较2组患者干预前、后不同时间点的嗅觉功能、焦虑抑郁程度、生命质量评分,同时比较2组患者出院时的患者满意度得分。结果最终,对照组纳入24例,试验组纳入23例。干预前,2组患者嗅觉察觉阈值、识别阈值、焦虑、抑郁和生命质量得分比较差异均无统计学意义(均P>0.05);干预后2周及1个月,试验组察觉域值分别为(-0.18±1.89)、(-1.30±1.06)分,低于对照组的(0.92±1.65)、(-0.29±1.40)分,差异均有统计学意义(t=2.09、2.72,均P<0.05);干预后1个月,试验组识别阈值恢复到正常值(0.38±1.67)分,低于对照组的(1.46±1.77)分,差异有统计学意义(t=2.10,P<0.05);干预后,试验组焦虑、抑郁、生命质量得分分别为(31.93±3.55)、(32.31±5.80)、(31.30±6.00)分,低于对照组的(35.10±5.46)、(36.84±6.98)、(38.53±9.27)分,差异均有统计学意义(t=2.30、2.36、3.09,均P<0.05);试验组患者出院时的患者满意度得分为(49.31±3.95)分,高于对照组的(44.30±2.60)分,差异有统计学意义(t=-5.05,P<0.05)。结论基于Cox健康行为互动模式的护理干预能有效提升CRSwNP嗅觉障碍患者的嗅觉功能与生命质量,降低焦虑、抑郁程度,提高患者的满意度。
Objective To explore the value of the nursing intervention based on interaction model of Cox health behavior in patients with chronic rhinosinusitis with nasal polyps(CRSwNP)with olfactory disorders,so as to provide reference for clinical caregivers to improve the olfactory function and quality of life of such patients and reduce negative emotions.Methods This study was a prospective,randomized,single blind controlled trial.A convenient sampling method was used to select 50 patients with olfactory disorders of CRSwNP who were hospitalized in the Department of Otolaryngology,Second Affiliated Hospital of Kunming Medical University from February 2022 to August 2022 as the study population.According to the random number table method,25 patients in each group were divided into a test group and a control group.The control group was given conventional perioperative nursing measures,while the test group was given nursing intervention based on interaction model of Cox health behavior.Patients in the two groups were recorded and compared in terms of olfactory function,anxiety and depression,and quality of life scores before and after the intervention.Patient satisfaction scores at the time of discharge were also compared between the two groups.Results Finally,24 cases were included in the control group and 23 cases in the test group.The comparison of olfactory perception threshold,recognition threshold score,anxiety-depression score and quality of life score between the two groups before the intervention was not statistically significant(P>0.05)and was comparable.The perceptual domain scores were(-0.18±1.89),(-1.30±1.06)points in the test group at 2 weeks and 1 month after the intervention,respectively,which were lower than the(0.92±1.65),(-0.29±1.40)points in the control group.The differences were statistically significant(t=2.09,2.72,both P<0.05).The recognition threshold returned to its normal value(0.38±1.67)points in the test group 1 month after the intervention,with a lower score than the control group′s(1.46±1.77)points.The difference was statistically significant(t=2.10,P<0.05).After the intervention,the anxiety,depression and quality of life scores in the test group were(31.93±3.55),(32.31±5.80),(31.30±6.00)points respectively,which were lower than the(35.10±5.46),(36.84±6.98),(38.53±9.27)points in the control group.The differences were statistically significant(t=2.30,2.36,3.09,all P<0.05).In addition,the patient satisfaction score was higher in the trial group(49.31±3.95)points than in the control group(44.30±2.60)points,with a statistically significant difference(t=-5.05,P<0.05).Conclusions The nursing intervention based on interaction model of Cox health behavior can effectively improve the patients'olfactory function and quality of life,reduce the level of anxiety and depression,and improve the patients'satisfaction.
作者
段青鸾
林珂
邝安君
吴海莺
毛延
Duan Qingluan;Lin Ke;Kuang Anjun;Wu Haiying;Mao Yan(Department of Otolaryngology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China;Department of Anesthesia and Surgery,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)
出处
《中国实用护理杂志》
2023年第27期2081-2089,共9页
Chinese Journal of Practical Nursing
基金
云南省科技厅科技计划项目(202201AY070001-122)
昆明医科大学研究生创新基金(2022S172)。
关键词
护理
嗅觉障碍
生活质量
鼻窦炎
健康行为互动模式
Nursing care
Olfaction disorders
Quality of life
Sinusitis
Interaction model of client health behavior
作者简介
通信作者:林珂,Email:77340786@qq.com。
