摘要
目的探讨阶段性健康教育在鼻窦炎合并鼻息肉手术患者护理中对其遵医行为和知识掌握程度的影响。方法选择三明市第二医院2022年1~12月接收的鼻窦炎合并鼻息肉病例,共计100例,所有患者均在院进行治疗和护理干预,在随机数字表法分组标准下,观察组病例与对照组病例各计50例,其中对照组实施常规护理,观察组患者在此基础上加以阶段性健康教育,比较两组患者干预前后知识掌握程度、遵医行为、生命质量评分以及伤口感染、鼻腔粘连、术后出血等并发症发生情况。结果在干预以前不同组别病例在健康知识掌握情况、生命质量的评分比较中,差异无统计学意义(P<0.05),而进行干预后这两项指标的对比存在统计学意义(P<0.05),观察组病例更优。干预后观察组患者在手术配合、按时定量用药等遵医行为达标方面的比例均高于对照组(P<0.05)。在并发症方面,观察组仅出现1例鼻腔粘连和1例术后出血,发生率为4.00%,低于对照组的18.00%(P<0.05)。结论为鼻窦炎合并鼻息肉手术治疗的患者实施阶段性健康教育可提高患者遵医行为及知识掌握程度,降低并发症发生率,保障生命质量。
Objective To investigate the effect of phased health education on compliance behavior and knowledge mastery of patients with sinusitis complicated with nasal polyp surgery.Methods A total of 100 cases of sinusitis complicated with nasal polyps received from the Second Hospital of Sanming City from January to December 2022 were selected.All patients were treated and nursing interventions were conducted in the hospital.Under the random number table grouping standard,50 cases in the observation group and 50 cases in the control group were divided into two groups.The control group received routine nursing care,and the observation group received periodic health education on this basis.The knowledge mastery level of the two groups of patients before and after intervention was compared Compliance behavior,quality of life scores,and incidence of complications such as wound infection,nasal adhesions,and postoperative bleeding.Results In the comparison of health knowledge mastery and quality of life scores between different groups of cases before intervention,there was no statistically significant difference(P<0.05).However,after intervention,the comparison of these two indicators showed statistical significance(P<0.05),and the observation group cases were better.After intervention,the proportion of patients in the observation group who achieved compliance with medical practices such as surgical cooperation and timely and quantitative medication was higher than that in the control group(P<0.05).In terms of complications,only one case of nasal adhesions and one case of postoperative bleeding occurred in the observation group,with an incidence rate of 4.00%,lower than the 18.00%in the control group(P<0.05).Conclusions Implementing phased health education for patients with sinusitis combined with nasal polyp surgery can improve the compliance behavior and knowledge of patients,reduce the incidence of complications,and guarantee the quality of life.
作者
陈星
CHEN Xing(Sanming Second Hospital,Fujian Sanming 366000,China)
出处
《中国医药指南》
2023年第34期168-171,共4页
Guide of China Medicine
关键词
鼻窦炎合并鼻息肉
阶段性健康教育
遵医行为
知识掌握程度
Sinusitis with nasal polyp
Phased health education
Medical compliance behavior
Knowledge mastery
