Objective:To explore the effect of holistic nursing intervention on pain and quality of life of patients after nasal endoscope operation.Methods:A total of 96 patients undergoing nasal endoscopy from March 2016 to March 2018 were selected as study subjects, and were divided into study group and control group according to random number table, 48 patients in each group.The control group was given routine nursing, and the study group was given holistic nursing intervention.Pain, quality of life, psychological status and nursing satisfaction were compared between the two groups.Results:After intervention, visual analogue scale (VAS) scores, self-rating anxiety scale(SAS) scores and self-rating depression(SDS)scores of patients in both groups were significantly decreased, and the decrease was even greater in the study group.After intervention, the MOS item short from health survey(SF-36) scores in both groups increased significantly, with a greater increase in the study group.The nursing satisfaction of the study group was higher than that of the control group, and the difference was statistically significant( P<0.05). Conclusions:Holistic nursing intervention for patients undergoing nasal endoscopy can effectively relieve pain, improve patients' psychological state, and lift their quality of life and nursing satisfaction.
目的 探讨鼻中隔成形术后单侧与双侧鼻腔Merocel填塞的临床效果.方法 将204例鼻中隔偏曲患者按入院的先后顺序分为研究组和对照组,每组102例.2组均采用鼻中隔成形术.研究组术后采用单侧鼻腔Mer-ocel填塞,对照组术后采用双侧鼻腔Merocel填塞.观察2组术后填塞期间头痛程度、抽取填塞物的难易程度、抽取填塞物时患者舒适度的比例.结果 研究组填塞期间头痛为轻度疼痛、抽取填塞物为容易、抽取填塞物时患者轻度不适所占比例均明显高于对照组,填塞期间头痛为重度疼痛、抽取填塞物为较难及难、抽取填塞物时患者重度不适所占比例均明显低于对照组(均P<0.05).结论 对鼻中隔偏曲患者行鼻中隔成形术后采用单侧鼻腔Mero-cel填塞具有较好的效果.
目的:探讨分期护理对喉环状软骨上部分切除及喉功能重建术患者的应用效果。方法选取收住的的喉环状软骨上部分切除及喉功能重建术患者40例,根据护理方式的不同分为分期护理组和对照组,每组20例。对照组给予常规护理,分期护理组根据术前、术后的不同时期的护理要点给予针对性护理。比较两组患者恢复效果、心理状况和患者满意度。结果分期护理组的患者满意度、患者的心理状况、术后恢复效果均优于对照组(均P<0.05)。结论对喉环状软骨上部分切除及喉功能重建术患者实施分期护理措施能够有效提高临床治疗效果,提高患者满意度,具有较高的临床应用价值。
目的 探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者行保留悬雍垂的改良腭咽成形术(H-UPPP)后放置鼻咽通气管缓解上气道阻塞的作用,探讨其临床应用价值.方法 对比观察鼻咽通气管组(Ⅰ组)和普通组(Ⅱ组)患者行H-UPPP术后24 h内的最低血氧饱和度(LSaO2)、血流动力学、咽部疼痛不适等指标并进行评价.结果 鼻咽通气管组与普通组术后24 h咽部疼痛比较,二者差异有统计学意义(P<0.05).术后24 h血液动力学指标,包括心率(HR)、收缩压(SBP)、舒张压(DBP)对比发现鼻咽通气管组患者的HR、SBP、DBP均低于普通组,两者差异具有统计学意义(P<0.05);术后24 hLSaO2鼻咽通气管组高于普通组,两者差异具有统计学意义(P<0.05).结论 H-UPPP术后留置鼻咽通气管,可有效预防呼吸道阻塞或窒息的发生,是气道安全保证的有效措施之一.