Effect of comprehensive nursing intervention on patients′ pain and quality of life after nasal endoscopic surgery

目的 探讨综合护理干预对鼻内窥镜术后患者疼痛以及生活质量的影响.方法 选择2015年6月—2016年5月在笔者所在医院接受鼻内窥镜手术治疗的符合纳入标准的患者136例,随机分为对照组及观察组,对照组实施鼻内窥镜术后常规护理,观察组在常规护理基础上予以综合护理干预.比较两组患者术后1 d的疼痛程度、护理满意度以及术后3 d时两组患者的SNOT-20计分累积最高前5项的改善情况.结果 两组患者术后疼痛主要为无痛以及轻度疼痛,观察组术后疼痛反应显著好于对照组,差异有统计学意义(P<0.01).SNOT-20计分累积最高前5项分别为鼻塞、需要擤鼻涕、注意力不集中、流清鼻涕以及疲倦,观察组较对照组显著改善,差异有统计学意义(P<0.01).观察组的护理总满意度显著高于对照组,差异有统计学意义(P<0.01).结论 综合护理干预能有效缓解鼻内窥镜术后患者的疼痛反应,提高患者的生活质量以及对医护的满意度.Objective To explore the effect of comprehensive nursing intervention on patients′ pain and quality of life after endoscopic sinus surgery.Methods A total of 136 cases who were treated with nasal endoscopic surgery were chosen according to inclusion criteria from June 2015 to May 2016 in hospital and were randomly divided into control group and observation group. Patients in the control group received conventional nursing after nasal endoscopic surgery,while the observation group received extra comprehensive nursing intervention after nasal endoscopic surgery. Pain of patients,nursing satisfaction on postoperative 1 day,and improvement of top 5 of SNOT-20 of two groups were compared.Results Postoperative pain of two groups was none and mild,and postoperative pain response of the observation group was better than that of the control group (P<0.01). Top 5 signs of SNOT-20 were nasal congestion,need to blow nose,inattention,runny nose and tiredness. Top 5 signs of observation group were improved more compared with control group(P<0.01). The total nursing satisfaction of observation group was better than that of the control group (P<0.01).Conclusions Comprehensive nursing intervention could effectively improve the pain response of patients after nasal endoscopic surgery and elevate quality of life of patients and their satisfaction to medical care and nursing.152019-20222