Research on the influence and effect of comprehensive nursing care on the quality of life of patients with sinusitis
综合护理对鼻窦炎患者生活质量的影响及效果研究

摘要

目的 探讨综合护理对鼻窦炎患者生活质量的影响及效果。方法 选取我院鼻窦炎患者80例，随机分为观察组和对照组，各40例。对比了对照组（常规护理）与观察组（综合护理方案）在护理鼻窦炎患者前后的SAS（焦虑自评量表）、PSQI（匹兹堡睡眠质量指数）、VAS（视觉模拟评分法）评分，以及患者护理满意度和术后一周内并发症发生情况。结果 观察组患者护理后的SAS评分（42.25±5.6）及PSQI评分（4.56±1.03）均显著低于护理前（59.5±5.96, 11.97±3.21），且均低于对照组护理后的评分，差异具有统计学意义（P＜0.007）。此外，观察组患者术后6h的VAS评分（4.101±1.96）也低于对照组（5.96±2.27），差异显著（P＝0.047）。护理满意度方面，观察组（97.50%）显著高于对照组（80.00%），差异同样具有统计学意义（P＝0.037）。观察组术后1周内的总发生率（7.50%）低于对照组的（25.00%），差异有统计学意义（P＝0.037）。结论 综合护理能有效改善鼻窦炎患者的生活质量，降低并发症的发生率，提高患者的护理满意度，具有较高的临床应用价值。

Abstract

Objective To explore the influence and effect of comprehensive nursing on the quality of life of sinusitis patients.
Methods 80 cases of sinusitis patients in our hospital were selected and randomly divided into observation group and control group, 40 cases each. The SAS (Self-Assessment Scale of Anxiety), PSQI (Pittsburgh Sleep Quality Index), and VAS (Visual Analog Scale) scores before and after caring for patients with sinusitis, as well as the satisfaction of patient care and the occurrence of complications in the postoperative week in the control group (conventional care) and the observation group (integrated care program) were compared.
Results The SAS scores (42.25±5.6) and PSQI scores (4.56±1.03) of the patients in the observation group were significantly lower than those of the patients before nursing care (59.5±5.96, 11.97±3.21), and they were both lower than those of the patients in the control group after nursing care, and the differences were statistically significant (P<0.007). In addition, the VAS scores of patients in the observation group (4.101±1.96) were also lower than those of the control group (5.96±2.27) at 6h after surgery, with a significant difference (P = 0.047). Regarding nursing satisfaction, the observation group (97.50%) was significantly higher than the control group (80.00%), and the difference was also statistically significant (P = 0.037). The total incidence rate within 1 week after surgery in the observation group (7.50%) was lower than that in the control group (25.00%), and the difference was statistically significant (P = 0.037).
Conclusion   Comprehensive nursing can effectively improve the quality of life of patients with sinusitis, reduce the incidence of complications, and improve patients' nursing satisfaction, which has high clinical application value.