关键词: nasal obstruction symptom nursing septorhinoplasty sleep quality

Mesh : Humans Nasal Obstruction / surgery Prospective Studies Female Male Rhinoplasty / methods Adult Sleep Quality Nasal Septum / surgery Patient Education as Topic / methods Middle Aged

来  源:   DOI:10.1016/j.jopan.2023.11.004

Abstract:
OBJECTIVE: Clinical nurses play a primary role in the surgical adjustment of patients, to include monitoring and training patients in septorhinoplasty, which has a long recovery period. The effect of repetitive patient training nasal obstruction and sleep quality is unknown. This study aimed to determine the effect of repetitive training given to patients undergoing septorhinoplasty on nasal obstruction and sleep quality.
METHODS: The study is a randomized controlled prospective study.
METHODS: The study was conducted on a total of 180 patients (intervention: 90, control: 90) who underwent septorhinoplasty. In the intervention group, repeated training was given before and after (12 months) septorhinoplasty. The control group received routine care. Data were collected with Personal Information Form, Nasal Obstruction Symptom Evaluation (NOSE), and Pittsburgh Sleep Quality Index (PSQI).
RESULTS: A total of 66.7% of the intervention group and 71.1% of the control group reported that the primary symptom triggering the operation was the inability to breathe through the nose. The intervention group\'s PSQI and NOSE scale total score averages in the 6th and 12th months after septorhinoplasty were significantly lower than the control group. Correlation revealed a moderate-to-strong and positive correlation between PSQI and NOSE scores.
CONCLUSIONS: Results supported that repetitive training was effective in reducing nasal obstruction symptoms and improving sleep quality in the intervention group compared to the control group.
摘要:
目的:临床护士在患者的手术调整中起主要作用,包括对患者进行鼻中隔成形术的监测和培训,有很长的恢复期。重复患者训练鼻塞和睡眠质量的影响尚不清楚。这项研究旨在确定对接受鼻中隔成形术的患者进行重复训练对鼻塞和睡眠质量的影响。
方法:本研究为随机对照前瞻性研究。
方法:该研究共对180例接受鼻中隔成形术的患者(干预:90例,对照:90例)进行。在干预组中,在鼻中隔成形术前后(12个月)进行重复训练。对照组给予常规护理。数据是用个人信息表格收集的,鼻塞症状评估(NOSE),匹兹堡睡眠质量指数(PSQI)。
结果:干预组的66.7%和对照组的71.1%报告触发手术的主要症状是无法通过鼻子呼吸。干预组在鼻中隔成形术后第6个月和第12个月的PSQI和NOSE量表总分均显著低于对照组。相关性显示PSQI和NOSE评分之间存在中强正相关。
结论:结果支持,与对照组相比,重复训练在减轻鼻塞症状和改善睡眠质量方面是有效的。
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