康复前移模式在慢性化脓性中耳炎患者护理中的效果观察

doi:10.3760/cma.j.issn.1007-1245.2023.16.032

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (16): 2358-2363.DOI: 10.3760/cma.j.issn.1007-1245.2023.16.032

康复前移模式在慢性化脓性中耳炎患者护理中的效果观察

唐丽君¹ 陈金辉² 唐婵娟³ 肖欢³

¹湖南省人民医院湖南师范大学附属第一医院护理部，长沙　410005；²湖南省人民医院湖南师范大学附属第一医院日间病房，长沙　410005；³湖南省人民医院湖南师范大学附属第一医院耳鼻喉科，长沙　410005

收稿日期:2023-03-10 出版日期:2023-08-15 发布日期:2023-08-29
通讯作者: 陈金辉，Email：67730904@qq.com

Rehabilitation forward mode nursing for patients with chronic suppurative otitis media

Tang Lijun¹, Chen Jinhui², Tang Chanjuan³, Xiao Huan³

¹Department of Nursing, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410005, China; ²Daytime Ward, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410005, China; ³Department of Otolaryngology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410005, China

Received:2023-03-10 Online:2023-08-15 Published:2023-08-29
Contact: Chen Jinhui, Email: 67730904@qq.com

摘要/Abstract

摘要：

目的　探讨康复前移模式在慢性化脓性中耳炎（CSOM）患者护理中的应用效果。方法　本研究采用类实验研究方法，便利选取2018年5月至2021年6月在湖南省人民医院耳鼻喉科住院的146例CSOM行手术治疗患者，按照入院的先后顺序进行分组。2018年5月至2019年12月收治的74例患者设为对照组，其中男28例、女46例，年龄（42.26±10.34）岁；2020年1月至2021年6月收治的72例患者设为观察组，其中男31例、女41例，年龄（37.01±12.17）岁。对照组给予常规护理模式，观察组采用康复前移模式进行护理，其主要内容包括心理康复护理前移、运动康复训练前移、术后疼痛护理指导前移、术后并发症护理指导前移。比较两组患者术后焦虑情况、疼痛症状、自我效能感、总住院时间及术后并发症发生率。统计学方法采用χ²检验、t检验。结果　干预后，观察组患者术后焦虑得分低于对照组［（43.93±3.95）分比（48.03±2.54）分］，差异有统计学意义（t=7.436，P<0.05）；观察组患者术后6 h、24 h、48 h的疼痛得分均低于对照组［（4.49±1.04）分比（5.15±1.09）分、（3.60±0.97）分比（4.69±0.98）分、（1.88±0.86）分比（2.82±0.98）分］，差异均有统计学意义（t=3.758、6.759、6.215，均P<0.05）；干预后，观察组患者自我效能感得分高于对照组［（27.39±2.27）分比（25.86±2.38）分］，差异有统计学意义（t=-3.956，P<0.05）；观察组患者总住院时间低于对照组［（5.83±2.91）d比（7.86±2.72）d］，差异有统计学意义（t=4.360，P<0.05）；两组并发症情况比较，差异有统计学意义（χ²=4.622，P<0.05）。结论　应用康复前移模式对CSOM手术治疗患者进行护理，可有效缓解术后疼痛和焦虑不适，提高自我效能感，缩短住院时间并降低术后并发症的发生，值得临床推广。

关键词:

慢性化脓性中耳炎, 康复前移模式, 预康复, 效果观察

Abstract:

Objective　To explore the effect of rehabilitation forward mode nursing for patients with chronic suppurative otitis media. Methods　This study adopted a quasi-experimental research method. One hundred and forty-six patients with chronic suppurative otitis media who received surgical treatment in Department of Otolaryngology, Hunan Provincial People's Hospital from May 2018 to June 2021 were conveniently selected. According to the sequence of admission, the patients were grouped. The 74 patients admitted from May 2018 to December 2019 were set as a control group, including 28 males and 46 females who were (42.26±10.34) year old. The rest 72 patients admitted from January 2020 to June 2021 were set as an observation group, including 31 males and 41 females who were (37.01±12.17) years old. The control group took the conventional nursing; the observation group took rehabilitation forward mode nursing, including psychological rehabilitation forward nursing, exercise rehabilitation training forward, postoperative pain nursing guidance forward, and postoperative complication nursing guidance forward. The postoperative anxiety, pain symptoms, self-efficacies, total hospital stays, and incidences of postoperative complications were compared between the two groups. χ² and t tests were applied. Results　After the intervention, the postoperative anxiety score and the pain scores 6, 24, and 48 h after the operation in the observation group were lower than those in the control group [(43.93±3.95) vs. (48.03±2.54),(4.49±1.04) vs. (5.15±1.09), (3.60±0.97) vs. (4.69±0.98), and (1.88±0.86) vs. (2.82±0.98)], with statistical differences (t=7.436,3.758, 6.759, and 6.215; all P<0.05). After the intervention, the score of self-efficacy in the observation group was higher than that in the control group [(27.39±2.27) vs. (25.86±2.38)], with a statistical difference (t=-3.956, P<0.05). The total hospital stay in the observation group was shorter than that in the control group[(5.83±2.91) d vs. (7.86±2.72) d], with a statistical difference (t=4.360, P<0.05). There was a statistical difference in the incidence of complications between the two groups (χ²=4.622, P<0.05). Conclusion　Rehabilitation forward mode nursing for patients with chronic suppurative otitis media can effectively relieve their postoperative pain and anxiety, improve their self-efficacy, shorten their hospital stay, and reduce the occurrence of postoperative complications, so it is worthy of clinical promotion.

Key words:

Chronic suppurative otitis media, Rehabilitation forward mode nursing, Early rehabilitation, Effect observation

唐丽君陈金辉唐婵娟肖欢.

康复前移模式在慢性化脓性中耳炎患者护理中的效果观察 [J]. 国际医药卫生导报, 2023, 29(16): 2358-2363.

Tang Lijun, Chen Jinhui, Tang Chanjuan, Xiao Huan.

Rehabilitation forward mode nursing for patients with chronic suppurative otitis media [J]. International Medicine and Health Guidance News, 2023, 29(16): 2358-2363.

参考文献

[1] 李朝军.进一步加强慢性化脓性中耳炎规范化治疗研究[J].重庆医学,2013,42(12):1321-1323.DOI:10.3969/j.issn.1671-8348.2013.12.001.
[2] Monasta L,Ronfani L,Marchetti F,et al.Burden of disease caused by otitis media: systematic review and global estimates[J].PLoS One,2012,7(4):e36226.DOI:10.1371/journal.pone.0036226.
[3] Jensen RG,Koch A,Homøe P.The risk of hearing loss in a population with a high prevalence of chronic suppurative otitis media[J].Int J Pediatr Otorhinolaryngol,2013,77(9):1530-1535.DOI:10.1016/j.ijporl.2013.06.025.
[4] 李越,赵堃,叶放蕾.510例慢性中耳炎患者人工听骨植入术后听力疗效分析[J].听力学及言语疾病杂志,2020,28(3):325-327.DOI:10.3969/j.issn.1006-7299.2020.03.019.
[5] 刘传杰,黄青春,郑杨.围术期优质护理干预对中耳炎乳突根治术患者的影响[J].齐鲁护理杂志,2019,25(18):89-91.DOI:10.3969/j.issn.1006-7256.2019.18.032.
[6] 樊维佳.优质护理干预在慢性化脓性中耳炎患者中的应用[J].护理实践与研究,2018,15(11):73-74.DOI:10.3969/j.issn.1672-9676.2018.11.031.
[7] 巩芝莹.医护一体化快速康复护理在慢性化脓性中耳炎患者围手术期中的应用[J].国际护理学杂志,2018,37(21):2907-2910.DOI:10.3760/cma.j.issn.1673-4351. 2018.21.007.
[8] 刘文静.医护一体化快速康复护理在慢性化脓性中耳炎患者围手术期中的应用效果观察[J].反射疗法与康复医学,2020,29(9):189-190.DOI:10.19589/j.cnki.issn2096-7950. 2020.09.189.
[9] 励莉.临床护理路径用于慢性化脓性中耳炎患者护理中的效果[J].哈尔滨医药,2023,43(1):143-144.DOI:10.3969/j.issn.1001-8131.2023.01.056.
[10] 赵瑾,李惠芬.临床护理路径用于慢性化脓性中耳炎患者护理中的效果[J/CD].实用临床护理学电子杂志,2017,2(23):172.DOI:10.3969/j.issn.2096-2479.2017.23.129.
[11] 李波,季万丽,王秀琴.康复前移模式在全喉切除术后病人护理中的应用效果[J].护理研究,2021,35(21):3921-3923.DOI:10.12102/j.issn.1009-6493.2021.21.032.
[12] 周爱君,陈惠卿,章晓幸,等.钛质人工听骨植入合并鼓室成形术患者的护理[J].解放军护理杂志,2014,31(2):50-52.DOI:10.3969/j.issn.1008-9993.2014.02.014.
[13] 黄卫萍,高秋芬,邵敏.局麻下行鼓室成形术同期人工听小骨植入术护理配合[J].护理实践与研究,2014(12):90-91.DOI:10.3969/j.issn.1672-9676.2014.12.051.
[14] 冯宇莉.鼓室成形术中人工听骨植入31例围术期护理[J].齐鲁护理杂志,2014(8):73-74.DOI:10.3969/j.issn.1006- 7256.2014.08.038.
[15] 杜颖楠,李美娟,范昔四.综合护理对中耳炎患者术后的影响[J].中国临床护理,2018,10(6):524-527.DOI:10.3969/j.issn.1674-3768.2018.06.019.
[16] 郑振兰,陈华阳,田秋玲.慢性化脓性中耳炎106例临床护理疗效分析[J].中国实用医药,2015(23):225-226.DOI:10.14163/j.cnki.11-5547/r.2015.23.163.
[17] 姚艳玲.综合护理干预对慢性化脓性中耳炎患者术后听力恢复及并发症的影响[J].现代诊断与治疗,2018,29(1):165-166.DOI:10.3969/j.issn.1001-8174.2018.01.081.
[18] Zung WW.A rating instrument for anxiety disorders[J].Psychosomatics,1971,12(6):371-379.DOI:10.1016/S0033-3182(71)71479-0.
[19] Majedi H,Safdarian M,Hajiaghababaei M,et al.Characteristics of neuropathic pain in individuals with chronic spinal cord injury[J].Neurosciences (Riyadh),2018,23(4):292-300.DOI:10.17712/nsj.2018.4.20180223.
[20] 刘燕,朱亚静,耿敬芝,等.肿瘤专科医院新护士临床沟通能力影响因素及其与自我效能感的相关性[J].护理研究,2022,36(3):480-484.DOI:10.12102/j.issn.1009- 6493.2022.03.020.
[21] 史敏,刘闽,梁建平,等.开放式及完壁式鼓室成形一期钛人工听骨植入的疗效观察[J].听力学及言语疾病杂志,2018,26(1):33-36.DOI:10.3969/j.issn.1006-7299.2018.01.009.
[22] 费永光,岑瑞祥.耳内镜下应用纳吸棉联合布地奈德混悬液在Ⅰ型鼓室成形术中的临床疗效分析[J].国际医药卫生导报,2022,28(14):1959-1964.DOI:10.3760/cma.j.issn. 1007-1245.2022.14.008.
[23] 顾小妹.细化护理干预对慢性化脓性中耳炎患者负性情绪的影响分析[J/CD].实用临床护理学电子杂志,2019,4(37):68,70.
[24] 徐萍,邹卫珍.综合性护理干预在慢性化脓性中耳炎鼓室成形术中的应用[J].皖南医学院学报,2020,39(4):395-397,401.DOI:10.3969/j.issn.1002-0217.2020.04.025.
[25] 黄中英,吴晓丹.肿瘤专科医院新毕业护士自我效能感及相关因素分析[J].现代临床护理,2016,15(1):28-31.DOI:10.3969/j.issn.1671-8283.2016.01.007.

康复前移模式在慢性化脓性中耳炎患者护理中的效果观察

Rehabilitation forward mode nursing for patients with chronic suppurative otitis media

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics