孙艳

[摘要]目的 探究鼻內镜手术患者采取系统化护理干预对疼痛、情绪及生活质量的影响。方法 选择2015年4月～2016年4月在我院接受鼻内镜手术的85例患者作为对照组，选择2016年5月～2017年5月在我院接受鼻内镜术的85例患者作为观察组，对照组采取常规护理，观察组采取系统性护理干预，比较两组手术前后疼痛程度、负性情绪及术后生活质量评分。结果 观察组术前VAS评分为（6.35±1.29）分、SDS评分为（55.47±5.58）分、SAS评分为（54.27±6.38）分，与对照组[（6.27±1.24）、（55.39±5.61）、（53.76±6.51）分]比较，差异无统计意义（P>0.05）；术后观察组VAS评分[（3.33±0.35）分]、SDS评分[（49.27±3.01）分]、SAS评分[（46.72±4.16）分]，均低于对照组[（4.27±0.84）、（52.16±3.42）、（50.27±5.24）分]，差异有统计学意义（P<0.05）；观察组术后GQOLI274量表各维度评分均高于对照组，差异有统计学意义（P<0.05）。结论 鼻内镜手术患者采取系统性护理干预可改善其焦虑、抑郁等负性情绪，减轻术后疼痛，提高患者的生活质量。

[关键词]鼻内镜术；系统性护理干预；术后疼痛；负性情绪；生活质量

[中图分类号] R473.76 [文献标识码] A [文章编号] 1674-4721（2018）9（c）-0216-03

Effect of systematic nursing intervention on post-operative pain， emotion and quality of life in patients undergoing endoscopic sinus surgery

SUN Yan

Laryngoscope Room， People′s Hospital of Fengcheng City， Jiangxi Province， Fengcheng 331100， China

[Abstract] Objective To explore the effects of systematic nursing intervention on pain， emotion and quality of life in patients undergoing endoscopic sinus surgery. Methods Altogether 85 patients who underwent endoscopic surgery in our hospital from April 2015 to April 2016 were selected as the control group； while， another 85 patients who received endoscopic sinus surgery in our hospital from May 2016 to May 2017 were selected as observation group. The control group was adopted routine nursing， and the observation group was took systematic nursing intervention. The pre-and post-operative pain， negative emotion and post-operative quality of life score were compared between two groups. Results The pre-operativevisual analogue scale （VAS） score （6.35±1.29）， self-rating depression scale （SDS） score （55.47±5.58） and self-rating anxiety scale （SAS） score （54.27±6.38） of observation group had no statistically significant difference in comparison with those of control group （[6.27±1.24]， [55.39±5.61] and [53.76±6.51] score）， （P>0.05）. The post-operative VAS， SDS and SAS scores of the observation group were （3.33±0.35）， （49.27±3.01） and （46.72±4.16） score， lower than those of the control group （[4.27±0.84]， [52.16±3.42] and [50.27±5.24] score）， with statistically significant difference （P<0.05）. The score of each dimension of post-operative scale quality of life comprehensive assessment questionnaire（GQOL I274） of the observation group were higher than those of the control group， with statistically significant difference （P<0.05）. Conclusion Application of systematic nursing intervention in patients undergoing endoscopic sinus surgery can improve their negative emotions such as anxiety and depression， relieve postoperative pain and ameliorate their quality of life.

[Key words] Endoscopic sinus surgery； Systematic nursing intervention； Post-operative pain； Negative emotion； Quality of life

鼻窦炎与鼻息肉是耳鼻喉科常见疾病之一，临床治疗可采取药物治疗、传统手术及鼻内镜手术，而药物治疗与传统手术均存在一定弊端，鼻内镜手术具有创伤性小、操作简单、视野良好等优点，可利用鼻内镜探查鼻腔，在直视条件下将鼻腔内病变组织准确去除而不破坏鼻腔结构，促进鼻腔与鼻窦良好通气与引流，恢复其生理功能，能够到达传统手术无法到达的区域[1]。但鼻内镜手术仍属于创伤性操作，手术操作可对鼻腔造成一定的机械性损伤，加之鼻腔填塞、术后疼痛等原因，易导致患者出现不同程度的负性情绪，影响生活质量[2]。本研究旨在探讨将系统性护理干预应用于鼻内镜手术对患者疼痛度、负性情绪及生活质量的影响，现报道如下。

1资料与方法