滕静　陈志伟　刘龙庆　易世杰　黄丽　谭云清　胡亚

[摘要]目的：探讨早期多元化护理干预在鼻中隔偏曲位移修复术中的应用效果。方法：抽取2018年2月-2021年2月于筆者医院就诊的鼻中隔偏曲患者94例，按照入院时间顺序分为对照组（46例）和观察组（48例）。对照组接受常规鼻中隔偏曲位移修复术护理，观察组在对照组基础上给予早期多元化护理干预，比较两组患者手术疗效、舒适度、美观及整体护理满意度评分和并发症发生情况。结果：观察组手术疗效优良率为87.50%显著高于对照组的82.61%，差异有统计学意义（P<0.05）。干预后观察组患者舒适度评分为（73.85±2.53）分高于对照组的（65.34±3.66）分，差异有统计学意义（P<0.05）。观察组患者美观及整体护理满意度评分均高于对照组，差异有统计学意义（P<0.05）。观察组并发症发生率为10.42%显著低于对照组的19.57%，差异有统计学意义（P<0.05）。结论：鼻中隔偏曲位移修复术中采用早期多元化护理干预能够显著提高患者舒适度、护理满意度，改善手术疗效。

[关键词]早期多元化护理干预;鼻中隔偏曲;舒适度;满意度;并发症

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2021）10-0164-03

Analysis of the Effect of Early Diversified Nursing Intervention in the Repair of Nasal Septum Deviation Displacement

TENG Jing，CHEN Zhi-wei，LIU Long-qing，YI Shi-jie，HUANG Li，TAN Yun-qing，HU Ya

（Department of Otolaryngology Head and Neck Surgery，Enshi Minzu Hospital，Enshi 445000，Hubei，China）

Abstract： Objective  To explore the effect of early diversified nursing intervention in the repair of nasal septum deviation. Methods  A total of 94 patients with nasal septal deviation admitted to our hospital from February 2018 to February 2021 were selected， and divided into the control group （46 cases） and the observation group （48 cases） according to the order of admission time. The control group received conventional nasal septum displacement repair nursing， and the observation group was given early diversified nursing intervention on the basis of the control group. The surgical efficacy， comfort， aesthetics， overall nursing satisfaction and the incidence of complications were compared between the two groups. Results  The excellent and good rate of surgical efficacy in the observation group was 87.50% significantly higher than that in the control group （82.61%）， the difference was statistically significant （P<0.05）. After intervention， the comfort score of the observation group was （73.85±2.53） points higher than that in the control group （65.34±3.66） points （P<0.05）. The scores of beauty and overall nursing satisfaction in the observation group were higher than those in the control group （P<0.05）. The incidence of complications in the observation group was 10.42%， significantly lower than that in the control group （19.57%， P<0.05）. Conclusion  Early diversified nursing intervention for patients with nasal septal deviation displacement repair can significantly improve patient comfort， nursing satisfaction， and improve the surgical effect.

Key words： early diversified nursing intervention; nasal septum deviation; comfort; satisfaction; complication

鼻是人体五官的重要组成部分，对人体外观有着十分重要的影响[1]。鼻中隔作为分隔鼻腔的鼻骨片，多数人会稍有偏离但不影响外观及功能，而鼻中隔偏曲是指鼻中隔向一侧或两侧偏曲，表现为鼻腔功能障碍、鼻塞、头痛等症状，严重者会反复出血，出现头面部疼痛，影响正常生活，同时会导致鼻偏离面部垂直中线，患者外观发生明显改变，属于整形外科常见病[2-4]。实施鼻中隔偏曲位移修复术，重建患者鼻部美学形态及改善鼻通气功能，从而达到理想的功能及美学效果，已经成为鼻中隔偏曲治疗的主要手段[5]。但是，多数患者出于对手术的担心及术后效果的顾虑会存在一定程度的心理、生理应激反应，极易导致术后恢复效果不佳及并发症的发生等问题，故而对鼻中隔偏曲位移修复术患者的早期护理干预显得至关重要[6]。……