标题：综合护理干预对减少鼻腔填塞物拔除时出血的影响

      作者：王雅燕，杨妙靓，林义清    (汕尾市第二人民医院汕尾逸挥基金医院耳鼻喉头颈外科，广东 汕尾 516600)

      卷次： 2018年29卷19期

      【摘要】 目的 探讨综合护理干预减少鼻腔填塞物拔除时出血的应用效果。方法 选择汕尾市第二人民医院(汕尾逸挥基金医院)耳鼻喉头颈外科2016年1月至2017年10月期间收治的98例鼻内镜术后患者为研究对象，根据随机数表法分为对照组和观察组，每组49例，对照组患者予常规护理，观察组应用综合护理干预，干预时间为1周。术后及拔除鼻腔填塞物前分别采用Zung焦虑自评量表(SAS)对患者进行评分，采用视觉模拟量表(VAS)评价疼痛程度，并记录出血量；比较两组出院时的护理满意度评分。结果 鼻腔填塞物拔除前，观察组患者的SAS评分为(42.2±5.3)分，明显低于对照组的(49.7±6.8)分，差异有统计学意义(P<0.05)；拔除时，观察组患者的VAS评分为(2.8±0.8)分，出血量为(3.2±1.4) mL，均明显低于对照组的(4.7±2.9)分，出血量为(6.7±2.6) mL，差异均有统计学意义(P<0.05)；出院时，观察组护理满意度评分为(91.3±8.2)分，明显高于对照组的(84.9±7.4)分，差异有统计学意义(P<0.05)。结论 综合护理干预应用于鼻内镜术后鼻腔填塞患者，可以有效缓解患者的焦虑情绪，减少鼻腔填塞物拔除时疼痛和出血量，提高患者的满意度。
      【关键词】 鼻内镜；鼻腔填塞；护理干预；疗效；满意度
      【中图分类号】 R473.76 【文献标识码】 A 【文章编号】 1003—6350（2018）19—2810—03

Effect of comprehensive nursing intervention on reducing the bleeding during the extraction of nasal stuffing.WANG Ya-yan, YANG Miao-liang, LIN Yi-qing.
Department of Otorhinolaryngology Surgery, Shanwei Second People'sHospital (Shanwei Yihui's Funds Hospital), Shanwei 516600, Guangdong, CHINA
【Abstract】 Objective To explore the effect of comprehensive nursing intervention on reducing the bleedingduring the extraction of nasal stuffing. Methods A total of 98 cases of nasal endoscopic surgery patients, who admittedto Department of Otorhinolaryngology Surgery of Shanwei Second People's Hospital (Shanwei Yihui's Funds Hospital)during January 2016 to October 2017, were selected and divided into the control group and the observation group accord-ing to randomly number method, with 49 cases in each group. The control group was treated with routine nursing inter-vention, and the observation group used comprehensive nursing intervention, the intervention lasted for one week. ZungSelf-Rating Anxiety Scale (SAS) score was evaluated. Visual analogue scale (VAS) was used to evaluate pain, and theamount of bleeding was recorded. The nursing satisfaction scores were compared between the two groups at discharge.Results Before the extraction of nasal stuffing, the SAS score of the observation group was (42.2±5.3), which was sig-nificantly lower than (49.7±6.8) of the control group (P<0.05); VAS score and bleeding in the observation group were re-·护 理·doi:10.3969/j.issn.1003-6350.2018.19.045