摘要
目的:观察基于整理-整顿-清扫-清洁-素养(5S)的阶段性健康教育在鼻窦炎合并鼻息肉手术患者护理中的应用效果。方法:选取2020年5月至2021年10月该院收治的88例鼻窦炎合并鼻息肉手术患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各44例。对照组给予常规护理,观察组在对照组基础上加用基于5S的阶段性健康教育,比较两组Kolcaba舒适状况量表(GCQ)评分、疾病知识掌握度、生命质量综合评定问卷(GQOL-74)评分和并发症发生率。结果:出院时,两组GCQ评分和GQOL-74各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组疾病知识掌握度为95.45%,高于对照组的79.55%,差异有统计学意义(P<0.05);观察组并发症发生率为4.55%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于5S的阶段性健康教育可提高鼻窦炎合并鼻息肉手术患者疾病知识掌握度、GCQ评分和GQOL-74评分,降低其并发症发生率,效果优于单纯常规护理。
Objective: To observe application of Seiri-Seiton-Seiso-Setketsu-Shitsuke(5S)-based stage health education in nursing of patients with sinusitis and nasal polyps surgery. Methods: A prospective study was conducted on 88 patients with sinusitis and nasal polyps who were admitted to the hospital from May 2020 to October 2021. They were divided into observation group and control group according to the random number table method, 44 cases in each. The control group was given routine nursing, while the observation group received the 5S-based stage health education on the basis of that of the control group. The Kolcaba comfort questionnaire(GCQ) score, the disease knowledge mastery, the general quality of life inventory(GQOL-74) score, and the incidence of complications were compared between the two groups. Results: At discharge, the GCQ and GQOL-74 scores of the two groups were higher than those before the nursing, those in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The disease knowledge mastery degree in the observation group was 95.45%, which was higher than 79.55% in the control group, and the difference was statistically significant(P<0.05). Further, the incidence of complications of the observation group was 4.55%, which was lower than 18.18% in the control group, and the difference was statistically significant(P<0.05). Conclusions: On the basis of the routine nursing, the 5S-based stage health education can improve the disease knowledge mastery, the GCQ scores and the GQOL-74 scores of the patients with sinusitis and nasal polyps,and reduce the incidence of complications. Moreover, it is superior to single routine nursing.
作者
党楠楠
DANG Nannan(Otorhinolaryngology Department of Xinxiang Central Hospital,Xinxiang 453000 Henan,China;Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000 Henan,China)
出处
《中国民康医学》
2023年第2期187-189,共3页
Medical Journal of Chinese People’s Health