{"title":"在内窥镜鼻窦手术后预防口腔干燥方面应用术后强化恢复技术","authors":"","doi":"10.1016/j.bjorl.2024.101473","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the efficacy of cluster nursing intervention based on Enhanced Recovery After Surgery (ERAS) for xerostomia in chronic rhinosinusitis after nasal endoscopic surgery.</p></div><div><h3>Methods</h3><p>A total of 80 patients with chronic rhinosinusitis who underwent functional nasal endoscopic surgery between January 2020 and December 2021 were selected and randomly divided into a control group (n = 40) and an experimental group (n = 40). Patients in the control group were treated with general nursing, while ERAS-based cluster nursing intervention was adopted for the experimental group, in addition to general nursing. Xerostomia stage and comfort level were observed at 2 h, 6 h, 24 h and 48 h after surgery; negative emotions before and after nursing were also observed.</p></div><div><h3>Results</h3><p>After the intervention, the xerostomia stage and comfort level at 6, 24 and 48 after surgery were higher in the experimental group (<em>p</em> < 0.05). Negative emotions in the experimental group were lower after nursing (<em>p</em> < 0.001). The self-rating depression scale and self-rating anxiety scale scores increased after nursing in both two groups (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>Enhanced recovery after surgery-based cluster nursing intervention can alleviate xerostomia, improve patients' comfort levels, reduce their negative emotions and accelerate postoperative recovery.</p></div><div><h3>Level of evidence</h3><p>2.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000880/pdfft?md5=85d9f3359953175e16d538aaec422c67&pid=1-s2.0-S1808869424000880-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Application of enhanced recovery after surgery for oral dryness prevention after endoscopic sinus surgery\",\"authors\":\"\",\"doi\":\"10.1016/j.bjorl.2024.101473\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To investigate the efficacy of cluster nursing intervention based on Enhanced Recovery After Surgery (ERAS) for xerostomia in chronic rhinosinusitis after nasal endoscopic surgery.</p></div><div><h3>Methods</h3><p>A total of 80 patients with chronic rhinosinusitis who underwent functional nasal endoscopic surgery between January 2020 and December 2021 were selected and randomly divided into a control group (n = 40) and an experimental group (n = 40). Patients in the control group were treated with general nursing, while ERAS-based cluster nursing intervention was adopted for the experimental group, in addition to general nursing. Xerostomia stage and comfort level were observed at 2 h, 6 h, 24 h and 48 h after surgery; negative emotions before and after nursing were also observed.</p></div><div><h3>Results</h3><p>After the intervention, the xerostomia stage and comfort level at 6, 24 and 48 after surgery were higher in the experimental group (<em>p</em> < 0.05). Negative emotions in the experimental group were lower after nursing (<em>p</em> < 0.001). The self-rating depression scale and self-rating anxiety scale scores increased after nursing in both two groups (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>Enhanced recovery after surgery-based cluster nursing intervention can alleviate xerostomia, improve patients' comfort levels, reduce their negative emotions and accelerate postoperative recovery.</p></div><div><h3>Level of evidence</h3><p>2.</p></div>\",\"PeriodicalId\":49099,\"journal\":{\"name\":\"Brazilian Journal of Otorhinolaryngology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-07-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1808869424000880/pdfft?md5=85d9f3359953175e16d538aaec422c67&pid=1-s2.0-S1808869424000880-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brazilian Journal of Otorhinolaryngology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1808869424000880\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Otorhinolaryngology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1808869424000880","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
方法 选取2020年1月至2021年12月期间接受功能性鼻内窥镜手术的80例慢性鼻窦炎患者，随机分为对照组（40例）和实验组（40例）。对照组患者采用普通护理，实验组患者除普通护理外，还采用基于ERAS的集束护理干预。结果干预后，实验组患者术后 2 h、6 h、24 h 和 48 h 的口腔干燥程度和舒适度较高（P <0.05）。实验组护理后的负面情绪较低（p <0.001）。结论基于集束护理干预的术后强化康复可缓解口腔异味，提高患者的舒适度，降低患者的负面情绪，加速术后康复。
Application of enhanced recovery after surgery for oral dryness prevention after endoscopic sinus surgery
Objective
To investigate the efficacy of cluster nursing intervention based on Enhanced Recovery After Surgery (ERAS) for xerostomia in chronic rhinosinusitis after nasal endoscopic surgery.
Methods
A total of 80 patients with chronic rhinosinusitis who underwent functional nasal endoscopic surgery between January 2020 and December 2021 were selected and randomly divided into a control group (n = 40) and an experimental group (n = 40). Patients in the control group were treated with general nursing, while ERAS-based cluster nursing intervention was adopted for the experimental group, in addition to general nursing. Xerostomia stage and comfort level were observed at 2 h, 6 h, 24 h and 48 h after surgery; negative emotions before and after nursing were also observed.
Results
After the intervention, the xerostomia stage and comfort level at 6, 24 and 48 after surgery were higher in the experimental group (p < 0.05). Negative emotions in the experimental group were lower after nursing (p < 0.001). The self-rating depression scale and self-rating anxiety scale scores increased after nursing in both two groups (p < 0.05).
Conclusion
Enhanced recovery after surgery-based cluster nursing intervention can alleviate xerostomia, improve patients' comfort levels, reduce their negative emotions and accelerate postoperative recovery.
期刊介绍：
Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance.
The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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