摘要
目的探讨慢性鼻窦炎鼻息肉鼻内镜术后并发症的危险因素,并制定相应护理对策。方法选择我院2017年3月至2019年10月收治的慢性鼻窦炎鼻息肉鼻内镜术患者90例为调查对象,其中28例术后发生并发症,包括颅内出血、窒息、鼻腔黏连等,采取单因素分析和多因素logistic回归分析慢性鼻窦炎鼻息肉鼻内镜术后患者发生并发症的危险因素。结果多因素logistic回归分析显示,鼻窦炎疾病分型、呼吸系统疾病史、消极心理情绪、手术时间以及随访依从性差是导致鼻内镜术后并发症发生的独立危险因素(P<0.05)。结论鼻窦炎疾病分型、呼吸系统疾病史、消极心理情绪、手术时间以及随访依从性差是慢性鼻窦炎鼻息肉鼻内镜术患者发生并发症的独立危险因素,护理人员应针对危险因素,积极采取护理措施消除负面情绪,及时综合评估其患病史、不良生活习惯,提升其自护能力与随访依从性,确保患者术后有效康复。
Objective To explore the risk factors of complications of nasal polyps after nasal endoscope surgery of nasal polyps in chronic sinusitis,and to formulate corresponding nursing strategies.Methods We selected 90 cases of patients with chronic sinusitis undergoing nasal endoscope surgery of nasal polyps from March 2017 to October 2019 in our hospital as the survey objects,of which 28 cases of patients had postoperative complications,including intracranial hemorrhage,asphyxia,and nasal adhesions,etc.The univariate and multivariate logistic regression was used to analyze the risk factors of complications in patients with chronic sinusitis undergoing nasal endoscope surgery of nasal polyps.Results Multivariate logistic regression analysis showed that the disease classification of sinusitis,history of respiratory diseases,negative psychological emotions,time of operation,and poor follow-up compliance were the independent risk factors of the complications of patients undergoing nasal endoscope surgery(P<0.05).Conclusion The disease classification of sinusitis,history of respiratory diseases,negative psychological emotions,time of operation,and poor follow-up compliance were the independent risk factors of the complications of patients with chronic sinusitis undergoing nasal endoscope surgery of nasal polyps.Nursing staff should actively take nursing measures to eliminate negative emotions according to the risk factors,timely and comprehensively evaluate their medical history and bad living habits,improve their self-care ability and follow-up compliance,and ensure effective recovery after surgery.
出处
《护理实践与研究》
2020年第11期114-116,共3页
Nursing Practice and Research
关键词
慢性鼻窦炎
鼻息肉
鼻内镜术
术后并发症
危险因素
护理对策
Chronic sinusitis
Nasal polyps
Nasal endoscope surgery
Postoperative complications
Risk factors
Nursing strategies
