CAJ | 학술논문

目的：探讨功能性内窥镜鼻窦手术(FESS)的围术期整体护理。方法：对2012年1月-2013年9月在笔者所在医院就诊的100例慢性鼻窦炎鼻息肉患者的临床资料行回顾性分析，根据随机数字表分组，在FESS术基础上，对照组(n=50)仅行常规护理，干预组(n=50)实施包括健康教育、心理护理、术前准备、常规护理、术腔护理、用药指导、并发症观察与护理、出院指导的整体护理，比较疗效及并发症。结果：干预组、对照组的治疗总有效率分别为94.0%、80.0%(P<0.05)；在围术期，干预组、对照组分别发生并发症2例、8例(P<0.05)。结论：联合FESS术和围术期整体护理，可提高CSNP疗效，改善患者预后，值得深究推广。
목적：탐토공능성내규경비두수술(FESS)적위술기정체호리。방법：대2012년1월-2013년9월재필자소재의원취진적100례만성비두염비식육환자적림상자료행회고성분석，근거수궤수자표분조，재FESS술기출상，대조조(n=50)부행상규호리，간예조(n=50)실시포괄건강교육、심리호리、술전준비、상규호리、술강호리、용약지도、병발증관찰여호리、출원지도적정체호리，비교료효급병발증。결과：간예조、대조조적치료총유효솔분별위94.0%、80.0%(P<0.05)；재위술기，간예조、대조조분별발생병발증2례、8례(P<0.05)。결론：연합FESS술화위술기정체호리，가제고CSNP료효，개선환자예후，치득심구추엄。
Objective:To observe the perioperative holistic nursing care with functional endoscopic sinus surgery.Method:The clinical materials of 100 patients were reviewed and analyzed retrospectively from Jan 2012 to Sep 2013.They were divided into two groups by the table of random number,comparing the curative effect and complications.The control group(n=50) received the routine nursing care. The intervention group(n=50) received the holistic nursing care including health education,mental nursing,preoperative preparation,routine nursing care,surgical cavity nursing,medication guidance,complication nursing and discharge guidance.Result:The total efficiency of the control group was 80.0%,while the intervention group was 94.0%(P<0.05).Complications occurred in 8 cases of the control group,while the intervention group was 2 cases(P<0.05).Conclusion:Combined with FESS procedure and perioperative holistic nursing care, can improve the curative effect of CSNP and the prognosis of the patients,is worth further promotion.