G+OEC护理策略在老年慢性化脓性中耳炎乳突根治术患者术后的应用效果观察

Observation on application effects of G+OEC nursing strategy in elderly patients with chronic suppurative otitis media after mastoidectomy

中文关键词: 老年  慢性化脓性中耳炎  "G+OEC"  负面情绪  睡眠质量  自护能力

英文关键词: elderly  chronic suppurative otitis media  G+OEC  negative emotion  sleep quality  self-care ability

中文摘要:

      目的 探究"G+OEC"护理策略于老年慢性化脓性中耳炎(CSOM)乳突根治术患者术后的应用效果.方法 选取2021年6月 2023年6月南京鼓楼医院耳鼻喉头颈外科收治的74例老年CSOM乳突根治术患者,采用随机数表法分为观察组和对照组,每组37例.2组患者均接受常规CSOM乳突根治术治疗.对照组研究对象接受常规护理策略,观察组在对照组的基础上联合"G+OEC"护理策略.2组患者干预前、后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估的负面情绪;采用疼痛数字评定量表(NRS量表)评估疼痛程度;采用自我护理能力测评量表(ESCA)评估自我护理能力;采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量;采用慢性化脓性中耳炎生活质量量表(CSOM-QOL)评价生活质量;记录并比较2组护理满意度及并发症发生情况.结果 干预后,2组患者SAS、SDS、NRS、PSQI评分均低于同组干预前(P＜0.05),且观察组上述评分均低于对照组(P＜0.05);观察组患者ESCA、CSOM-QOL评分均高于对照组(P＜0.05);观察组健康教育、专科护理、患者感受评分均高于对照组(P＜0.05),2组技能操作、出院指导评分差异均无统计学意义(P＞0.05);2组并发症发生率差异无统计学意义(5.41％vs 10.81％,P＞0.05).结论 "G+OEC"护理策略可改善老年CSOM手术患者负面情绪、术后疼痛及睡眠质量,提高患者自护能力,改善患者整体生活质量,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application effects of G+OEC nursing strategy in elderly patients with chronic sup-purative otitis media(CSOM)after mastoidectomy.Methods 74 elderly CSOM patients undergoing mastoidectomy in Depart-ment of Otorhinolaryngology,Head and Neck Surgery,Nanjing Drum Tower Hospital,between June 2021 and June 2023 were enrolled.According to random number table method,they were divided into observation group and control group,with 37 cases in each group.Both groups received standard mastoidectomy for CSOM.The control group received routine nursing care,while the observation group received the"G+OEC"nursing strategy in addition to routine care.The negative emotions were evaluated by Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)before and after intervention.The pain degree was evaluated by numerical rating scale(NRS),self-care ability was evaluated by the Exercise of Self-Care Agency Scale(ESCA),sleep quality was evaluated by the Pittsburgh Sleep Quality Index(PSQI),and quality of life was evaluated by the Chronic Sup-purative Otitis Media Quality of Life Scale(CSOM-QOL).The nursing satisfaction and occurrence of complications were recor-ded and compared between the two groups.Results After intervention,the scores of SAS,SDS,NRS and PSQI decreased in both groups,and the observation group was lower than the control group(P＜0.05);the scores of ESCA and CSOM-QOL in the observation group were higher than those in the control group(P＜0.05);the scores of health education,specialized nursing care and patient experience in the observation group were higher than those in the control group(P＜0.05),but there was no signifi-cant difference in the scores of skill operation and discharge guidance between the two groups(P＞0.05).There was no signifi-cant difference in the incidence of complications between the two groups(5.41％vs 10.81％,P＞0.05).Conclusion G+OEC nursing strategy can alleviate negative emotions and postoperative pain,improve sleep quality and self-care ability in elderly CSOM patients after mastoidectomy,and thus improve their overall quality of life.It has certain clinical application value.