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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年2期

页码:

182-185

栏目:

出版日期:

2023-02-10

文章信息/Info

Title:

Application of Comfort Nursing Based on Positive Reinforcement Theory in Patients with Nasal Septum Deviation Correction

文章编号:

1008-6455（2023）02-0182-04

作者:

王宏艳; 韩 静; 李晓丽

(首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科 北京 100020 )

Author(s):

WANG Hongyan; HAN Jing; LI Xiaoli

(Department of Otolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

关键词:

正强化理论; 舒适护理; 鼻中隔偏曲矫正; 睡眠质量; 通气效果; 美观度

Keywords:

positive reinforcement theory;  comfort nursing;  nasal septum deviation correction;  sleep quality;  ventilation eff ect;  aesthetics

分类号:

R473

文献标志码:

B

摘要:

目的：探究基于正强化理论的舒适护理在鼻中隔偏曲矫正患者中的应用。方法：选取2020年10月1日-2021年3月1日 于笔者医院耳鼻咽喉头颈外科接受鼻中隔偏曲矫正术的198例患者为研究对象，根据信封法将研究对象分为对照组98例，观 察组100例。对照组给予常规护理干预，观察组给予正强化理论的舒适护理干预模式。干预时间1周。采用视觉模拟评分法 （Visual analogue scale，VAS）评估伤口疼痛状况，匹兹堡睡眠质量指数（Pittsburgh sleep quality index，PSQI）评 估患者睡眠质量。评估术后通气效果与美观度及并发症发生情况。结果：不同时间点，两组VAS评分比较差异均有统计学意 义，存在组间、交互、时间效应（P＜0.05）。观察组患者睡眠质量优于对照组，差异有统计学意义（P＜0.05）。观察组术 后通气功能与美观度为“差”占比低于对照组，组间比较差异有统计学意义（P＜0.05）。观察组术后并发症发生率低于对 照组，差异有统计学意义（P＜0.05）。结论：实施基于正强化理论的舒适护理可提升鼻中隔偏曲矫正患者睡眠质量，降低 并发症发生率，减轻疼痛感，还可改善患者外形美观度与鼻腔通气功能。

Abstract:

Objective To explore the application of comfort nursing based on positive reinforcement theory in patients with correction of nasal septum deviation. Methods 198 patients who underwent nasal septum deviation correction in department of otolaryngology head and neck surgery of the hospital between October 1, 2020 and March 1, 2021 were selected as the study subjects. According to the envelope method, the study subjects were divided into 98 cases in the control group and 100 cases in the observation group. The control group was given conventional nursing intervention, and the observation group was given comfort nursing intervention model of positive reinforcement theory. Both groups were intervened for one week. Wound pain was evaluated by VAS. Sleep quality was evaluated by PSQI. Postoperative ventilation effect and aesthetics and occurrence of complications were assessed. Results At different time points, the VAS scores of the two groups were statistically different, with group, interaction and time effects (P＜0.05). The sleep quality of patients in the observation group was better than that in the control group (P＜0.05). The proportion of “poor” postoperative ventilation effect and aesthetics in the observation group was lower than that in the control group (P＜0.05). The incidence rates of postoperative complications in the observation group were lower compared with those in the control group (P＜0.05). Conclusion The implementation of comfort nursing based on positive reinforcement theory can enhance the sleep quality, reduce the incidence rates of complications, relieve the pain and significantly improve the appearance aesthetics and nasal ventilation function of patients with nasal septum deviation correction.

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更新日期/Last Update: 2023-03-14