分泌性中耳炎鼓膜切开伴置管术围术期综合护理干预效果观察

Observation on the effect of perioperative comprehensive nursing intervention on tympanostomy with otitis media with otitis media

中文关键词: 分泌性中耳炎  鼓膜切开  置管术  综合护理干预  听力改善

英文关键词: Secretory otitis media  Tympanic membrane incision  Catheterization  Comprehensive nursing intervention  Hearing improvement

中文摘要:

      目的：探讨分泌性中耳炎患者鼓膜切开伴置管术围术期综合护理干预临床效果。 方法：选取2016年1月～2019年7月我院五官科42例行鼓膜切开伴置管术的分泌性中耳炎患者，根据手术安排随机分为对照组（n=20）和观察组(n=22)。对照组围术期接受常规护理，观察组实施围术期心理评估、情绪干预、饮食护理、体位护理、健康教育等全方位综合护理干预。对比两组患者手术效果、术后并发症发生情况和负性情绪状态调整。 结果：观察组治愈17例，有效4例，无效1例，总有效率95.45%；对照组治愈12例，有效6例，无效2例，总有效率90%；观察组手术效果明显好于对照组；两组患者术后气导听阈值及气骨导差值相比术前均有明显改善，但是观察组改善程度明显优于对照组；观察组术后发生鼓膜反应2例，鼓室积血1例，对照组发生鼓膜反应5例，鼓室积血2例，切口感染1例，观察组术后并发症发生率明显低于对照组；观察组术后焦虑、抑郁评分均明显低于对照组，差异均有统计学意义（P＜0.05）。 结论：对接受鼓膜切开伴置管术的分泌性中耳炎患者实施围术期综合护理干预，术后并发症发生率明显降低，促进患者听力改善和自我情绪调整，确保手术治疗效果。

英文摘要:

      Objective To investigate the clinical effect of perioperative comprehensive nursing intervention for tympanotomy with catheterization in patients with secretory otitis media. Methods From January 2016 to July 2019, 42 patients with otitis media with tympanostomy with tympanostomy were enrolled. The patients were randomly divided into control group (n=20) and observation group according to the operation schedule (n= twenty two). The control group received routine nursing during the perioperative period, and the observation group performed comprehensive comprehensive nursing interventions such as perioperative psychological assessment, emotional intervention, diet nursing, posture nursing, and health education. The surgical outcome, postoperative complications and negative emotional state adjustment were compared between the two groups. Results In the observation group, 17 cases were cured, 4 cases were effective, 1 case was ineffective, and the total effective rate was 95.45%. The control group was cured in 12 cases, effective in 6 cases, and ineffective in 2 cases. The total effective rate was 90%. The observation group was better than the control group. The postoperative air-induced hearing threshold and the air-bone conduction difference were significantly improved in the two groups, but the improvement in the observation group was significantly better than that in the control group. In the observation group, 2 cases of tympanic membrane reaction occurred after operation, and tympanic blood 1 For example, in the control group, there were 5 cases of tympanic membrane reaction, 2 cases of tympanic blood, and 1 case of wound infection. The incidence of postoperative complications in the observation group was significantly lower than that of the control group. The postoperative anxiety and depression scores of the observation group were significantly lower than those of the control group. The differences were statistically significant (P<0.05). Conclusion Perioperative comprehensive nursing intervention for patients with secretory otitis media undergoing tympanotomy with catheterization is performed. The postoperative complication rate is significantly reduced, and the patient's hearing improvement and self-emotion adjustment are promoted to ensure the surgical treatment effect.