新型护理干预在耳鼻喉科顽固性疾病患者中的应用

摘要

目的：探讨新型护理干预在耳鼻喉科门诊顽固性疾病患者中的应用。方法选择2012年4月~2013年5月于深圳市西丽人民医院诊治的具有焦虑、抑郁症状的反流性咽喉炎(n=100)、真菌性外耳道炎(n=100)和变应性鼻炎(n=96)3种病种的患者296例。按就诊时间分为对照组和观察组，其中对照组和观察组真菌性外耳道炎各50例、反流性咽喉炎各50例及变应性鼻炎各48例。对照组采用传统的护理干预形式，观察组采用新型护理干预形式，包括具有特色的健康教育，专业的长期心理干预和延续性护理等措施。比较两组护理干预后焦虑及抑郁改善情况及患者对护理人员的满意度等。结果护理干预后，观察组焦虑好转率为76.00%，抑郁好转率为65.75%，均显著高于对照组(26.39%、18.42%，均P<0.01)。观察组患者对护理人员的满意度为(94.48±4.05)分，显著高于对照组[(72.14±6.26)分]，差异有高度统计学意义(P<0.01)。结论本次研究选择就诊人数较多且病情复杂顽固的3种病种，患者普遍存在焦虑抑郁程度较高、对护理人员不满意等情况。实施特色健康教育、专业的长期心理干预和延续性的新型护理干预形式较传统的护理形式能显著降低焦虑、抑郁人数。患者对护理人员的满意度大大提高。%Objective To explore the application effect of a new nursing intervention in patients with refractory disease in the outpatient department of ENT. Methods From April 2012 to May 2013, in Xili People's Hospital of Shenzhen 296 patients including 100 reflux laryngitis, 100 fungal otitis externa and 96 allergic rhinitis were selected and divided equally into the observation group and the control group, 50 reflux laryngitis, 50 fungal otitis externa and 48 allergic rhinitis in each group. The control group was used the traditional way of nursing intervention;the observation group was used the new intervention way including characteristic health education, long-term professional psychological interven-tion and continuity of care measures. Then the improvement rate of anxiety and depression, and the satisfaction rate to the nursing staff between the control group and the observation group were compared. Results The anxiety improvement rates of the observation group and the control group were 76.00%and 26.39%with statistically significant difference (P<0.01), the depression improvement rates of the two groups were 65.75% and 18.42% with statistically significant differ-ence (P<0.01), and the satisfaction rate to the nursing staff of the two groups were (94.48±4.05) scores and (72.14±6.26) scores with statistically significant difference (P<0.01). Conclusion The new nursing intervention way including char-acteristic health education, long-term professional psychological intervention and continuity of care measures can sig-nificantly reduce the number of patients with anxiety and depression, and significantly improve the satisfaction to nurs-ing staff.