Effect of refined management on the recovery of patients undergoing sinusitis surgery via nasal endoscopy

Jianyun Pan; Xiaoyan Liu; Di Chen; Wei Zhao; Jing Tao; Shun Wu

Effect of refined management on the recovery of patients undergoing sinusitis surgery via nasal endoscopy

Am J Transl Res. 2023 Jan 15;15(1):522-530. eCollection 2023.

Authors

Jianyun Pan¹, Xiaoyan Liu¹, Di Chen¹, Wei Zhao¹, Jing Tao¹, Shun Wu¹

Affiliation

¹ Department of Otorhinolaryngology, Wuzhou Gongren Hospital Wuzhou, Guangxi Zhuang Autonomous Region, China.

PMID: 36777834
PMCID: PMC9908483

Abstract

Objective: To explore the effect of refined management in the operation room on promoting postoperative recovery in patients undergoing sinusitis surgery via nasal endoscopy.

Methods: In this retrospective study, the clinical data of 80 patients undergoing endoscopic sinus surgery were divided into study group (SG) and control group (CG) according to different nursing methods, with 40 cases in each group. The CG only received routine nursing, while the SG adopted refined management in addition to routine nursing. Postoperative pain, depression, anxiety, and nursing satisfaction were compared between the two groups.

Results: There was no significant difference in Visual Analogue Scale (VAS) score between the two groups before operation (P>0.05). After operation, VAS of the SG (1.05±0.24) was significantly better than that of the CG (2.39±0.45), the nursing satisfaction rate of the SG (92.5%) was higher than that of the CG (65.0%), and the overall effective rate of nursing in the SG (95.0%) was higher than that of the CG (77.5%) (all P<0.05). The patients of SG had a lower rate of postoperative complications than CG patients (P<0.05). The operation time and postoperative recovery time of the SG were shorter than those of the CG, and the intraoperative blood loss was less than that of the CG. Smoking history, family history, dust mite allergy, pollen allergy, pet keeping, opening air conditioner use, airing of bed linen, and window ventilation were the main prognostic factors of patients with sinusitis (P<0.05). Family history, duration of immunotherapy, gender and complications were the factors affecting the prognosis of patients with sinusitis (P<0.05). The incidence of depression and anxiety in the SG were lower than those in the CG (P<0.05). The postoperative quality of life in the SG was better than that in the CG (P<0.05).

Conclusion: Refined nursing can effectively alleviate pain, improve patients' satisfaction of nursing, and also significantly improve patient's depression and anxiety in endoscopic sinus surgery.

Keywords: Refinement of perioperative care; nasal endoscopy; postoperative recovery; sinusitis surgery.