Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (3): 134-137.doi: 10.6040/j.issn.1673-3770.1.2018.045

• Nursing Field • Previous Articles     Next Articles

Comprehensive intervention on xerostomia after functional endoscopic sinus surgery

Wenjin WAN1,Yujie YAN1,Na LI1,Renyu GUO1,Hui YUAN2()   

  1. 1. Department of Otorhinolaryngology
    2. Department of Surgery, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Received:2018-12-14 Revised:2019-04-17 Online:2019-05-20 Published:2019-08-07
  • Contact: Hui YUAN E-mail:419501794@qq.com

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Abstract: Objective

To explore the effect of comprehensive intervention on xerostomia after functional endoscopic sinus surgery (FESS).

Methods

A total of 97 patients with FESS from May 1, 2018, to September 30, 2018, were randomly divided into two groups. The control group was treated with usual nursing, while the observation group was given comprehensive intervention. The improvement of the patients' xerostomia and their comfort and satisfaction rates were compared between two groups.

Results

The xerostomia grading of patients who underwent FESS at three hours, six hours, one day, and two days after the surgery was 2.06 ± 0.59, 1.20 ± 0.50, 0.98 ± 0.66, and 0.35 ± 0.48 respectively in the observation group, and 3.40 ± 0.54, 3.75 ± 0.48, 3.06 ± 0.32, and 2.38 ± 0.49 respectively in the control group. The degree of comfort was 5.47 points in the observation group, and 3.35 points in the control group. The satisfaction rates were significantly higher in the observation group (99.8%) than in the control group (87.5%). All the differences were statistically significant (P < 0.05).

Conclusion

The comprehensive intervention effectively improved xerostomia in patients who underwent FESS, increased their degree of comfort, and improved patients' satisfaction.

Key words: Nursing assessment, Sinusitis, Endoscopy, Xerostomia

CLC Number: 

  • R473.76，R765

Table 1

Two sets of basic clinical data[n,(%)]"

组别性别诊断年龄（xˉ±s,岁）
男女鼻窦炎鼻息肉鼻中隔偏曲鼻出血鼻肿物其他

对照组

(n=48)

31（64.6）17（35.4）19（39.6）10（20.8）5（10.4）3（6.3）8（16.7）3（6.3）51.88±11.72

观察组

(n=49)

31（63.3）18（36.7）22（44.9）6（12.2）3（6.1）6（12.2）7（14.3）5（10.2）45.92±17.51
χ2/t0.0183.3171.972
P0.8920.6510.052

Table 2

Xerostomia grading and degree of comfort after FESS（xˉ±s）"

组别术后口干分级术后舒适度
术后3 h术后6 h术后1 d术后2 d平均
对照组（n=48）3.40±0.543.75±0.483.06±0.322.38±0.493.15±0.263.35±0.64
观察组（n=49）2.06±0.591.20±0.500.98±0.660.35±0.481.15±0.475.47±0.65
t11.6425.5019.8120.5926.15-16.22
P＜0.001＜0.001＜0.001＜0.001＜0.001＜0.001

Table 3

Comparison of satisfaction rate between the two groups[n（%）]"

组别非常满意比较满意一般不太满意非常不满意满意率
对照组(n=48)18（37.5）24（50.0）4（8.3）2（4.2）042（87.5）
观察组(n=49)30（61.2）18（36.8）1（0.2）0（0）048（99.8）
χ27.095
P0.046
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