The Effectiveness of evidence-based nursing intervention for nasal irrigation after endoscopic sinus surgery in patients with chronic sinusitis:a randomized controlled trial

Author:

Wang Lei1,lv Yaru1,Chang Xiaowei2,Wang Mengyao3,Wang Juan4,Yang Jianwen5,Zhang Chunming6

Affiliation:

1. College of Nursing, Shanxi Medical University, Taiyuan City, Shanxi Province,

2. Peking Union Medical College Hospital

3. The First Affiliated Hospital of Air Force Military Medical University, Xian City, Shanxi Province, China.

4. Fenyang College of Shanxi Medical University, Lvliang City, Shanxi Province,

5. Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, China.

6. Department of Otorhinolaryngology-Head and Neck Surgery, The First Hospital of Shanxi Medical University, Taiyuan City, Shanxi Province, China.

Abstract

Abstract Objective To evaluate its effect of an evidence-based nursing program for nasal irrigation after endoscopic sinus surgery in patients with chronic sinusitis. Methods A total of 66 patients with chronic sinusitis who were randomly divided into two groups, the experimental group received evidence-based nasal irrigation nursing, and the control group received conventional nursing. Differences in VAS, SNOT-20, CT, LKES and overall efficacy were assessed between the two groups. Results 2, 4 and 12 weeks after the intervention, the scores of VAS, SNOT-20, CT and LKES in the two groups were significantly lower than those before the surgery (P < 0.05). Compared with the control group, the scores were significantly lower in the experimental group (P < 0.05). 12 weeks after the intervention, the overall effective rate of treatment in the experimental group was 90.91%, while the control group was 72.73%, but the difference was not statistically significant in treatment effect(P > 0.05). Conclusion The implementation of nasal irrigation evidence-based nursing program for patients with chronic sinusitis after endoscopic sinus surgery can promote postoperative nasal mucosal recovery, improve treatment efficiency, and help improve patient comfort, quality of life and other subjective feelings. Trial registration The study was registered retrospectively with reference number ChiCTR2300075484 on 06/09/2023.

Publisher

Research Square Platform LLC

Reference19 articles.

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2. Funktionelle endoskopische Nasennebenhöhlenchirurgie(FESS);Bitter T;LARYNGO RHINO OTOL,2019

3. Saline Irrigation and Topical Nasal Steroids;Stokken JK;JAMA Otolaryngol Head Neck Surg,2019

4. MD RRO, MD TTK, MD PHH, MD TLS MPH, MD JAA, et al. International Consensus Statement on Allergy and Rhinology: Rhinosinusitis. Volume 6. INT FORUM ALLERGY RH; 2016. pp. 22–S209. Suppl 1.

5. Diagnosis and management of rhinosinusitis: a practice parameter update;Peters AT;Ann Allergy Asthma Immunol,2014

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