Study on the effectiveness of clinical nursing intervention in the care of patientswith chronic suppurative otitis media
临床护理干预用于慢性化脓性中耳炎患者护理中的效果研究

摘要

目的 观察慢性化脓性中耳炎患者接受临床护理干预指导的效果。方法 时间记作2022年1月-2023年6月，对我院受诊的144例患者视作分析对象，均患有慢性化脓性中耳炎疾病，随机划分两组，有一般护理干预的一般指导组、临床护理干预的临床指导组，两组患者数量均为72，分析患者临床指标变化、生活能力变化等情况。结果 临床指导组炎症消失所需时间（5.12±2.35）d、住院平均时间（8.42±1.76）d、2例患者出现创口出血、2例患者出现感染，总出现率是5.6%，均低于一般指导组，p<0.05；临床指导组的护理干预多个项目评分均较一般指导组高，p<0.05；干预之前，临床指导组患者以及一般指导组患者，在WHOQOL生活质量量表的多个指标比较中均不出现统计学意义，p>0.05；干预之后，临床指导组生理层面的质量评估（93.24±2.14）分、心理层面的质量评估（93.22±1.46）分、活力表现层面的质量评估（91.45±3.76）分、社交层面的质量评估（93.28±2.46）分，均较一般指导组高，p<0.05。结论 慢性化脓性中耳炎患者护理实践中，要首选临床干预模式，减少治疗时间，提高患者生活能力，取得理想化效果。

Abstract

Objective To observe the effectiveness of clinical nursing intervention guidance for patients with chronic suppurative otitis media.
Methods From January 2021 to March 2023, 144 patients diagnosed with chronic suppurative otitis media in our hospital were analyzed and randomly divided into two groups: the general guidance group for general nursing intervention and the clinical guidance group for clinical nursing intervention. The number of patients in both groups was 72, and changes in clinical indicators and living ability were analyzed.
Results The time required for inflammation to disappear in the clinical guidance group was (5.12 ± 2.35) days, the average hospitalization time was (8.42 ± 1.76) days, 2 patients had wound bleeding, and 2 patients had infection. The total occurrence rate was 5.6%, which was lower than that in the general guidance group (p<0.05); The scores of multiple nursing interventions in the clinical guidance group were higher than those in the general guidance group (p<0.05); Before intervention, there was no statistically significant difference in the comparison of multiple indicators of the WHO QOL quality of life scale between patients in the clinical guidance group and those in the general guidance group, p>0.05; After intervention, the quality assessment scores of the clinical guidance group at the physiological level (93.24 ± 2.14), psychological level (93.22 ± 1.46), vitality performance level (91.45 ± 3.76), and social level (93.28 ± 2.46) were all higher than those of the general guidance group (p<0.05).
Conclusion   In the nursing practice of patients with chronic suppurative otitis media, clinical intervention mode should be the first choice, reducing treatment time, improving patients' ability to live, and achieving ideal results.