基于循证的精细化护理结合Teach-Back健康教育在高原地区鼻内镜术后双侧鼻腔填塞患者中的应用
Application of Evidence-Based Refined Nursing Combined with Teach-Back Health Education in Patients with Bilateral Nasal Packing after Endoscopic Sinus Surgery in Plateau Areas

目的：观察基于循证的精细化护理方案结合Teach-back健康教育在高原地区鼻内镜术后双侧鼻腔填塞患者中的应用。方法：选取本院耳鼻喉科2022年8月至2024年3月期间54例鼻内镜手术双侧鼻腔填塞患者为研究对象，将其分为对照组27例和观察组27例，对照组采用耳鼻喉科常规护理，观察组采用基于循证的精细化护理结合Teach-back健康教育模式，比较两组患者干预后患者术后不同时间的疼痛程度；干预前后知信行情况的比较；满意度的比较。结果：观察组术后12 h、24 h、48 h，观察组的NRS评分均低于对照组(P < 0.05)。观察组患者认知水平、态度信念、行为管理明显好于对照组(P < 0.05)。观察组满意度高于对照组(P < 0.05)。结论：提高了患者睡眠质量，提高了康复护理配合度，提高患者认知水平，行为管理能力，提高患者满意度。
To observe the effect of evidence-based refined nursing combined with Teach-back health education in patients with bilateral nasal packing after endoscopic sinus surgery in plateau areas. Methods: A total of 54 patients who underwent bilateral nasal packing after endoscopic sinus surgery in the Department of Otolaryngology from August 2022 to March 2024 were selected as the study subjects. They were divided into a control group (n = 27) and an observation group (n = 27). The control group received routine otolaryngology nursing care, while the observation group received evidence-based refined nursing combined with Teach-back health education. The pain levels at different postoperative time points, knowledge-attitude-practice (KAP) scores before and after intervention, and satisfaction levels were compared between the two groups. Results: The Numeric Rating Scale (NRS) scores of the observation group at 12 h, 24 h, and 48 h postoperatively were significantly lower than those of the control group (P < 0.05). The cognitive level, attitude-belief, and behavior management of the observation group were significantly better than those of the control group (P < 0.05). The satisfaction level of the observation group was higher than that of the control group (P < 0.05). Conclusion: The intervention improved patients’ sleep quality, enhanced compliance with rehabilitation nursing, increased cognitive level and behavior management ability, and improved patient satisfaction.