Effect of cold compress of cooling paste on postoperative nasal symptoms of patients undergoing neuroendoscopic transsphenoidal approach surgery
10.3760/cma.j.cn115682-20210916-04227
- VernacularTitle:降温贴冷敷对神经内镜经鼻蝶入路手术患者术后鼻部症状的影响
- Author:
Hongwei GAO
1
;
Ya'na XING
;
Pengwei LU
;
Rui ZHAO
Author Information
1. 首都医科大学附属北京天坛医院神经外科，北京 100070
- Keywords:
Neurosurgery;
Transsphenoidal approach;
Cold compresses;
Cooling paste;
Nasal and sinus outcomes;
Comfort
- From:
Chinese Journal of Modern Nursing
2022;28(23):3160-3164
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of cold compress of cooling paste on postoperative nasal symptoms of patients undergoing neuroendoscopic transsphenoidal approach surgery.Methods:From June 2019 to June 2020, the convenient sampling method was used to select 86 patients undergoing neuroendoscopic transsphenoidal approach surgery who were hospitalized in the Third Ward of Department of Neurosurgical Oncology in Beijing Tiantan Hospital affiliated to Capital Medical University as the research objects. The patients were divided into the control group and the observation group by the random block method, with 43 cases in each group. The control group was given routine perioperative nursing care. The patients in the experimental group were given cooling paste cold compress on the nose after operation. First, the patients' nasal skin was cleaned, and the refrigerated cooling paste was applied on both sides of the patient's nose alar to the root of the nose and replaced every 8 hours for 7 consecutive days. If it fell off, it was subsidized immediately. The Sino-Nasal Outcome Test-22 (SNOT-22) and General Comfort Questionnaire (GCQ) were used to compare the nasal and sinus outcomes and comfort of the two groups before surgery, 24 hours after surgery and 7 days after surgery.Results:The total score of SNOT-22, physiological function, emotional outcome and functional limitation scores of patients in the observation group were lower than those in the control group at 24 h after operation, and the differences were statistically significant ( P<0.05) . The total score of SNOT-22, emotional outcome and functional limitation score of the observation group 7 days after operation were lower than those of the control group, and the differences were statistically significant ( P<0.05) . The comfort score of the observation group at 24 hours after operation was higher than that of the control group, and the difference was statistically significant ( P<0.05) . But there was no statistically significant difference in the comfort score between the two groups at 7 days after operation ( P>0.05) . Conclusions:Cold compress of cooling paste can effectively improve the nasal cavity and sinus outcomes and comfort of 24 hours after neuroendoscopic transsphenoidal approach surgery.
