鼻中隔鼻成形术中围手术期患者主动沟通的预测因素与主题
Predictors and Themes of Perioperative Patient-Initiated Communication in Septorhinoplasty.
文献信息
| PMID | 42864859 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Priyanka Tripuraneni |
| 作者单位 | Department of Otolaryngology-Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. |
| 期刊 | The Laryngoscope |
| SCI 分区 | Q2 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
目的： 接受鼻中隔鼻成形术的患者常出现围手术期顾虑，从而促使其与临床诊疗团队进行沟通。我们试图描述这些顾虑的患病率和性质，并识别与顾虑频率增加相关的变量。
方法： 本研究为回顾性病历审查。获取了2017年8月6日至2022年8月6日期间接受鼻中隔鼻成形术患者的病历。记录了人口学资料、手术特征、用药史以及围手术期顾虑的详细信息。这些包括患者在手术前30天和手术后30天内主动向外科医生或外科医生工作人员发起的任何具有临床相关性的沟通。
结果： 共有306例鼻中隔鼻成形术纳入分析。共有197例患者（64%）存在围手术期临床顾虑并促使他们联系诊所，其中大多数顾虑出现在术后。尽管不是患者主动沟通（PIC）的独立预测因素，但接受美容干预和/或有过敏性鼻炎病史的患者PIC量显著更高。术前患者顾虑的常见原因包括手术细节（31%）和药物相关问题（28%）。术后PIC的常见原因包括伤口护理（17%）和药物相关问题（17%）。
结论： 在鼻中隔鼻成形术患者中，促使他们联系临床工作人员的围手术期患者顾虑很常见。识别导致这些沟通的变量可能为质量改进举措提供指导，以改善围手术期患者护理实践。
证据等级： 不适用。
英文摘要
OBJECTIVES: Patients undergoing septorhinoplasty frequently experience perioperative concerns that prompt communication with their clinical care team. We sought to characterize the prevalence and nature of these concerns and identify variables associated with increased concern frequency.
METHODS: This study was a retrospective chart review. Records were obtained for patients who underwent septorhinoplasty between August 6, 2017 and August 6, 2022. Demographics, surgical characteristics, medication histories, and details of perioperative concerns were recorded. These included any clinically-relevant communication to the surgeon or surgeon's staff initiated by the patient in the 30 days prior to and 30 days after surgery.
RESULTS: A total of 306 septorhinoplasties were included in the analysis. A total of 197 patients (64%) had perioperative clinical concerns prompting contact with the office, with the majority of concerns arising postoperatively. Although not independent predictors of patient-initiated communication (PIC), patients undergoing cosmetic intervention and/or a history of allergic rhinitis had significantly higher volumes of PIC. Common reasons for preoperative patient concerns included procedural details (31%) and medication-related questions (28%). Common reasons for postoperative PIC included wound care (17%) and medication-related questions (17%).
CONCLUSION: Perioperative patient concerns prompting contact with clinical staff are common among septorhinoplasty patients. Identifying the variables that contribute to these communications may guide quality improvement initiatives to enhance practices around perioperative patient care.
LEVEL OF EVIDENCE: N/A.