内镜鼻窦手术围手术期患者沟通的预测因素
Predictors of Perioperative Patient Communications in Endoscopic Sinus Surgery.
文献信息
| PMID | 42921719 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Bailee Monjazeb |
| 作者单位 | Georgetown University School of Medicine, Washington, DC, USA. |
| 期刊 | The Annals of otology, rhinology, and laryngology |
| SCI 分区 | Q3 |
| IF | 1.5 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
目的： 评估门诊内镜鼻窦手术（ESS）围手术期患者主动沟通（PIC）的发生率及原因，并识别与PIC增加相关的患者或手术因素。
方法： 在单一三级医疗中心进行回顾性病历审查，该中心于2023年1月1日至2023年12月31日期间开展门诊内镜鼻窦手术。记录患者人口学特征、手术特征、PIC频率及围手术期PIC的原因。比较不同患者特征和手术特征之间的平均沟通次数以及发生PIC的可能性。
结果： 共审查167份患者病历，其中98例患者（59%）产生了149次PIC。患者中51%为男性，33%有吸烟史，30%有焦虑/抑郁病史。大多数（84%）接受初次手术。性别（OR 1.22；95% CI 0.53-2.8）和吸烟史（OR 1.80；95% CI 0.71-4.7）与更高的PIC频率无关。焦虑/抑郁患者（OR 11.9；95% CI 4.0-35）和接受鼻中隔夹板者（OR 2.59；95% CI 1.08-6.23）发生PIC的可能性更高。术前PIC最常涉及日程安排和康复问题，而术后PIC主要与鼻塞和鼻出血相关。
结论： ESS患者围手术期PIC较为常见，尤其是伴有焦虑/抑郁或使用鼻夹板的患者。了解最常见的沟通触发因素可能指导质量改进举措，以预先解决这些问题。
英文摘要
OBJECTIVE: To assess the prevalence and reasons for patient-initiated communications (PIC) in the perioperative period for outpatient endoscopic sinus surgery (ESS) and identify patient or surgical factors associated with increased PIC.
METHODS: Retrospective chart review at a single tertiary care center performing outpatient endoscopic sinus surgery between January 1, 2023 and December 31, 2023. Patient demographics, surgical characteristics, frequency of PIC, and reasons for perioperative PIC were recorded. The average number of communications, as well as the likelihood of engaging in PIC, were compared between patient, and surgical characteristics.
RESULTS: A total of 167 patient charts were reviewed, among which 98 patients (59%) generated 149 PICs. Patients were 51% male, 33% had a smoking history, and 30% had a history of anxiety/depression. Most (84%) underwent primary surgery. Gender (OR 1.22; 95% CI 0.53-2.8) and smoking history (OR 1.80; 95% CI 0.71-4.7) were not associated with higher PIC frequency. PICs were more likely among patients with anxiety/depression (OR 11.9; 95% CI 4.0-35) and those who received nasal septal splints (OR 2.59; 95% CI 1.08-6.23). Preoperative PICs most commonly involved scheduling and recovery questions, while postoperative PICs were primarily related to nasal obstruction and epistaxis.
CONCLUSION: Perioperative PIC is frequent among ESS patients, particularly those with anxiety/depression or nasal splints. Understanding the most common communication triggers may guide quality improvement initiatives to pre-emptively address these concerns.