Effects of postoperative semi-reclining position in early stage on the comfort degree of patients with endoscopic sinus surgery under general anesthesia

Abstract

Objective To investigate the effects of postoperative semi-reclining position in early stage on the comfort degree of patients with endoscopic sinus surgery under general anesthesia. Methods Totally 106 cases of patients with endoscopic sinus surgery under general anesthesia were selected from the ENT&HN Surgery Department of Beijing Tongren Hospital during September 2014 to May 2015. The patients were randomly divided into the control group (n=54) and the experimental group (n=52) . Patients in the control group adopted traditional clinostatism after surgery, while patients in the experimental group adopted early semi-reclining position after surgery. Four hours after surgery, patients' comfort degree with discomfort visual analogue score (VAS) were evaluated, and the incidence of neck-shoulder soreness and waist soreness of patients was compared between two groups. Results In the experimental group, the total discomfort VAS score of patients was 3.00 (2.00~5.00) , which was lower than VAS score 4.00 (3.00~6.00) in the control group (Z=-2.270, P<0.05) . In the experimental group, the incidence of shoulder-soreness was 0, and the incidence of waist soreness was 3.85%, and they were all lower than those in the control group (16.67%, 11.11%) (χ2= 9.471, 5.666; P<0.05) . Conclusions Early semi-reclining position can effectively reduce the postoperative headache, ear fullness and general discomfort of patients with endoscopic sinus surgery, reduce the occurrence of shoulder-neck soreness and waist soreness of patients, and improve patients' comfort. Key words: Anesthesia, general; Nursing care; Endoscopic sinus surgery; Semi-reclining position