Application Effect of Refined Nursing in Nasal Negative Pressure Replacement Therapy for Children with Chronic Sinusitis
Sun Wanjun
Children's Hospital, Shaanxi Provincial People's Hospital, Xi'an-710068, China.
Zheng Qianqian *
Children's Hospital, Shaanxi Provincial People's Hospital, Xi'an-710068, China.
Zhang Xipin
Children's Hospital, Shaanxi Provincial People's Hospital, Xi'an-710068, China.
Peng Meiyue
Children's Hospital, Shaanxi Provincial People's Hospital, Xi'an-710068, China.
*Author to whom correspondence should be addressed.
Abstract
Objective: To explore the clinical effect of refined nursing intervention during nasal negative pressure replacement therapy in children with chronic sinusitis.
Methods: A total of 156 children diagnosed with chronic sinusitis and admitted to our hospital from June 2025 to April 2026 were enrolled. All children received nasal negative pressure replacement therapy. A single-centre randomised controlled trial was conducted. Participants were allocated to a control group and an observation group using a random-number table, with 78 children in each group. The control group received routine nursing, whereas the observation group received whole-process refined nursing. The total clinical effectiveness rate, total treatment compliance rate, incidence of complications, family members’ satisfaction with nursing, and comfort scores were compared between the two groups.
Results: The total clinical effectiveness rate in the observation group was 93.59%, significantly higher than the 82.05% observed in the control group (P<0.05). The total treatment compliance rate in the observation group was 96.15%, significantly higher than the 83.33% observed in the control group (P<0.05). The complication incidence in the observation group was 7.69%, lower than the 23.08% recorded in the control group (P<0.05). Family members’ nursing satisfaction rate in the observation group was 93.59%, higher than the 78.21% recorded in the control group (P<0.05). Scores for all comfort dimensions were higher in the observation group than in the control group, and all between-group differences were statistically significant (P<0.05).
Conclusion: The application of refined nursing during nasal negative pressure replacement therapy for children with chronic sinusitis may relieve clinical symptoms, improve treatment compliance, reduce complications such as epistaxis, ear fullness, nausea and vomiting, and choking, alleviate negative emotions among children and their families, and improve children’s comfort and family satisfaction. These findings support further clinical evaluation of this nursing approach.
Keywords: Refined nursing, children, chronic sinusitis, nasal negative pressure replacement therapy