Source: Medical Innovation

Chronic rhinitis - sinusitis otorhinolaryngology common disease, from about 1% to 4% of the population suffering from the disease, and functional endoscopic sinus surgery in a wide range of clinical applications to the nose - sinusitis brought revolutionary change, nose - sinusitis treatment significantly improved, but there are still some patients delayed healing of illness, and even relapse. In some reflection on an ongoing basis, I come to realize the importance of perioperative management, especially after the referral of necessity, reflect the patient referral compliance Clinically, patient compliance problems belong to social medicine, commonly ignored by the medical staff, improve patient prescription compliance is one of the keys to improve the efficacy [1]. Studies have shown that, in current medical practice unsatisfactory compliance, compliance is only 28.2% ~ 37.3% [2]; I actively seek compliance of the factors at work in the referral of patients, improve patient compliance on referral develop positive measures, and achieved certain results, are as follows.

Materials and Methods

1.1 General information: collection in January 2007 ~ December 2012 admitted to our department of otorhinolaryngology nose - sinusitis 82 patients, according to the 1997 Haikou conference chronic sinusitis and nasal polyps clinical classification stage and endoscopic sinus surgery evaluation criteria [3]: ¢ñ type 34 cases, type ¢ò 45 cases, ¢ó type 3 cases, patients have varying degrees of congestion more than 1 year, pus snot, diminished sense of smell and headache symptoms, 82 patients will do functional endoscopic sinus surgery. The January 2007 - December 2009 nose - sinusitis as a control group of 40 patients, including 29 males and 11 females; mean age of 48.8 years, all patients who did not carry out targeted health education; to 2010 January - December 2012 nose - sinusitis as a test group of 42 patients, including 28 males and 14 females, mean age 45 years, all patients will do targeted health education, two groups of gender, age, illness aspect Statistical analysis showed no significant difference (P> 0.05), comparable. ª¤

1.2: control group receiving routine functional endoscopic sinus surgery general health education, the experimental group increased on the basis of targeted health education, the establishment of patient follow-up card, and regular telephone follow-up, follow-up included age, sex, education level , awareness of the disease, course and treatment response, economic status and working conditions for medical staff view, family situation, referral compliance by comparing 42 cases of the test group, 40 cases (95.23%) better patient compliance , 2 cases (4.77%) of non-compliance; control group of 40 cases, 26 cases (65%) patients with good compliance, 14 cases (35%) of non-compliance, the statistical test the difference was statistically significant ( χ2 = 8.33, P <0.05), and affect compliance referral reasons were analyzed.

1.3 Influencing Factors

1.3.1 The risk of side factors: ¢Ù age factor: patient age for functional endoscopic sinus surgery referral compliance with certain influence, this group had two cases of patients over 70 years of age, after referral poor compliance, visit the survey Cause : older patients, mobility, family members busy, no time to accompany the patient to the hospital referral; since that older patients, clinical symptoms improved significantly over the previous, without referral; ¢Ú level of education: lack nose patient - sinusitis Off knowledge, can not correctly understand the treatment options, low education level, poor understanding of communication skills, poor compliance; some patients do not fit Perioperative that surgical treatment of diseases, should be resolved through surgery, after referral is not necessary, or even that surgery is not complete, generate resentment; ¢Û working conditions: With economic development, the primary hospital patients also face high mobility, job is not in the local area, patients that patient referral to miss work, travel fatigue, and even some patients were lost Interview; ¢Ü surgery degree of response: functional endoscopic sinus surgery for nasal cavity treatment to patients with significant discomfort, pain, bleeding, everyone's tolerance is different, so that patients have fear, compliance with treatment the degree of reaction decreased [4], some patients prefer to visit the display recurrence surgery, than patient referral; ¢Ý distrust of health care: health care in preoperative listened carefully to the purpose and requirements of the patients, the surgical indications are not rigorous , intraoperative and postoperative patient discomfort, some of the symptoms are not alleviated, resulting in poor patient compliance with treatment.

1.3.2 medical factors: ¢Ù attitude: Occupation and the quality of health care to produce a significant impact on patients, health care workers do not care about patients and manners, inconsiderate suffering of patients, simple approach will enable patients to care personnel distrust, leading to poor compliance. ¢Ú not careful: serious doctor-patient communication: Preoperative surgery doctors do not know the purpose of the patient, the patient does not know the results of surgery, before and after surgical treatment gap, decrease patient compliance.

1.3.3 Social factors: ¢Ù family support poor: the families of patients a greater impact on compliance, lack of family support and supervision, compliance backward; ¢Ú Medicare is not perfect: relatively poor long-term treatment and their families, leading to compliance decline, public health or family get from better economic conditions under the terms of better [5], ¢Û incorrect information society: the community think the nose - sinusitis incurable, affecting referral of patients compliance.