摘要
目的 观察分析基于双向反馈模式下的细节化护理模式对变应性鼻炎患者睡眠质量及依从性的影响效果。方法 选取56例医院收治的变应性鼻炎患者，均选自2025年4月-2026年4月期间，随机数字表法均分。常规护理的28例为对照组，实施基于双向反馈模式下的细节化护理模式的28例为观察组。对比两组睡眠质量、治疗依从性及症状评分。结果 较对照组，干预前睡眠质量差异不显著，干预后观察组睡眠质量评分更低，差异显著（P<0.05）；观察组依从性干预后更高，较对照组差异显著（P<0.05）；较对照组，观察组症状评分干预后更低，有显著差异（P<0.05）。结论 针对变应性鼻炎患者实施双向反馈模式下细节化护理干预，可明显降低患者匹兹堡睡眠质量指数（PSQI）睡眠评分，改善睡眠质量，且减轻鼻痒、喷嚏、清水涕、鼻塞症状的严重程度，同时提升患者的护理依从性，值得推广应用。
关键词： 双向反馈；细节化护理；变应性鼻炎；睡眠质量；依从性
Abstract
Objective To observe and analyze the effect of the detailed nursing model based on bidirectional feedback pattern on the sleep quality and compliance of patients with allergic rhinitis. Methods 56 patients with allergic rhinitis admitted to the hospital from April 2025 to April 2026 were selected and randomly divided by the random number table method. 28 cases in the control group received routine care, and 28 cases in the observation group received the detailed nursing model based on bidirectional feedback pattern. The sleep quality, treatment compliance, and symptom scores of the two groups were compared. Results Compared with the control group, there was no significant difference in sleep quality before intervention, but the sleep quality score of the observation group was lower after intervention, and the difference was significant (P < 0.05); the compliance of the observation group after intervention was higher than that of the control group, and the difference was significant (P < 0.05); compared with the control group, the symptom score of the observation group after intervention was lower, and the difference was significant (P < 0.05). Conclusion Implementing the detailed nursing intervention based on bidirectional feedback pattern for patients with allergic rhinitis can significantly reduce the Pittsburgh Sleep Quality Index (PSQI) sleep score, improve sleep quality, and alleviate the severity of nasal itching, sneezing, clear nasal discharge, and nasal congestion symptoms, while improving the nursing compliance of patients, which is worthy of promotion and application.
Key words： Bidirectional feedback; Detailed nursing; Allergic rhinitis; Sleep quality; Compliance
参考文献 References
[1] 王海清,国建红.多模式延续性护理在过敏性鼻炎中的应用进展[J].当代医药论丛,2026,24(13):19-22.
[2] 杨小芳,吴湘萍,刘海媛.变应性鼻炎舌下特异性免疫治疗延续护理新模式探索[J].护理实践与研究,2020,17(10): 94-96.
[3] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 中国变应性鼻炎诊断和治疗指南（2022年，修订版）[J]. 中华耳鼻咽喉头颈外科杂志,2022,57(2):106-129.
[4] 劳观玲,颜斐斐,陈紫依,等.基于相互作用分析理论的延续性护理干预在皮下特异性免疫治疗变应性鼻炎患儿中的应用效果[J].妇儿健康导刊,2025,4(23):115-118.
[5] 井小进,李灿灿,管志伟,等.三维质量结构理论下延续性护理在变应性鼻炎患者中的应用[J].河南医学研究,2025,34(6):1137-1141.
[6] 杨翠.微信延续联合居家自我护理对常年性变应性鼻炎并高血压患者的临床效果分析[J].中国医学文摘(耳鼻咽喉科学),2025,40(1):239-242.
[7] 陈鹭,陈颜红,吴淑君,等.对进行舌下脱敏治疗的变应性鼻炎患者实施综合性护理的效果观察[J].延边大学医学学报,2026,49(5):155-157.
[8] 井小进,李灿灿,管志伟,等.三维质量结构理论下延续性护理在变应性鼻炎患者中的应用[J].河南医学研究,2025,34(6):1137-1141.