目的调查慢性鼻-鼻窦炎(CRS)成人患者鼻内镜术后的随访依从性,探讨其影响因素及护理对策。方法采用问卷调查法对2014年6月至2015年2月该院收治的160例CRS患者的一般资料和术后随访依从性进行调查,运用视觉模拟评分法(VAS)评估患者手术前后主观症状改善情况。结果两组性别、年龄、婚姻状况、病程和疾病类型接近;依从性好组高中及以上、居住在本市市区、医保付费及家庭月收入3000元以上者明显多于依从性差组。依从性好组术后1年鼻塞、流涕、头面部胀痛及总体症状VAS评分明显低于依从性差组;嗅觉障碍两组接近。结论 CRS患者鼻内镜术后的随访依从性受患者文化程度、居住地、经济状况及医疗费用支付方式等因素的影响,对其加强健康宣教和护理指导,建立多种有效的随访模式,能有效提高患者术后随访依从性,降低复发率。 Objective To investigate the follow-up compliance of adult patients with chronic rhinosinusitis (CRS) after endoscopic sinus surgery and investigate the influencing factors and nursing strategies. Methods A total of 160 CRS patients admitted from June 2014 to February 2015 in our hospital from June 2014 to February 2015 were surveyed for their general information and postoperative follow-up compliance. The visual analog scale (VAS) was used to assess the improvement of subjective symptoms before and after surgery Happening. Results The gender, age, marital status, disease duration and type of illness in the two groups were similar. In the good compliance group of high school and above, living in the urban area, the medical insurance payment and the family monthly income of more than 3000 yuan were significantly more than the poor compliance group. VAS scores of nasal obstruction, runny nose, head and face facial pain and general symptoms in the group with good compliance were significantly lower than those with poor compliance at 1 year postoperatively; and those with olfactory disturbance were close. CONCLUSIONS: Follow-up compliance after endoscopic sinus surgery in CRS patients is affected by such factors as education level, residence, economic status and payment of medical expenses. It is necessary to strengthen the health education and nursing guidance and establish a variety of effective follow-up modes. Effectively improve patient follow-up compliance, reduce the recurrence rate.