Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study
- PMID: 16868232
- PMCID: PMC1522156
- DOI: 10.1370/afm.552
Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study
Abstract
Purpose: We qualitatively assessed attitudes regarding use of hypertonic saline nasal irrigation (HSNI) for frequent rhinosinusitis and chronic sinonasal symptoms in a 3-part, multimethod study.
Methods: We conducted semistructured, in-depth interviews with 28 participants who recently used nasal irrigation in studies assessing HSNI.
Results: Four themes emerged: (1) HSNI improved self-management of sinus symptoms, creating a sense of empowerment; (2) HSNI produced rapid and long-term improvement in quality of life; (3) participants identified discomfort, time, and mild side effects as barriers to HSNI use; and (4) participants identified aspects of training and at-home use that overcame these barriers.
Conclusion: HSNI is a safe, well-tolerated, inexpensive, effective, long-term therapy that patients with chronic sinonasal symptoms can and will use at home with minimal training and follow-up. Success with HSNI will likely be improved by patient education.
Figures
References
-
- Lanza DC, Kennedy DW. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg. 1997;117:S1–S7. - PubMed
-
- Ray NF, Baraniuk JN, Thamer M, et al. Healthcare expenditures for sinusitis in 1996: contributions of asthma, rhinitis, and other airway disorders. J Allergy Clin Immunol. 1999;103:408–414. - PubMed
-
- McCaig LF, Hughes JM. Trends in antimicrobial drug prescribing among office-based physicians in the United States. JAMA. 1995;273:214–219. - PubMed
-
- Current estimates from the National Health Interview Survey, 1994. Vital Health Stat 10. 1995:261–520. - PubMed
-
- Gliklich RE, Metson R. The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg. 1995;113:104–109. - PubMed
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical