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. 2006 Jul-Aug;4(4):295-301.
doi: 10.1370/afm.552.

Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study

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Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study

David Rabago et al. Ann Fam Med. 2006 Jul-Aug.

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.

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Figures

Figure 1.
Figure 1.
Nasal irrigation technique.
Figure 1.
Figure 1.
Nasal irrigation technique.
Figure 2.
Figure 2.
Subject participation in phase 1, randomized controlled trial; phase 2, follow-up study; and phase 3, current study.

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