Effect of Educational Intervention on Psychological Well-Being in CRS : A Randomized Controlled Trial

© Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law..

Chronic Rhinosinusitis (CRS) affects nearly 10% of the global population, leading to substantial economic and quality-of-life burdens. While patient education has improved outcomes in other chronic conditions, its impact on CRS remains understudied. The study aims to evaluate the effectiveness of a structured patient education program on the psychological well-being and symptom severity of individuals diagnosed with CRS. This was a prospective, randomized controlled trial conducted in a tertiary care centre from January 2021 to December 2022. We enrolled 200 adult patients diagnosed with CRS based on the European Position Paper on Rhinosinusitis and Nasal Polyps guidelines. Participants were randomized into two groups: the control group, receiving conventional CRS medical management, and the intervention group, receiving conventional treatment plus a structured patient education program. By the end of the study, 100 participants from each group completed the 2-year follow-up. The intervention group showed significant improvements in psychological well-being, with HADS scores decreasing from 10 ± 3.5 to 7 ± 3.0. CRS symptom severity, as measured by SNOT-22 scores, also significantly improved in the intervention group, dropping from 45 ± 10 to 35 ± 9. Additionally, the intervention group had fewer acute CRS flare-ups over two years compared to the control group. Adherence to nasal spray usage was higher in the intervention group, and feedback on the educational program was largely positive. A structured patient education program, when added to conventional CRS treatment, enhances psychological well-being, and reduces symptom severity. Given these promising results, there's need to integrate patient education into standard CRS management and explore its long-term benefits.

Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-023-04407-8.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India - 76(2024), 2 vom: 28. Apr., Seite 1775-1784

Sprache:

Englisch

Beteiligte Personen:

Kumar, Sanjay [VerfasserIn]
Marlapudi, Sudheer Kumar [VerfasserIn]
Biradar, Kashiroygoud [VerfasserIn]

Links:

Volltext

Themen:

Chronic rhinosinusitis (CRS)
HADS
Intervention
Journal Article
Nasal function
Patient education
Psychological well-being
Randomized controlled trial
SNOT-22
Symptom severity
Treatment adherence

Anmerkungen:

Date Revised 04.04.2024

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1007/s12070-023-04407-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370561880