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Annals of Family Medicine 4:295-301 (2006)
© 2006 Annals of Family Medicine, Inc.
doi: 10.1370/afm.552
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Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study

David Rabago, MD, Bruce Barrett, MD, PhD, Lucille Marchand, MD, Rob Maberry, BA and Marlon Mundt, MS

University of Wisconsin Madison, Madison, Wisc

CORRESPONDING AUTHOR: David Rabago, MD, Department of Family Medicine, UW-Madison, 777 South Mills St, Madison, WI 53715, rabago{at}fammed.wisc.edu

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.

Key Words: Nasal irrigation • sinusitis/therapy • rhinosinusitis • chronic sinus symptoms • quality of life • qualitative study




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TRACK Comments:

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Nasal Irrigation
Terence M Davidson
Annals of Family Medicine, 3 Aug 2006 [Full text]
Pulsatile vs. Non-pulsatile nasal irrigation
Judith A Nudelman
Annals of Family Medicine, 10 Aug 2006 [Full text]
Commentary on: "Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study"
Berrylin J Ferguson
Annals of Family Medicine, 10 Aug 2006 [Full text]
Re: Commentary on: "Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study"
Judith A Nudelman
Annals of Family Medicine, 13 Aug 2006 [Full text]
Thanks for the comments
David P Rabago
Annals of Family Medicine, 19 Aug 2006 [Full text]
Pulsating Irrigation 3 X more effective than non pulsating irrigation
Glen Rocklin
Annals of Family Medicine, 15 Dec 2007 [Full text]

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