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Research ArticleOriginal Research

Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study

David Rabago, Bruce Barrett, Lucille Marchand, Rob Maberry and Marlon Mundt
The Annals of Family Medicine July 2006, 4 (4) 295-301; DOI: https://doi.org/10.1370/afm.552
David Rabago
MD
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Bruce Barrett
MD, PhD
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Lucille Marchand
MD
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Rob Maberry
BA
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Marlon Mundt
MS
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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.

  • Nasal irrigation
  • sinusitis/therapy
  • rhinosinusitis
  • chronic sinus symptoms
  • quality of life
  • qualitative study
  • Received for publication August 1, 2005.
  • Revision received November 23, 2005.
  • Accepted for publication November 29, 2005.
  • © 2006 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 4 (4)
The Annals of Family Medicine: 4 (4)
Vol. 4, Issue 4
1 Jul 2006
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Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study
David Rabago, Bruce Barrett, Lucille Marchand, Rob Maberry, Marlon Mundt
The Annals of Family Medicine Jul 2006, 4 (4) 295-301; 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, Bruce Barrett, Lucille Marchand, Rob Maberry, Marlon Mundt
The Annals of Family Medicine Jul 2006, 4 (4) 295-301; DOI: 10.1370/afm.552
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