PT - JOURNAL ARTICLE AU - Rabago, David AU - Barrett, Bruce AU - Marchand, Lucille AU - Maberry, Rob AU - Mundt, Marlon TI - Qualitative Aspects of Nasal Irrigation Use by Patients With Chronic Sinus Disease in a Multimethod Study AID - 10.1370/afm.552 DP - 2006 Jul 01 TA - The Annals of Family Medicine PG - 295--301 VI - 4 IP - 4 4099 - http://www.annfammed.org/content/4/4/295.short 4100 - http://www.annfammed.org/content/4/4/295.full SO - Ann Fam Med2006 Jul 01; 4 AB - 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.