Comparison of quality of life in chronic rhinosinusitis patients based on SNOT-22 before and after administration of saline nasal irrigation at Sanglah General Hospital Denpasar

Introduction: Rhinosinusitis is an inflammation of the mucosa nasal cavity and paranasal sinuses and still a health problem in both developing and developed countries with a high prevalence and impacts in various aspects including quality of life and socioeconomics. Chronic rhinosinusitis occurs in 12.5% of the US population or 31 million patients per year.2 Saline nasal irrigation is a conservative treatment that can be used in patients with rhinosinusitis. Currently, SNOT-22 questionnaire is the best specific questionnaire that can be applied to assess the quality of life of chronic rhinosinusitis patients.

Objective: To determine the impact of nasal saline irrigation on the quality of life of patients with chronic rhinosinusitis.

Methods: This research is an observational study of the one-group test posttest design (before-after study). The selection of samples from all patients chronic rhinosinusitis who come to the ENT-KL polyclinic at Sanglah General Hospital Denpasar from October 2019 to December 2020

Result: In this study, the total sample that met the inclusion criteria was 52 people. In this research, it was found that the majority of the research subjects were male as many as 28 sufferers or 53,8%.  Based on age, the majority of subjects were aged 25–44 years, namely 24 (46.1%). Based on the characteristics of comorbid diagnoses, there were 22 (42.3%) subjects with turbinate hypertrophy and septal deviation. The mean difference in improvement of SNOT-22 score was found to be 22.4 with a p value of <0.001.

Conclusion: From this study, it was found that the most characteristics of research subjects were male, aged 25-44 years, with concomitant diagnoses of turbinate hypertrophy and septal deviation. There was a significant improvement in quality of life based on the SNOT-22 score in patients with chronic rhinosinusitis after administration of saline nasal irrigation.