Abstract: Objective The present study aims to evaluate and validate the application effects of the "1+3+X" traditional Chinese medicine (TCM) nursing model in the perioperative period of nasal endoscopic surgery for patients with chronic sinusitis and its influence on patient rehabilitation. Methods A total of 80 patients with chronic sinusitis who underwent nasal endoscopic surgery in our hospital from June 2022 to June 2023 were selected as the study sample. Using a random number table method, patients were evenly divided into a control group and an experimental group, with 40 patients in each group. The control group received routine nursing care during the perioperative period,the experimental group implemented a 1+3+X traditional Chinese medicine characteristic nursing model on the basis of routine nursing. The effects were assessed by comparing data between the two groups in terms of nasal pain intensity, comfort level, and nursing satisfaction. Results Before the intervention, the pain scores were different (P>0.05). After the intervention, the pain scores gradually decreased over time, and the test group was lower at 24 h and 48 h than the control group, which was significant (P<0.05). The comfort and nursing satisfaction scores were higher than the control group, significant (P<0.05). Conclusion Through this study,implementing the‘1+3+X’TCM nursing model during the perioperative period of nasal endoscopic surgery for patients with chronic sinusitis can not only effectively reduce the incidence of postoperative complications but also significantly alleviate postoperative pain,improve nasal symptoms,and promote early patient recovery.This nursing model demonstrates high clinical application value and is worthy of promotion and application.

Key words: chronic sinusitis, nasal endoscopy, 1+3+X TCM nursing model, perioperative nursing