负性生活事件对耳鸣患者生活质量的影响

目的：研究负性生活事件与耳鸣患者生活质量的关系，探讨负性生活事件在耳鸣心理咨询及康复中的作用。方法：对61例耳鸣患者和6l例正常对照者进行耳鸣残疾量表及生活事件量表问卷调查，得分进行对照及相关分析。结果：耳呜患者负性生活事件刺激量总和，与对照组比较差异有统计学意义（Z=-2．56，P〈0．05）。耳鸣患者负性生活事件发生率，与对照组比较差异无统计学意义（X2-0．05，P〉O．05）。耳鸣患者负性生活事件得分异常者发生率，与对照组比较差异有统计学意义（X2-16．68，P〈O．01）。耳鸣患者负性生活事件刺激量总和与生活质量得分有正相关性（r=0．41，P〈0，01）。结论：负性生活事件严重程度与耳鸣发病关系密切，负性生活事件可以使耳鸣患者的生活质量降低，耳鸣心理咨询及康复应重视负性生活事件。对负性生活事件的干预，能够改善耳鸣患者的生活质量，为耳鸣心理咨询及康复提供针对性的、个体化的理论依据。

Effect of negative life events on tinnitus patients quality of life

Objective：To study the relationship between negative lite events and quahty ot lite of innitus pa-tients, and explore the role of negative life events in psychological counseling and rehabilitation of tinnitus. Meth-od：Sixty-one cases of tinnitus patients and 61 normal controls were tested with tinnitus handicap inventory and life event scale, scores were compared and the associated analysis was made. Result： Stimulating quantity of negative life events in the tinnitus group, compared with the control group was statistically different （Z =- 2.56, P〈 0.05）. The incidence of negative life events in the tinnitus group compared with the control group was no statisti-cally different（X2 =0.05,P〉0.05）. The incidence of abnormal scores of negative life events compared with the control group was statistically different（X2 = 16.68 ,P〈0.01）. Positive correlation in tinnitus group was found be-tween scores of negative life events and scores of tinnitus handicap inventory（r= 0.41, P〈0.01）. The higher the score of negative life events, the lower the quality of life with tinnitus patients. Conclusion：Severity of negative life events and tinnitus is closely related, and negative life events can reduce the quality of tinnitus patients＂ life. We should pay more attention to negative life events in psychological counseling with tinnitus patients. The interven-tion in negative life events can improve the quality of life, providing the targeted and individualized theory basis for tinnitus psychological counseling and rehabilitation.