健康教育对突发性耳聋患者的应激反应状态及生活质量的影响

目的：探讨健康教育对突发性耳聋患者的应激反应状态及生活质量的影响。方法选择2011年2月~2013年11月在我院住院治疗的单侧突发性耳聋患者110例，随机分为干预组和对照组各55例，干预组实施认知行为教育、心理引导、放松训练指导为主要内容的健康教育，比较干预前后两组斯坦福急性应激反应问卷（SAS-RQ）、世界卫生组织生活质量测定简表（WHOQOL-BREF）、匹兹堡睡眠质量指数（PSQI）评分及疗效。结果干预后干预组SASRQ评分总分显著低于对照组（P〈0.05）。干预后干预组WHOQOL-BREF心理领域、社会关系、总体生活质量及健康状态评分均显著高于对照组（P〈0.05）。干预后干预组PSQI各维度评分均显著低于对照组（P〈0.05）。干预组与对照组显效率差异有统计学意义（P〈0.05）。结论突发性耳聋患者存在明显的生理和心理应激状态影响生活质量，健康教育有助于缓解其应激状态、改善睡眠、提高生活质量，促进突发性耳聋治疗效果提高。

The impact of health education on stress reaction condition and quality of life of patients with sudden deafness

Objective To investigate the impact of health education on stress reaction condition and quality of life of patients with sudden deafness. Methods Form February 2011 to November 2013 in our hospital cured unilateral sud-den deafness 110 patients were randomly divided to the intervention group and the control group each of 55 cases, the intervention group received cognitive behavioral education, psychological guidance before and after relaxation training guidance to the main content of health education, more intervention groups at SASRQ, WHOQOL-BREF, PSQI score and efficacy. Results The intervention group SASRQ total score were significantly lower than the control group （P〈0.05）. After the intervention group WHOQOL-BREF psychological domain, social relations, health status and overall quality of life scores were significantly higher than the control group（P〈0.05）. After the intervention group dimensions PSQI scores were significantly lower than the control group（P〈0.05）. The intervention group and control significant ef-ficiency difference were statistically significant（P〈0.05）. Conclusion Patients with sudden deafness obvious physiolog-ical and psychological stress affect the quality of life, health education helps alleviate patient stress, improve sleep,improve quality of life and promote improved treatment of sudden deafness.