认知干预联合功能训练操对突发性耳聋患者负性情绪及生命质量的影响

目的 探讨对突发性耳聋(SSHL)患者运用认知干预联合功能训练操的护理策略,并评估其临床应用效果。 方法 选取2017年12月—2018年12月在上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科接诊的突发性耳聋患者80例,按数字表随机分为研究组和对照组各40例,2组患者均采用抗炎抗病毒药物、改善微循环的神经营养药物、高压氧治疗及激素鼓室注射治疗。对照组给予常规功能训练护理,研究组在对照组基础上联合认知护理干预,比较2组突聋患者干预后负性情绪改善情况、治疗效果和总体生命质量等差异。 结果 研究组听力治疗有效率为90.0%,明显高于对照组的67.5%,2组患者听力治疗有效率比较差异有统计学意义(P<0.05);研究组患者干预后的症状自评量表(symptom checklist 90,SCL-90)评分明显优于对照组(1.55±0.96 vs. 1.95±0.78);研究组患者干预后的空气传导听阈水平明显低于对照组(26.08±3.29 vs. 31.03±4.06),差异有统计学意义(均P<0.05);研究组在日常行为、心理素质、睡眠障碍、社会适应力、总体生命质量等各项评分均显著高于对照组,差异均有统计学意义(均P<0.05)。 结论 将认知干预联合功能训练操的护理策略运用于突聋患者中,能有效缓解患者的负面情绪,提高治疗的依从性,有助于疾病的康复,提高患者的听力阈值水平,使患者生命质量得到提高。 

Effect observation of cognitive intervention nursing combined with functional training in treatment of sudden deafness patients

Objective To explore the nursing strategy and effect of cognitive nursing intervention combined with functional training in patients with sudden deafness(SSHL), and to evaluate the clinical application effect. Methods A total of 80 patients with sudden deafness and tinnitus in department of otorhinolaryngology head and neck surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine from December 2017 to December 2018 were randomly divided into study group and control group according to the date of hospitalization. Both groups were given antiviral drugs, microcirculation improvement drugs, hyperbaric oxygen therapy and hormone tympanic injection therapy. The control group was given routine nursing of otorhinolaryngology head and neck surgery. In the study group, the implementation of combined cognitive nursing intervention under the basic routine functional training was compared between the two groups in terms of the improvement of negative emotions, curative effect and overall quality of life of sudden deafness patients after intervention. Results The effective rate of the study group was 90.0%, which was significantly higher than 67.5% of the control group. The difference of the hearing effect between the two groups was statistically significant(P<0.05). The SCL-90 symptom checklist scores of sudden deafness patients with tinnitus after intervention in the study group were significantly lower than those in the control group(1.55±0.96 vs. 1.95±0.78, P<0.05). The air conduction threshold levels of sudden deafness patients with tinnitus after intervention in the study group were significantly lower than those in the control group(26.08±3.29 vs. 31.03±4.06, P<0.05). The scores of daily activities, psychological state, sleep disorders, social relations and quality of life in the study group were significantly lower than those in the control group(all P<0.05). Compared with the control group, the difference was statistically significant(all P<0.05). Conclusion The application of cognitive intervention combined with functional training nursing strategy in sudden deafness patients can effectively alleviate the negative emotions of patients, improve the compliance of patients with treatment, help the recovery of disease, improve the level of patients' hearing threshold, and improve the quality of life of patients.