放松训练对住院突发性耳聋患者焦虑状态改善的效果观察_医学论文.docVIP

放松训练对住院突发性耳聋患者焦虑状态改善的效果观察_医学论文 放松训练对住院突发性耳聋患者焦虑状态改善的效果观察_医学论文 作者：邹虹 张帆 庄伟清 陈红艳 【摘要】目的　探讨放松训练对住院突发性耳聋患者焦虑状态的影响。方法　将60例突发性耳聋患者随机分为对照组和实验组,两组均进行改善微循环、抗病毒等药物治疗、氧疗和一般的健康教育,实验组进行放松训练。采用Zung 焦虑自评量表(SAS)对两组患者进行干预前后焦虑水平评估,采用自制量表对两组患者进行焦虑状态影响因素调查。结果　53例有不同程度的焦虑，占88.33%；对听力恢复程度的关注、耳聋伴耳鸣或眩晕的影响、耳聋的不良自身体验、对沟通交流困难的担心、对缺乏相关疾病知识的担心、对经济承受能力的担心均是影响焦虑状态的因素；放松训练后实验组患者的焦虑水平明显低于对照组,差异有显著性意义(0.01) 。结论　放松训练疗法可以改善突发性耳聋患者的焦虑状态。 【关键词】放松训练 突发性耳聋 焦虑 【Abstract】Objective 　To investigate the effect of relaxation training on the anxiety of hospitalized patients with sudden deafness. Methods sixty patients hospitalized for sudden deafness were randomly divided into control group and relaxation training group , and in the later group , relaxation training for 3 weeks in addition to routine use of medications for expand the blood vessel , improve the microcirculation and general health education , where as patients in the former group received only the medication and the general health education. Zung Self－rating Anxiety Scale (SAS) was adopted for evaluation of the anxiety status in the two groups before and after the intervention. To evaluate the factors of the anxiety in the two groups before and the intervention. Results 53 patients suffered from the anxiety(88.33%), The factors of the anxiety include healing of hearing,suffering from tinitus or vertigo,bad own experience,communication difficuties and economic problems. After the relaxation training , the anxiety level of the patients in the experiment group was significantly lowered in comparison with the control group ( P lt 0. 01 ) . Conclusion 　Relaxation training can reduce the anxiety of hospitalized patients with sudden deafness. 【Key words】relaxation training sudden deafness anxiety 突发性耳聋是一种突然发生的，原因不明的感音神经性听力损失,数小时至数天之内听力下降至60分贝以上甚至100分贝以上[1]。由于患者短时间内产生听力下降，患者的感知和舒适度改变，极易产生焦虑等各种不良情绪,这些不良情绪影响患者治疗效果和预后[2]。因此，消除焦虑等不良情绪是治疗突发性耳聋的一个重要环节。放松训练作为一种补充替代疗法,能有效的减轻患者因应激、疾病和手术等引起的负性情绪,促进康复和改善自我效能[3]。我们对30例突发性耳聋住院患者进行了放松训练,有效的改善了患者的焦虑状态。现报道如下： 1 对