突发性聋合并耳鸣患者实施护理对降低心理负面情绪的影响.docVIP

突发性聋合并耳鸣患者实施护理对降低心理负面情绪的影响 　　【摘要】 目的：观察不同护理干预方法对突发性耳聋合并耳鸣患者负面情绪的影响。方法：研究对象为本院耳鼻喉科80例突发性耳聋合并耳鸣患者，其中接受常规护理的40例患者为对照组，在常规护理基础上接受综合护理的40例患者为观察组，比较两组患者护理前后的匹兹堡睡眠质量指数、汉密顿焦虑量表评分和抑郁自评量表评分。结果：护理前，两组患者的各项观察指标比较，差异无统计学意义（P0.05）；护理后，观察组各项观察指标均优于对照组，比较差异有统计学意义（P0.05）。结论：给予突发性耳聋合并耳鸣患者一定的护理干预可改善患者的睡眠质量和心理状态，且综合性护理的改善效果优于常规护理。 　　【关键词】 突发性耳聋合并耳鸣； 护理干预； 综合护理； 负面情绪 　　【Abstract】 Objective： To investigate the influence of different nursing interventions on negative emotions of the patients with sudden deafness and tinnitus. Method： The objects of this study were 80 patients with sudden deafness and tinnitus in the Otolaryngological Department of our hospital. Among these 80 patients， 40 patients who accepted routine care were considered as the control group， while another 40 patients who were given integrated care on the basis of routine care were regarded as the observation group. Pittsburgh Sleep Quality Index， Hamilton Anxiety Scale score and Self-rating Depression Scale score of the two groups before and after treatment were compared. Result： Before nursing， the evaluation of different observation targets of the two groups was similar， so the difference was not statistically significant （P0.05）. After nursing， the evaluation of different observation targets of the observation group were better than those of the control group， and the differences were statistically significant （P0.05）. Conclusion： Certain nursing interventions can improve the sleep quality and psychological state of the patients with sudden deafness and tinnitus， and the improved effect of integrated nursing is better than the usual nursing. 　　【Key words】 Sudden deafness and tinnitus； Nursing interventions； Integrated care； Negative emotions 　　First-author’s address：The People’s Hospital of Sanshui District in Foshan City， Foshan 528100， China 　　doi：10.3969/j.issn.1674-4985.2015.21.035 　　突发性耳聋，又称“特发性突发性聋”、“突发性聋”、“突聋”，是耳鼻喉科常见急症，是指并发突然且原因不明的感音神经性耳聋，患者多在发病数小时至3 d内急剧听力下降，且以单侧听力下降为主，并可伴有耳鸣、耳堵塞感、眩晕、恶心、呕吐等症状[1]。虽