循证护理联合健康教育对老年突发性耳聋患者焦虑抑郁情绪影响.docVIP

循证护理联合健康教育对老年突发性耳聋患者焦虑抑郁情绪影响 　　[摘要] 目的 探?循证护理联合健康教育对老年突发性耳聋患者焦虑、抑郁情绪的影响。 方法 收集我院2015年3月～2016年5月来诊的老年突发性耳聋患者94例的病例资料，随机分为对照组和观察组，各47例，对照组采用常规护理；观察组采用循证护理联合健康教育，1个月为1个疗程，干预前后评定汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分及SF-36健康调查简表评分，同时比较两组间临床护理效果及护理满意度，记录干预期间不良反应状况。 结果 对照组有效率为72.34%（34/47），观察组有效率为89.36%（42/47），观察组高于对照组（P0.05）。 结论 循证护理联合健康教育对突发性耳聋老年患者的护理效果显著，可以改善焦虑、抑郁等不良情绪，提高生活质量和护理满意度，值得临床上广泛推广 [关键词] 循证护理；健康教育；老年；突发性耳聋；焦虑；抑郁 [中图分类号] R764.43 [文献标识码] B [文章编号] 1673-9701（2017）08-0161-04 [Abstract] Objective To explore the effect of evidence-based nursing combined with health education on anxiety and depression in the elderly patients with sudden deafness. Methods Medical data of 94 patients with sudden deafness who were diagnosed in our hospital from March 2015 to May 2016 were collected. They were randomly divided into the control group and the observation group， with 47 cases in each group. The control group was given routine nursing care； the observation group was given evidence-based nursing combined with health education. One month was for a course of treatment. The Hamilton anxiety scale（HAMA）， Hamilton depression scale （HAMD）and SF-36 health survey were scored before and after the intervention. At the same time， the clinical nursing effect and nursing satisfaction were compared between the two groups. The adverse reactions were recorded during the intervention. Results The effective rate was 72.34% （34/47） in the control group and 89.36% （42/47） in the observation group. The observation group was higher than the control group （P0.05）. Conclusion Evidence-based nursing combined with health education has a significant effect on nursing care in the elderly patients with sudden deafness， which can improve the anxiety and depression， improve the quality of life and nursing satisfaction， which is worthy of clinical popularization. 　　[Key words] Evidence-based nursing； Health education； The elderly； Sudden deafness； Anxiety； Depression 突发性耳聋是耳鼻喉科常见的疾病之一，在老年群体中发病率较高，突然