突发性耳聋预后相关因素分析及健康教育  

Analysis of related factors and health propaganda and education strategy in patients with sudden hearing loss

作　　者：金伟[1] 刘燕京[1] 宁丽丽[1] 高小宁[1] 

机构地区：[1]解放军总医院耳鼻咽喉头颈外科,北京100853

出　　处：《中华现代护理杂志》2011年第34期4152-4154,共3页Chinese Journal of Modern Nursing

摘　　要：目的分析影响突发性耳聋患者治疗疗效和生活质量的相关因素，以针对性制定积极有效的健康宣教对策，改进负性影响，最大限度地提高患者的听力和生活质量。方法90例住院治疗的突发性耳聋患者，按照有无眩晕、“三高”（血糖高、血脂高、血压高）及焦虑心理问题分为三个组，分别对预后进行统计学分析。结果有“三高”组患者痊愈6例，无“三高”组患者痊愈15例，两组比较差异有统计学意义（u=2．012，P〈0．05）；有焦虑心理组患者痊愈8例，无焦虑心理组患者12例，两组比较差异有统计学意义（u=2．809，P〈0．01）；有眩晕组患者痊愈12例，无眩晕组患者痊愈8例，两组比较差异无统计学意义（u=0．923，P〉0．05）。结论可以有针对性地对患者实施健康宣教，使患者在药物治疗的同时，形成有益于健康的行为和生活方式，对提高患者的疗效和生活质量具有十分重要的意义。Objective To explore the related factors that affects the therapeutic effects and quality of life of sudden hearing loss. To establish an effective health propaganda and education strategy and improve these patient＇ s hearing and quality of life. Methods In a retrospective study, clinical data of 90 hospitalized patients in Chinese PLA General Hospital from September 2009 to March 2010 were analyzed. The patients were divided into 2 subgroups respectively, according to with or without vertigo, psychological problems, and hypertension, diabetes mellitus and hyperlipidemia. The therapeutic effects of each subgroup were analyzed respectively and ranked test of ranked data in the form of one-side sequence cross table were used in our study. Results 6 cases have been cured in hypertension, diabetes mellitus and hyperlipidemia patients and 15 cases in those without hypertension, diabetes mellitus and hyperlipidemia and the difference was statistically significant （u = 2. 012, P〈O. 05）; 8 cases have been cured in those with anxiety, and 12 cases in those without anxiety, and the difference was also significant （ u = 2. 809, P 〈 0.01 ） ; 12 cases were cured in those with vertigo and 8 cases in those without vertigo, however, the difference was not significant （ u = O. 923, P 〉 O. 05 ）. Conclusions With comparison of prognosis between these subgroups, a purpose-aimed health propaganda and education should be performed to make the patients understand the disease comprehensively, and to improve their self-health care consciousness, as well as to form a healthy behavior and life style.

关 键 词：听觉丧失 感音神经性 预后 健康教育 因素分析 统计学 

分 类 号：R473.76[医药卫生—护理学]