循证护理对高压氧治疗突发性耳聋副作用的影响  

Role of evidence-based nursing on the side effects of hyperbaric oxygen therapy for sudden hearing loss

作　　者：高苗莉[1] 赵栋莉 

机构地区：[1]中国人民解放军海军总医院高压氧科,北京市100042

出　　处：《中华全科医学》2015年第10期1715-1717,共3页Chinese Journal of General Practice

摘　　要：目的观察循证护理对高压氧治疗突发性耳聋的副作用的影响效果,探讨高压氧治疗突发性耳聋护理策略。方法选取高压氧科自2012年4月—2014年10月间收治的260例突发性耳聋需要高压氧治疗的患者,随机分为观察组(循证护理组130例)和对照组(传统护理组130例),观察组患者给予循证护理,找出护理问题,将以上护理问题结合患者的个体差异制订完备、详尽的护理措施,予以实施。对照组给予常规护理措施。对2组患者治疗的依从性、高压氧治疗的副作用(中鼓膜中耳气压伤、副鼻窦气压伤、氧中毒、肺气压伤和减压病)的发生情况进行比较。结果观察组和对照组依从性好的发生率分别是70.76%和38.46%,观察组和对照组依从性差的分别是4.61%和18.46%,差异有统计学意义(P<0.01);恐惧、焦虑的发生率观察组和对照组分别是12.30%和29.23%(P<0.01),高压氧治疗的副作用观察组总发生率为6.15%低于对照组16.92%(P<0.05),其中最常见的中耳气压伤发生率分别是2.30%和8.46%(P<0.05),差异均有统计学意义。结论高压氧治疗突发性耳聋通过循证护理,可以提高患者及家属治疗的依从性,降低高压氧治疗突发性耳聋副作用效果显著,提高治疗了效果,值得临床推广。Objective rio investigate the role of evidence-based nursing on the side effects of hyperbaric oxygen therapy for sudden hearing loss and explore the related nursing strategy. Methods A total of 260 cases of sudden hearing loss undergoing the hyperbaric oxygen therapy in our hospital from April 2012 to October 2014 were enrolled and randomly di- vided into evidence-based care（ 130 cases） and control group（ 130 cases）. The patients in the control group received the conventional nursing care;while the patients in the observational group received the evidence-based care：considering the nursing objective and individual difference, the complete and detailed nursing measures were made and performed in the patients. The adherence to treatment of patients and the incidence of complications from hyperbaric oxygen therapy （ mid- die-ear barotranma, paranasal sinus barotrauma, oxygentoxicity, pulmonary barotrauma and decompression） were compared between the two groups. Results The rate of patients with a good compliance in the observational group and control group were 70.76% and 38.46% ,respectively;and the rate of patients with poor compliance in the observational group and control group were 4.61% and 18.46%, respectively, the difference was statistical significance （ P 〈 0.01 ）. The incidence of terror and anxiety in the in the observational group and control group were 12.3% and 29.23% （P 〈0.01 ） ,respectively. The total incidence of complications from hyperbaric oxygen therapy was 6.15% in the observational group, which was lower than 16.92% in the control group（ P 〈0.05） ;among the complications ,the middle ear barotrauma was with a rate 2.3% in the observational group and 8.46% in the control group（P 〈 0.05 ）, there were significant differences. Conclusion The evidence-based care for patients undergoing the hyperbaric oxygen therapy for the sudden hearing loss can improve the adherence of patients and their family to the treatment, reduce the incidence of side effects, and impro

关 键 词：高压氧 突发性耳聋 依从性 循证护理 

分 类 号：R459.6[医药卫生—治疗学] R764.437[医药卫生—临床医学]