自我管理对耳聋患者应对方式和生活质量的影响  

Effects of self-management on coping style and quality of life of patients with deafness

作　　者：丁晓丽[1] 丁永丽[1] 鲁娟[1] 

机构地区：[1]河南省人民医院耳鼻喉科,郑州450003

出　　处：《中华现代护理杂志》2017年第12期1656-1659,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨自我管理对耳聋患者应对方式和生活质量的影响.方法 选取2014年1—12月住院治疗的38例突发性耳聋患者为对照组,采用常规护理管理方式;选取2015年1—12月住院治疗的40例突发性耳聋患者为观察组,在对照组治疗的基础上实施自我管理.比较两组患者干预前后干预后自我效能及应对方式和生活质量改善情况.结果 干预后观察组的积极应对评分增加分值明显高于对照组,消极应对评分降低分值明显大于对照组,差异均有统计学意义（t值分别为4.586、5.863;P＜0.01）.护理干预后观察组在按医嘱服药、监测症状、调节心理、角色功能、情绪控制、与医生的沟通管理上的评分均高于对照组,差异均有统计学意义（t值分别为5.785、4.425、4.956、8.754、6.632、3.758;P均＜0.01）.观察组在生理功能、心理功能、社会功能、健康自我认识能力及总生活质量上的得分改善情况均高于对照组,差异均有统计学意义（t值分别为5.456、4.875、4.312、4.154、3.989;P＜0.01）.结论 采用自我管理教育模式能明显改善耳聋患者的应对方式,提升患者的自我效能,提高患者的生活质量.Objective To explore the effects of self-management on coping style and quality of life of patients with deafness.Methods A number of 38 patients with sudden deafness in hospital from January 2014 to December 2014 were selected as the control group and received the routine nursing management mode. Meanwhile, a total of 40 patients with sudden deafness in hospital from January 2015 to December 2015 were selected as the observation group and treated with additional self-management. Improvement in self-efficacy, coping style and quality of life before and after the intervention were compared between two groups. Results The increased score of positive coping style and the decreased score of negative coping style in intervention group were significantly higher than those of control group （t=4.586, 5.863;P〈0.01）. The scores of medication compliance, monitoring of symptoms, psychological adjustment, role function, emotional control and management of communication with doctors were higher than those in control group, with statistically significant differences （t=5.785, 4.425, 4.956, 8.754, 6.632, 3.758;P〈0.01）. Improvement in scores of physiological function, psychological function, social function, health self cognition and total quality of life were significantly higher than those in control group. The differences were statistically significant （t=5.456, 4.875, 4.312, 4.154, 3.989;P〈0.01）.Conclusions Self-management education mode can significantly improve the coping style, self-efficacy and quality of life of deaf patients.

关 键 词：生活质量 应对方式 耳聋 自我管理 

分 类 号：R473.76[医药卫生—护理学]