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作 者:孙利兵[1] 杨捷[2] 郑智英[2] 郭文俊[1] 于文永[2] 王斌全[2] Sun Libing;Yang Jie;Zheng Zhiying;Guo Wenjun;Yu Wenyong;WangBingquan(Nursing College of Shanxi Medical University, Taiyuan 030001, China)
机构地区:[1]山西医科大学护理学院,太原030001 [2]山西医科大学第一医院耳鼻咽喉头颈外科
出 处:《国际护理学杂志》2018年第7期876-880,共5页international journal of nursing
摘 要:目的 探讨个体化整体护理在良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BP-PV)患者治疗中的应用效果.方法 选取2016年9月~2017年1月确诊并治疗的148例BPPV患者,给予个体化整体护理,分析BPPV患者个性化整体护理要点及预后情况.结果 148例BPPV患者复位后近期(1周)整体护理有效率为90.54%,远期(4周)为97.97%,148例患者4周内复发4例,复发率2.70%;复位后眩晕患者问卷自评表(UCLA)、医院焦虑抑郁量表(HADS)评分与复位前比较,差异均有统计学意义(均P〈0.05).结论 耳石复位可有效治疗BPPV,个体化整体护理应贯穿于复位前、中、后,对患者预后及生活质量非常重要.Objective To explore the main points and matters needing attention ot individualized laollstlc nurs- ing of the benign paroxysmal positional vertigo (BPPV) and evaluate the effects of the outcome. Methods The clinical data of 148 patients with BPPV diagnosed and treated from September 2016 to January 2017 were enrolled, analyzed and summarized the main points and prognosis of personalized nursing. Results The 148 cases of BPPV were trea- ted. The short-term (one week) efficacy was 90. 27%, the long-term (eight week) efficacy was 97. 32%. The recur- rence rate was 2. 70% in 4 weeks in 148 patients. University of California IJos Angeles (UCLA) score and Hospital Anxirty and Depression Scale (HADS) score were compared with treatment before. The difference was statistically sig- nificant ( P〈0. 05 ) . Conclusions Canalith repositioning maneuvers can effectively treat BPPV. Individualized holistic nursing care should be performed before, during and after the treatment. It is very important for prognosis and patients' quality of life.
关 键 词:良性阵发性位置性眩晕 治疗 整体护理
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