耳鸣康复操联合认知行为干预在耳鸣患者康复中的应用  

The therapeutic effect of rehabilitation exercise and cognitive-behavioral intervention on the patients with tinnitus

作　　者：谭雁红[1] 陈丽婵[1] 罗钻华[1] 叶旺娣[1] Tan Yanhong;Chen Lichan;Luo Zuanhua;Ye Wangdi(Ear Department,Foshan First People's Hospital,528000,China)

机构地区：[1]佛山市第一人民医院耳科,广东佛山528000

出　　处：《现代临床护理》2018年第2期34-39,共6页Modern Clinical Nursing

摘　　要：目的探讨耳鸣康复操联合认知行为干预在耳鸣患者康复中的应用效果。方法选择本院收治的110例耳鸣伴有轻度以上焦虑、抑郁情绪的患者,按病区分为实验组和对照组,每组各55例,对照组患者住院期间及出院时采用常规治疗及护理干预,实验组患者在常规治疗基础上住院期间及出院后采用耳鸣康复操联合认知行为干预,干预时间为6个月。两组患者分别于干预前、干预后1个月及6个月采用耳鸣残疾评估量表(tinnitus handicap inventory,THI)、焦虑自评量表(self-rating anxiety scale,SAS)及抑郁自评量表(self-rating depresion scale,SDS)进行评估,并比较干预后1个月及6个月两组患者耳鸣康复效果。结果两组患者干预后1个月及6个月焦虑、抑郁严重程度及耳鸣分级比较,差异有统计学意义(均P<0.001),实验组焦虑、抑郁程度及耳鸣分级均轻于对照组;两组患者干预后1个月及6个月耳鸣康复效果比较,差异有统计学意义(均P<0.05),实验组患者耳鸣康复效果优于对照组。结论耳鸣康复操联合认知行为干预促进了耳鸣患者的康复,降低患者焦虑、抑郁情绪,值得临床推广应用。Objective To study the therapeutic effect of rehabilitation exercise and cognitive-behavioral intervention on the patients with tinnitus.Methods 110 patients were divided into two groups,with 55 cases in each group.Conventional nursing was delivered to the control group,while the patients in the experimental group received conventional nursing as well as rehabilitation exercise and cognitive-behavioral intervention(6 months).The patients were evaluated by Tinnitus handicap inventory(THI),self-rating anxiety scale(SAS)and self-rating depression Scale(SDS)before the intervention,at 1 month and 6 months after the intervention.Results The levels of anxiety,severity of depression and tinnitus classification at 1 month and 6 months after the intervention in both groups were significantly different(all P<0.001).The levels of anxiety,depression and tinnitus in the experimental group were lower than those in the control group.The effect of tinnitus recovery at1 month and 6 months after the intervention in both groups was statistically significant(all P<0.05).The tinnitus recovery in the experimental group was better than that in the control group.Conclusion Rehabilitation exercise and cognitive-behavioral intervention can improve the therapeutic effect on tinnitus,reduce anxiety and depression in patients and deserve clinical application.

关 键 词：耳鸣 耳鸣康复操 认知行为干预 康复 

分 类 号：R473.76[医药卫生—护理学]