认知干预联合社区延续性护理对突发性耳聋患者院外康复的影响  

Effect of cognitive intervention combined with community continuing nursing on out of hospital rehabilitation of patients with sudden deafness

作　　者：黄丁兰[1] 谷英英 张亚容 崔鑫浩[1] Huang Dinglan;Gu Yingying;Zhang Yarong;Cui Xinhao(Department of Medical Rehabilitation,Houjie Hospital of Dongguan,Dongguan 523900,China;Community Health Service Center of Gaobu Town,Dongguan 523275,China;Department of Eye,Ear,Nose,and Throat,Houjie Hospital of Dongguan,Dongguan 523900,China)

机构地区：[1]广东医学院附属厚街医院康复科,东莞523900 [2]高埗镇社区卫生服务中心,东莞523275 [3]广东医学院附属厚街医院眼耳鼻喉科,东莞523900

出　　处：《国际医药卫生导报》2021年第22期3511-3513,共3页International Medicine and Health Guidance News

基　　金：东莞市社会发展科技项目(20211800902232)。

摘　　要：目的分析突发性耳聋患者接受认知干预联合社区延续性护理对其院外康复产生的影响。方法研究对象共计纳入广东医学院附属厚街医院60例患者,均患有突发性耳聋,入组时间为2017年7月至2020年10月,按照单双号分组的原则将患者分别纳入对照组和试验组,每组30例。对照组男18例、女12例,年龄(54.49±2.72)岁;试验组男20例、女10例,年龄(54.65±2.84)岁。对照组采取认知干预措施,试验组采取认知干预与社区延续性护理联合应用。对两组患者护理前后的焦虑情绪、抑郁情绪及出院后的护理效果、生活质量评分进行比较分析。结果护理后,试验组患者的焦虑情绪及抑郁情绪评分均低于对照组[(25.65±1.41)分比(38.06±1.44)分、(24.55±1.82)分比(37.49±1.71)分],差异均有统计学意义(均P<0.001);试验组的护理总有效率高于对照组[96.67%(29/30)比66.67%(20/30)],两组比较差异有统计学意义(χ^(2)=9.017,P=0.003);试验组患者的心理功能、生理功能、社会适应力以及物质生活评分均高于对照组,差异均有统计学意义(均P<0.001)。结论采取认知干预与社区延续性护理联合应用的方式,能够对突发性耳聋患者院外康复效果产生积极影响,同时对促进患者满意度的提升具有重要意义,值得推广。Objective To analyze the effect of cognitive intervention combined with community continuing nursing on out of hospital rehabilitation of patients with sudden deafness.Methods A total of 60 patients with sudden deafness from July 2017 to October 2020 in Houjie Hospital of Dongguan were included in the study.The patients were divided into a control group and an experimental group according to the principle of single or even numbers,with 30 patients in each group.In the control group,there were 18 males and 12 females,with an age of(54.49±2.72)years old;in the experimental group,there were 20 males and 10 females,with an age of(54.65±2.84)years old.The control group was given cognitive intervention,and the experimental group was given cognitive intervention combined with community continuing nursing.Anxiety and depression before and after the nursing,post-discharge nursing effect and quality of life score were compared and analyzed between the two groups.Results After the nursing,the scores of anxiety[(25.65±1.41)]and depression[(24.55±1.82)]in the experimental group were lower than those in the control group[(38.06±1.44)and(37.49±1.71)](both P<0.001);the total effective rate of nursing in the experimental group was higher than that in the control group[96.67%(29/30)vs.66.67%(20/30)](χ^(2)=9.017,P=0.003);the scores of psychological function,physiological function,social adaptability,and material life in the experimental group were higher than those in the control group(all P<0.001).Conclusion The combined application of cognitive intervention and community continuing nursing can have a positive impact on out of hospital rehabilitation effect of patients with sudden deafness,and it is of great significance to promote the improvement of patients'satisfaction,which is worthy of promotion.

关 键 词：认知干预 社区延续性护理 突发性耳聋 院外康复 

分 类 号：R473.2[医药卫生—护理学]