认知行为干预对突发性耳聋患者负性情绪、睡眠质量及听力的影响  

Effect of Cognitive Behavioral Intervention on Negative Mood,Sleep Quality and Hearing Patients with Sudden Hearing Loss

作　　者：郭增丽[1] 孟静[1] 胡娟娟[1] Guo Zengli;Meng Jing;Hu Juanjuan(Shandong First Medical University First Affiliated Hospital,Jinan Shandong 250014,China)

机构地区：[1]山东第一医科大学第一附属医院,山东省千佛山医院,山东济南250014

出　　处：《齐鲁护理杂志》2022年第13期13-16,共4页Journal of Qilu Nursing

摘　　要：目的:探讨认知行为干预对突发性耳聋(SSNHL)患者负性情绪、睡眠质量及听力的影响。方法:选取2019年1月1日~2021年8月31日收治的96例SSNHL患者为纳入研究,按照入院时间先后顺序分为研究组和对照组各48例,对照组实施常规性治疗和护理干预,研究组在对照组基础上实施认知行为干预;比较两组干预前及干预2周后负性情绪[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]、听力功能及对护理满意度。结果:干预2周后,两组HAMA评分、HAMD评分、PSQI各维度得分及总分均低于干预前(P<0.05),且研究组低于对照组(P<0.05,P<0.01);干预2周后,两组听力功能均优于干预前(P<0.05,P<0.01),且研究组优于对照组(P<0.05);研究组对护理的满意度高于对照组(P<0.01)。结论:认知行为干预能有效缓解SSNHL患者焦虑、抑郁等负性情绪,改善患者睡眠质量,从而提高患者听力功能及对护理的满意度。Objective:To explore the effect of cognitive behavioral intervention on negative mood,sleep quality and hearing in patients with sudden hearing loss(SSNHL).Methods:A total of 96 cases of patients with SSNHL admitted during January 1,2019 to August 31,2021 were included in the study,according to the hospitalized time sequence divided into the research group and the control group,48 cases in each group.The control group implemented routine treatment and nursing intervention,the research group on the basis of the control group implemented cognitive behavior intervention.Comparison was made between the two groups before intervention and after intervention in 2 weeks on the negative mood with Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),the sleep quality with Pittsburgh Sleep Quality Index Scale(PSQI),hearing function and satisfaction on nursing.Results:Two weeks after intervention,the HAMA and HAMD scores,PSQI dimension scores and total score were lower in both groups than those before intervention(P<0.05),and lower in the research group than those in the control group(P<0.05,P<0.01).2 weeks after intervention,the hearing functions were better in both groups than those before intervention(P<0.05,P<0.01),and better in the research group than those in the control group(P<0.05).The nursing satisfaction was higher in the research group than that in the control group(P<0.01).Conclusion:Cognitive behavioral intervention can effectively relieve the anxiety,depression and other negative emotions in SSNHL patients,improve their sleep quality,so as to improve their hearing function and satisfaction on nursing.

关 键 词：认知行为干预 突发性耳聋 负性情绪 睡眠质量 满意度 

分 类 号：R473.76[医药卫生—护理学]