认知行为干预对突发性耳聋患者焦虑情绪及生活质量的影响  

Effects of cognitive behavioral intervention on anxiety and quality of life in patients with sudden deafness

作　　者：李娜[1] 黄嘉楠 张为 白险峰[1] 闵双凤[1] Li Na;Huang Jianan;Zhang Wei;Bai Xianfeng;Min Shuangfeng(First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《临床心身疾病杂志》2022年第4期78-82,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨认知行为干预对突发性耳聋患者焦虑情绪及生活质量的影响。方法将86例突发性耳聋患者按随机数字表法分为两组,每组43例。对照组患者予以常规治疗及护理,观察组在对照组基础上予以认知行为干预,观察8周。比较两组临床疗效及干预前后焦虑自评量表、健康调查简表评分。结果观察组总有效率为93.0%,对照组为76.7%,观察组显著高于对照组(P<0.05)。干预后两组焦虑自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组健康调查简表的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康8个维度评分均较干预前显著升高(P<0.01),观察组显著高于对照组(P<0.01)。结论认知行为干预能显著改善突发性耳聋患者的焦虑情绪,提高临床疗效及患者生活质量,有利于患者康复。Objective To investigate the effect of cognitive behavioral intervention on anxiety and quality of life in patients with sudden deafness.Methods A total of 86 patients with sudden deafness were divided into two groups according to random number table method,with 43 cases in each group.The patients in the control group were given routine treatment and nursing,and the patients in the observation group were given cognitive behavioral intervention on the basis of the control group for 8 weeks.The clinical efficacy,self-rating anxiety scale(SAS)and the MOS item short from health survey(SF-36)scores of the two groups were compared before and after the intervention.Results The total effective rate was 93.0%in the observation group and 76.7%in the control group,and the observation group was significantly higher than the control group(P<0.05).After the intervention,the SAS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the scores of 8 dimensions of physical functioning,role-physical,bodily pain,general health status,vitality,social function,role-emotional,and mental health of SF-36 in the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).Conclusions Cognitive behavioral intervention can significantly relieve anxiety of patients with sudden deafness,improve the clinical efficacy and quality of life,and is conducive to the recovery of patients.

关 键 词：突发性耳聋 认知行为干预 焦虑 生活质量 

分 类 号：R764.437[医药卫生—耳鼻咽喉科] R749.055[医药卫生—临床医学]