老年良性阵发性位置性眩晕患者临床诊疗中的人文关怀  

Humanistic Care in Clinical Diagnosis and Treatment of Elderly Benign Paroxysmal Positional Vertigo Patients

作　　者：邢娟丽[1] 王馨笛 张乐宜 路莉 张桂芳 员艳宁 李娟利[6] XING Juanli;WANG Xindi;ZHANG Leyi;LU Li;ZHANG Guifang;YUN Yanning;LI Juanli(Department of Otorhinolaryngology-Head and Neck Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Health Science Center,Xi'an Jiaotong University,Xi'an 710061,China;University of Amsterdam,Amsterdam 1012 VB,Netherlands;Department of Otorhinolaryngology,Danfeng Traditional Chinese Medicine Hospital,Shangluo 726200,China;Department of Neurology,Yan'an University Xianyang Hospital,Xianyang 712000,China;Department of Cardiovascular Medicine,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院耳鼻咽喉头颈外科,陕西西安710061 [2]西安交通大学医学部,陕西西安710061 [3]阿姆斯特丹大学,阿姆斯特丹1012 VB [4]丹凤县中医医院耳鼻咽喉科,陕西商洛726200 [5]延安大学咸阳医院神经内科,陕西咸阳712000 [6]西安交通大学第一附属医院心脏内科,陕西西安710061

出　　处：《中国医学伦理学》2023年第6期698-702,共5页Chinese Medical Ethics

基　　金：陕西省重点研发计划项目“眩晕疾病的问卷调查及多学科联合诊治模式探讨”(2020SF-146);咸阳市科技计划项目“前庭功能检查对眩晕性疾病定位诊断的临床研究”(2021ZDYF-SF-0062)。

摘　　要：良性阵发性位置性眩晕是发病率最高的外周前庭性疾病,老年人是高发人群,虽然复位是公认的首选治疗方法,简单易行且有较好的临床效果,但是老年患者患病率较高且常合并多种慢性疾病,身体各方面机能已进入衰退阶段,对治疗的反应较差,且有复发的趋势。基于此,医务人员应不断提高自身专业能力,同时在诊疗过程中重视并实施言语鼓励、行为支持、心灵交融等从生理到心理的一系列的综合性多角度的人文关怀服务措施,提高老年BPPV患者的生活质量,减少医疗纠纷,节约医疗资源。Benign paroxysmal positional vertigo(BPPV)is a peripheral vestibular disease with the highest incidence rate,and the elderly are the high incidence population.Particle repositioning maneuver,simple and practicable,and has good clinical effects,is recognized as the preferred treatment method for BPPV.However,the elderly patients have a higher prevalence rate,often suffer from multiple chronic diseases,and their various bodily functions have entered a declining stage,with poor response to treatment and a tendency to recur.Based on these,medical staff should continuously improve their professional abilities,and pay attention to and implement some comprehensive and multi-dimensional humanistic care measures from physiological to psychological aspects such as verbal encouragement,behavioral support,and spiritual integration during the diagnosis and treatment process,to improve the quality of life of elderly BPPV patients,reduce medical disputes,and save medical resources.

关 键 词：良性阵发性位置性眩晕 老年患者 复位治疗 人文关怀 

分 类 号：R192[医药卫生—卫生事业管理]