自我管理干预+心理护理对突发性耳聋患者生活质量提升的效果  

Effect Evaluation of Self-management Intervention+Psychological Nursing on the Improvement of Quality of Life in Patients with Sudden Deafness

作　　者：李靖[1] 修红梅[1] LI Jing;XIU Hongmei(Department of Otorhinolaryngology,Liaocheng People's Hospital,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市人民医院耳鼻喉科,山东聊城252000

出　　处：《中外医疗》2025年第8期108-112,共5页China & Foreign Medical Treatment

摘　　要：目的探讨针对突发性耳聋(sudden deafness,SD)患者实施自我管理干预+心理护理的效果。方法回顾性选取2021年6月—2023年4月聊城市人民医院收治的94例SD患者的临床资料,按护理方法的不同分为两组。对照组(47例)实施常规护理管理,观察组(47例)实施自我管理干预+心理护理,两组均持续护理至患者出院。对比两组生活质量、心理应激、应对方式。结果观察组生活质量综合评定问卷中的社会功能、心理、物质生活以及躯体维度评分分别为(82.86±7.33)分、(84.88±7.78)分、(85.86±7.28)分、(84.89±6.67)分,均高于对照组的(74.79±6.25)分、(75.79±6.32)分、(77.79±6.87)分、(75.79±5.93)分,差异均有统计学意义(t=5.743,6.217,5.527,6.990;P均<0.05)。护理后,观察组斯坦福急性应激反应问卷评分低于对照组,医学应对问卷中面对评分高于对照组,回避、屈服评分均低于对照组,差异均有统计学意义(P均<0.05)。结论自我管理干预+心理护理在SD患者中具有较好的应用效果,利于减轻其心理应激,改善应对方式,提升生活质量。Objective To explore the effect of self-management intervention+psychological nursing on patients with sudden deafness(SD).Methods The clinical data of 94 SD patients admitted to Liaocheng People's Hospital from June 2021 to April 2023 were retrospectively selected and divided into two groups according to different nursing methods.The control group(47 cases)was given routine nursing management,and the observation group(47 cases)was given self-management intervention+psychological nursing.Both groups were given continuous nursing until the patients were discharged.The quality of life,psychological stress and coping style were compared between the two groups.Results The scores of social function,psychology,material life and physical dimension in the Generic Quality of Life Inventory 74 in the observation group were(82.86±7.33)points,(84.88±7.78)points,(85.86±7.28)points and(84.89±6.67)points,which were higher than those in the control group(74.79±6.25)points,(75.79±6.32)points,(77.79±6.87)points and(75.79±5.93)points,and the differences were statistically significant(t=5.743,6.217,5.527,6.990;all P<0.05).After nursing,the score of Stanford Acute Stress Response Questionnairee in the observation group was lower than that in the control group,the score of confrontation in the Medical Coping Modes Questionnaire was higher than that in the control group,and the scores of avoidance and yield were lower than those in the control group,the differences were statistically significant(all P<0.05).Conclusion Self-management intervention+psychological nursing has a good application effect in SD patients,which is conducive to reducing their psychological stress,improving their coping style and improving their quality of life.

关 键 词：突发性耳聋 自我管理干预 心理护理 生活质量 心理应激 应对方式 

分 类 号：R47[医药卫生—护理学]