摘要
目的建立一套由护士主导的前庭康复训练护理策略,明确其对前庭失代偿症状的治疗效果。方法本研究为前瞻性,选择2018年1—12月在复旦大学附属眼耳鼻喉科医院就诊的前庭失代偿患者48名,随机等分成对照组(常规康复训练组)和实验组(护士主导的前庭康复训练组)。所有患者在入组时及治疗后2、4、8周各进行一次前庭功能检查,填写眩晕残障程度评定量表(Dizziness Handicap Inventory,DHI)、特异性活动平衡信心量表(Activities-specific Balance Confidence Scale,ABC)和焦虑自评量表(Self-Rating Anxiety Scale,SAS),并比较8周内两组患者自主进行前庭康复训练的总次数。结果两组患者前庭失代偿症状治疗后较治疗前均有所改善。同组不同时间点前后对比显示:实验组的前庭平衡功能不良率于治疗后2周、眼震电图异常率在治疗后8周出现明显下降(P<0.05)。实验组3种量表评分在治疗后2周均出现明显好转(P<0.05)。对照组DHI和SAS量表评分在治疗后4周出现明显好转(P<0.05)。依从性方面,实验组患者居家自主练习次数显著高于对照组(P<0.05)。结论由护士主导的前庭康复训练能更早地改善患者的前庭失代偿症状,缓解患者焦虑抑郁情绪,提升患者平衡信心。
Objective To establish a nursing strategy of vestibular rehabilitation training led by nurses,clarify its therapeutic effect on vestibular decompensation symptoms.Methods This study was a prospective study.Outpatients with vestibular decompensation were randomly divided into control group(routine rehabilitation training group)and experimental group(nurse-led vestibular rehabilitation training group).From Jan.2018 to Dec.2018,48 patients were collected(24 patients in each group).All patients completed the Dizziness Handicap Inventory(DHI),Activities-specific Balance Confidence Scale(ABC)and Self-rating Anxiety Scale(SAS)on the day of treatment and 2,4 and 8 weeks after treatment.The data of vestibular balance function and electronystagmography were collected and analyzed statistically.The total times of vestibular rehabilitation training were compared between the two groups within 8 weeks.Results The vestibular decompensation symptoms of the two groups were improved after treatment.According to the data comparison before and after treatment in each group,the vestibular balance dysfunction rate in experimental group decreased significantly 2 weeks after treatment,and the abnormal rate of electronystagmogram decreased significantly 8 weeks after treatment(P<0.05).The scores of the three scales in experimental group improved significantly 2 weeks after treatment(P<0.05).DHI and SAS scores in control group improved significantly 4 weeks after treatment(P<0.05).In terms of compliance,the number of home self exercise in experimental group was significantly higher than that in control group(P<0.05).Conclusion Compared with the routine rehabilitation training,the vestibular rehabilitation training led by nurses can significantly improve the patients’vestibular decompensation symptoms,anxiety and depression,and enhance the balance confidence of patients.
作者
林晨珏
席淑新
王璟
LIN Chen-jue;XI Shu-xin;WANG Jing(Department of Ophthalmology,Eye,Ear,Nose and Throat Hospital,Fudan University,Shanghai 200031,China)
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2021年第1期98-103,共6页
Fudan University Journal of Medical Sciences
基金
上海市卫健委面上项目(201740018)。
关键词
前庭康复训练
前庭失代偿
康复护理
vestibular rehabilitation training
vestibular decompensation
rehabilitation nursing
