摘要
目的本研究旨在探讨基于感恩拓延-建构理论的护理干预对突发性耳聋患者治疗效果的影响,评估其在感恩水平、焦虑水平和听觉功能方面的改善情况。方法本研究采用随机对照试验设计,纳入2023年1月至2023年10月我院接诊的40例突发性耳聋患者作为研究对象,随机分为干预组和对照组,每组20例。对照组接受常规护理;干预组接受基于感恩拓延-建构理论的护理干预。治疗前后使用六项目感恩问卷(GQ6)评估感恩水平,使用汉密尔顿焦虑量表(HAMA)评估焦虑水平,使用电测听症状自评量表-90项(SCL-90)测听评估听觉功能。结果治疗前两组患者GQ6感恩水平、HAMA水平及SCL-90听觉功能差异无统计学意义(P>0.05);干预后两组GQ6评分均提高,且干预组GQ6评分高于对照组(P<0.05);干预后两组HAMA评分均降低,且干预组HAMA评分低于对照组(P<0.05);治疗后两组SCL-90听觉功能改善,电测听右耳分贝值、左耳分贝值均降低,且干预组电测听右耳分贝值、左耳分贝值低于对照组(P<0.05)。结论基于感恩拓延-建构理论的护理干预对突发性耳聋患者的治疗效果有积极的影响,能够提高感恩水平、降低焦虑水平,并改善患者的听觉功能,为突发性耳聋患者的康复治疗提供了新的思路和方法。
Objective This study aims to explore the impact of nursing interventions based on gratitude extension construction theory on the treatment effectiveness of sudden deafness patients,and evaluate their improvement in gratitude level,anxiety level,and auditory function.Methods This study adopted a randomized controlled trial design and included 40 patients with sudden deafness who were admitted to our hospital from January 2023 to October 2023.Randomly divided them into an intervention group and a control group,with 20 patients in each group.The control group received routine care;The intervention group received nursing interventions based on gratitude extension construction theory.Before and after treatment,the Gratitude Questionnaire-6(GQ6)was used to assess gratitude levels,the Hamilton Anxiety Rating Scale(HAMA)was used to assess anxiety levels,and the Symptom Checklist 90(SCL-90)was used to assess auditory function.Results There was no statistically significant difference in GQ6 gratitude level,HAMA anxiety level,and SCL-90 auditory function between the two groups of patients before treatment(P>0.05);After intervention,the GQ6 gratitude scores of both groups increased,and the GQ6 gratitude scores of the intervention group were higher than those of the control group(P<0.05);After intervention,the average HAMA anxiety in both groups decreased,and the HAMA anxiety score in the intervention group was lower than that in the control group(P<0.05);After treatment,the auditory function of SCL-90 improved in both groups,and the decibel values of the right and left ears in the electrical measurement decreased.The decibel values of the right and left ears in the intervention group were lower than those in the control group(P<0.05).Conclusions The nursing intervention based on gratitude extension construction theory has a positive impact on the treatment effect of sudden deafness patients,which can improve gratitude level,reduce anxiety level,and improve patients'auditory function.It provides new ideas and methods for the rehabilitation treatment of sudden deafness patients.
作者
陈鹏
刘臻
CHEN Peng;LIU Zhen(Department of Otolaryngology,Head and Neck Surgery,Dalian Central Hospital,Dalian 116023,China)
出处
《中国医药指南》
2024年第3期24-27,共4页
Guide of China Medicine
