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突发性耳聋患者的心理状态及心理干预对康复的影响。

Psychological state of patients with sudden deafness and the effect of psychological intervention on recovery.

作者信息

Sun Bin, Liu Liangliang, Ren Xiaoyong, Wang Zhenghui

机构信息

Department of Otolaryngology-Head and Neck Surgery, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, People's Republic of China.

Department of Otorhinolaryngology, The School Hospital, Xi'an Jiaotong University, Xi'an, People's Republic of China.

出版信息

J Int Med Res. 2020 Sep;48(9):300060520957536. doi: 10.1177/0300060520957536.

Abstract

OBJECTIVE

To determine the effect of personalized psychological interventions on the recovery of patients with sudden deafness.

METHODS

Participants were 438 patients with sudden deafness who were randomly allocated to observation and control groups. Patients in the control group received routine nursing care and drug treatment. Patients in the observation group received personalized psychological interventions, routine nursing care and drug treatment. The Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) were used to measure anxiety and depression. The Simple Coping Style Questionnaire (SCSQ) and the Satisfaction With Life Scale (SWLS) were used to evaluate coping styles, attitude toward life and quality of life.

RESULTS

Patients in both groups had similar SAS and SDS scores at the time of admission. After treatment, there was a significant difference in SAS and SDS scores between the observation and control groups, indicating that the observation group had less anxiety and depression. Both groups had increased SCSQ and SWLS scores following treatment, indicating improvements in positive coping and satisfaction with life.

CONCLUSION

Effective psychological interventions may change negative thoughts, increase response rate and improve quality of life.

摘要

目的

确定个性化心理干预对突发性耳聋患者康复的影响。

方法

选取438例突发性耳聋患者,随机分为观察组和对照组。对照组患者接受常规护理和药物治疗。观察组患者接受个性化心理干预、常规护理和药物治疗。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)测量焦虑和抑郁程度。采用简易应对方式问卷(SCSQ)和生活满意度量表(SWLS)评估应对方式、生活态度和生活质量。

结果

两组患者入院时SAS和SDS评分相似。治疗后,观察组和对照组的SAS和SDS评分存在显著差异,表明观察组的焦虑和抑郁程度较低。两组患者治疗后的SCSQ和SWLS评分均有所提高,表明积极应对和生活满意度有所改善。

结论

有效的心理干预可能会改变消极思维,提高有效率并改善生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57da/7521050/a6c951cc7d05/10.1177_0300060520957536-fig1.jpg

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