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关注护理联合认知干预和功能训练对老年突发性耳聋患者负性情绪、依从性和生活质量的影响:一项回顾性研究。

Focus on the effect of nursing care combined with cognitive intervention and functional training on negative emotion, compliance and quality of life in elderly patients with sudden deafness: A retrospective study.

机构信息

Department of Otolaryngology, Chengyang District People's Hospital, Qingdao, Shandong Province, China.

Department of Paediatrics, Chengyang District People's Hospital, Qingdao, Shandong Province, China.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38283. doi: 10.1097/MD.0000000000038283.

Abstract

To explore the effects of focused solution nursing combined with cognitive intervention combined with functional training on negative emotions, compliance and quality of life in elderly patients with sudden deafness. A total of 160 patients with sudden deafness in the elderly who were treated in our hospital from January 2019 to May 2021 were selected as the objects of this retrospective study. Based on different treatment approaches, subjects were divided into a control group and an observation group. Due to reasons such as the COVID-19 pandemic and transfers, 10 cases were lost to follow-up. In total, 75 cases were ultimately lost from both the control and observation groups. The control group implements cognitive intervention and functional training, and the observation group adopts focused solution nursing care on the basis of the control group. Observe and compare the effects of negative emotions, psychological distress, air conduction threshold level, compliance and quality of life of the 2 groups of patients. The air conduction hearing threshold level of the 2 groups of patients after nursing was lower than that before nursing and the observation group was lower than the control group. The positive coping scores of the 2 groups were significantly increased, and the negative coping scores were both significantly reduced and the observation group was in the 2 indicators. The degree of change was greater than that of the control group (P < .05). After nursing, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of the observation group were lower than those of the control group (P < .05). The mental vitality score, social interaction score, emotional restriction score, and mental status of the observation group were significantly higher than those of the control group. The observation group's psychological compliance, activity compliance, dietary compliance, and treatment protocol compliance were significantly higher than those of the control group (P < .05). Adopting the focused solution model of nursing care can provide a better nursing recovery for elderly patients with sudden deafness, significantly improve the patient quality of life and anxiety and depression, improve patient compliance with treatment, and provide a certain reference for the nursing of elderly patients with sudden deafness.

摘要

探讨聚焦解决方案护理联合认知干预联合功能训练对老年突发性耳聋患者负性情绪、依从性和生活质量的影响。选择 2019 年 1 月至 2021 年 5 月在我院治疗的突发性耳聋老年患者 160 例为回顾性研究对象。根据不同的治疗方法,将受试者分为对照组和观察组。由于 COVID-19 大流行和转院等原因,10 例失访。对照组和观察组各丢失 75 例。对照组实施认知干预和功能训练,观察组在对照组的基础上采用聚焦解决方案护理。观察并比较两组患者负性情绪、心理困扰、气导听阈水平、依从性和生活质量的效果。两组患者护理后的气导听阈水平均低于护理前,观察组低于对照组。两组患者积极应对评分均明显升高,消极应对评分均明显降低,观察组在两项指标中的变化程度均大于对照组(P<0.05)。护理后,观察组的自评焦虑量表(SAS)和自评抑郁量表(SDS)均低于对照组(P<0.05)。观察组的心理活力评分、社会交往评分、情绪限制评分和心理状态均明显高于对照组。观察组的心理依从性、活动依从性、饮食依从性和治疗方案依从性明显高于对照组(P<0.05)。采用聚焦解决方案护理模式可为老年突发性耳聋患者提供更好的护理康复,显著改善患者的生活质量和焦虑抑郁程度,提高患者对治疗的依从性,为老年突发性耳聋患者的护理提供一定的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e7/11175969/bd31d56cd667/medi-103-e38283-g001.jpg

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