摘要
目的探讨心理行为干预对梅尼埃病（MD）患者生活质量（QOL）的影响。方法采用中文版SF-36健康调查量表（SF-36）和汉化英文版头晕残障测量表（DHI），对84例MD住院患者（观察组）和80名健康体检者（对照组）的进行QOL调查。观察组采用随机数字法分为干预组和非干预组各42例，非干预组给予常规护理和健康指导，干预组在此基础上给予心理、行为及院外心理行为干预。出院后3个月采用SF-36和DHl分别比较干预组和非干预组、干预组和对照组的QOL。结果观察组SF-36各维度总分（492．58±98．76）明显低于对照组（688．46±115．48）分，两组比较，差异有统计学意义（t=11．69，P〈0．01），DHI各条目总分（89．84±28．13）明显高于对照组（8．57±4．59）分，两组比较，差异有统计学意义（t=25．52，P〈0．01）。出院后3个月干预组的SF-36各维度总分为（681．58±109．43），高于非干预组（621．47±98．74）分，两组比较，差异有统计学意义（t=2．64，P〈0．01）；DHI各条目总分（9．08±5．22）低于非干预组（17．42±8．17）分，两组比较，差异有统计学意义（t=5．58，P〈0．01）。出院后3个月干预组的SF．36各维度总分（681．58±109．43），DHI各条目总分（9．08±5．22）与对照组（688．46±115．48），（8．57±4．59）分比较，差异均无统计学意义（P〉0．05）。结论MD显著影响患者的QOL，心理行为干预可明显改善MD患者的QOL。
Objective To explore the effect of psychological and behavioral intervention on quality of life （QOL） of Meniere＇ s disease （MD） patients. Methods Eighty-four MD inpatients（ as observational group） and 80 healthy subjects undergoing physical examination（ as control group）were enrolled into this study. The observational group was divided into intervention group （n = 42 ） and non intervention group （n = 42） randomly. Patients in the intervention group were given psychological and behavioral intervention both in hospital and out of hospital besides general nursing care and health guidance while patients in non-intervention group were only given general nursing care and health guidance. The QOL of them when they were in hospital and 3 months after discharging from the hospital were measured with Chinese version 36-item Short Form Heath Survey（SF-36） and the English Chinese version Dizziness Handicap Inventory（DHI）. The differences between observational group and control group were compared, Results The scores of SF-36 in the observational group （492.58 ± 98.76） were lower than that in the control group（688.46 ± 115.48 ）. while the scores of DHI in the observational group （89.84 ±28.13） were higher than that in the control group （8.57 ±4.59）. Both of them have siguificanfly statistical differences （ t = 11.69, 25.52 ; P 〈 0.05 ）. After 3 months of discharging from the hospital, the scores of SF-36 in the intervention group （681.58 ± 109.43 ） were higher than that in the non-intervention group （ 621.47 ± 98.74 ）, while the scores of DHI in the intervention group （ 9.08 ± 5.22 ） were lower than that in the non-intervention group（ 17.42 ± 8.17 ）. Both of them have significantly statistical differences （ t = 2.64, 5.58 ; P 〈 0. 05 ）. Both the scores of SF-36 and Dill have no significantly statistical differences between the intervention group （681.58 ± 109.43） and （9.08 ± 5.22） and the control group （688.46 ± 115.48） and （ 8.57 ± 4.59）, respectively. Conclusions MD significantly influent the sufferers＇ QOL while psychological and behavioral intervention can significantly improve the MD patients＇ QOL.
出处
《中华现代护理杂志》
2012年第29期3489-3493,共5页
Chinese Journal of Modern Nursing
关键词
梅尼埃病
心理行为干预
生活质量
Meniere＇ s disease
Psychological and behavioral intervention
Quality of life
