摘要
目的探讨叙事护理在特发性耳鸣患者中的应用效果。方法采用便利抽样法,选择2018年12月-2019年2月天津医科大学总医院收治的30例特发性耳鸣患者为对照组,2019年3-5月收治的30例特发性耳鸣患者为试验组。对照组患者给予常规心理护理,试验组患者采用叙事护理的方法进行心理护理。采用汉密尔顿焦虑量表(HAMA)、耳鸣评价量表(TEQ)比较两组患者干预前后的耳鸣和焦虑程度,比较两组治疗后疗效。结果接受治疗后,试验组患者TEQ(7.93±2.57)分,HAMA(12.13±3.26)分,均低于对照组,差异有统计学意义(t值分别为2.724、8.167;P<0.05)。试验组治疗有效率为73.3%(22/30),对照组为63.3%(19/30),两组比较差异无统计学意义(χ^2=0.917,P>0.05)。结论采用叙事护理的方法进行心理护理,可以有效改善患者因耳鸣引起的负面情绪,改善对耳鸣的感知和反应,值得在临床上应用推广。
Objective To explore the application effect of narrative nursing in patients with idiopathic tinnitus.Methods According to the convenience sampling method,a total of 30 patients with idiopathic tinnitus who were admitted and treated in Tianjin Medical University General Hospital from December 2018 to February 2019 were selected as the control group while 30 patients with idiopathic tinnitus who were admitted from March 2019 to May 2019 were selected as the experimental group.Patients in the control group were given routine psychological nursing while patients in the experimental group were given psychological nursing by narrative nursing.Hamilton Anxiety Scale(HAMA)and Tinnitus Evaluation Questionnaire(TEQ)were used to compare the degree of tinnitus and anxiety before and after intervention between the two groups.The curative effects after treatment were compared between the two groups.Results After treatment,the scores of TEQ(7.93±2.57)and HAMA(12.13±3.26)in the experimental group were lower than those in the control group,and the differences were statistically significant(t=2.724,8.167;P<0.05).The effective rate of treatment was 73.3%(22/30)in the experimental group and 63.3%(19/30)in the control group,and there was no statistically significant difference between the two groups(χ^2=0.917,P>0.05).Conclusions Using narrative nursing method for psychological nursing can effectively improve the negative emotions caused by tinnitus and improve the perception and response to tinnitus,which is worthy of clinical application and promotion.
作者
谢艳
刘冬冬
Xie Yan;Liu Dongdong(Ear,Nose and Throat Department,Tianjin Medical University General Hospital,Tianjin 300052,China)
出处
《中华现代护理杂志》
2020年第12期1658-1661,共4页
Chinese Journal of Modern Nursing
关键词
耳鸣
叙事护理
心理护理
焦虑
Tinnitus
Narrative nursing
Psychological nursing
Anxiety
