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高压氧疗法结合“知信行”模式护理干预对突发性耳聋患者的影响

Effect of hyperbaric oxygen therapy combined with KABP nursing intervention on patients with sudden deafness

摘要目的:探讨高压氧(HBO)疗法结合“知信行”模式护理干预对突发性耳聋患者的影响。方法:选择2020年1月至2021年1月连云港市第一人民医院耳鼻喉科治疗的96例突发性耳聋患者作为研究对象,按随机数字表法将患者分为对照组与干预组各48例,所有患者均进行常规治疗护理及HBO治疗,干预组患者在此基础上结合“知信行”模式进行干预。评价2组患者的临床疗效、焦虑和抑郁自评量表得分、并发症发生率及护理满意度。结果:干预组患者治疗总有效率及各维度护理满意度评分高于对照组,差异均有统计学意义( P<0.05);干预前,2组患者焦虑、抑郁评分差异无统计学意义( P>0.05),干预后2组患者焦虑、抑郁评分低于干预前,且干预组低于对照组同期,差异均有统计学意义( P<0.05);2组患者的并发症发生率差异无统计学意义( P>0.05)。 结论:HBO疗法结合“知信行”模式护理干预有助于提升突发性耳聋患者的临床疗效及护理满意度,改善患者情绪状态,且安全可靠,值得临床推广应用。

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abstractsObjective:To explore the effect of hyperbaric oxygen therapy combined with the model of knowledge,attitude,belief,and practice(KABP)nursing intervention on patients with sudden deafness.Methods:A total of 96 patients with sudden deafness treated in the Department of Otolaryngology of the First People’s Hospital of Lianyungang from January 2020 to January 2021 were selected as the research subjects,and they were divided into control group and intervention group,with 48 cases in each group,according to the random number table method. All patients were given conventional nursing care and hyperbaric oxygen therapy,on this basis of which,the intervention group was additionally given KABP nursing intervention. The clinical efficacy,anxiety,and depression self-rating scale scores,incidence of complications,and satisfaction with the nursing care of the patients in the two groups were evaluated.Results:The intervention group had a higher total effective rate of treatment and higher satisfaction scores with the nursing care in all dimensions compared with the control group,with statistically significant differences( P<0.05). Before treatment,there was no statistically significant difference in anxiety or depression scores between the two groups( P>0.05),but after treatment,both groups had lower anxiety and depression scores,and the intervention group had lower anxiety and depression scores than the control group during the same period,with statistically significant differences( P<0.05). There was no statistically significant difference in the incidence of complications between the two groups( P>0.05). Conclusion:Hyperbaric oxygen therapy combined with KABP nursing intervention can improve the clinical efficacy and satisfaction with the nursing care of the patients with sudden deafness,and improve their emotional state;and it is safe and reliable,and worthy of clinical promotion and application.

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