耳穴贴敷联合综合护理干预治疗分泌性中耳炎临床研究
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R764;R248

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Clinical Study on Auricular Point Application Combined with Comprehensive Nursing Intervention for Secretory Otitis Media
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    摘要:

    目的:观察耳穴贴敷联合综合护理干预对分泌性中耳炎(SOM)患者的影响。方法:选取 SOM 患者 114 例,按随机数字表法分为对照组和观察组各 57 例。对照组给予常规护理干预,观察组给予耳穴贴敷联合综合护理干预。比较 2 组干预前后抑郁自评量表评分(SDS)和焦虑自评量表评分(SAS)、咽鼓管功能正常率及骨气导差变化。观察耳痛消退时间、中耳积液消失时间、鼓膜肿胀消退时间。比较 2 组 Kolcaba 的舒适状况量表、SOM 认知度评分及患者满意度。结果:干预后,2 组 SDS、SAS评分均较干预前降低,且观察组低于对照组 (P<0.05)。干预后,观察组咽鼓管功能正常率为 73.68%,高于对照组 40.35% (P<0.05)。干预后,2 组骨气导差均较干预前降低,且观察组低于对照组 (P<0.05);观察组耳痛消退时间、中耳积液消失时间、鼓膜肿胀消退时间短于对照组(P<0.05)。干预后,观察组舒适度、SOM 认知度评分高于对照组(P<0.05);观察组患者满意度为 94.74%,高于对照组 75.44%(P<0.05)。结论:耳穴贴敷联合综合护理干预可改善 SOM 患者咽鼓管功能与听力功能,加快患者恢复,改善患者心境障碍,增加患者对疾病认知,提高患者舒适度与满意度。

    Abstract:

    Abstract: Objective: To observe the effect of auricular point application combined with comprehensive nursing intervention on patients with secretory otitis media(SOM). Methods:A total of 114 cases of SOM patients were selected and divided into the control group and the observation group according to the random number table method,57 cases in each group. The control group was given routine nursing intervention, and the observation group was given auricular point application combined with comprehensive nursing intervention. Before and after intervention,the changes in the scores of Self-Rating Depression Scale(SDS) and Self-Rating Anxiety Scale(SAS),normal rates of eustachian tube function and air bone gap in the two groups were compared. The extinction time of earache and swelling in tympanic membrane as well as the disappearance time of middle ear effusion were observed. The scores of Kolcaba's General Comfort Questionnaire and SOM recognition as well as the satisfaction of patients were compared. Results:After intervention,the scores of SDS and SAS in the two groups were decreased when compared with those before intervention,and the scores in observation group were lower than those in the control group(P<0.05). After intervention,the normal rate of eustachian tube function was 73.68% in the observation group,higher than that of 40.35% in the control group(P<0.05). After intervention,the air-bone gaps in the two groups were decreased when compared with those before intervention,and the air-bone gap in the observation group was lower than that in the control group(P<0.05). The extinction time of earache and swelling in tympanic membrane as well as the disappearance time of middle ear effusion in the observation group were shorter than those in the control group (P<0.05). After intervention,the comfort level and SOM recognition score in the observation group were higher than those in the control group(P<0.05);the satisfaction of patients was 94.74% in the observation group,higher than that of 75.44% in the control group(P<0.05). Conclusion: The therapy of auricular point application combined with comprehensive nursing intervention for SOM patients can improve their eustachian tube function,hearing function and mood disorders,promote their recovery,increase their illness perceptions,and enhance their comfort level and satisfaction.

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涂晓慧.耳穴贴敷联合综合护理干预治疗分泌性中耳炎临床研究[J].新中医,2021,53(4):186-190

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  • 在线发布日期: 2021-02-27
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