摘要
目的 探讨突发性耳聋(Sudden Sensorineural Hearing Loss, SSNHL)患者采取高压氧疗法结合“知信行”模式的护理干预效果。方法 选取2024年4月至2025年5月收治的SSNHL患者62例,随机分为观察组(高压氧疗法结合“知信行”模式)和对照组(高压氧)各31例,对比护理前后两组患者耳鸣改善程度、平均听阈水平、心理状态、生活质量改善情况。结果 经过护理后,观察组耳鸣改善程度评分、平均听阈水平、心理状态评分均低于对照组(P<0.05),观察组生活质量评分高于对照组(P<0.05)。结论 高压氧疗法结合“知信行”模式在SSNHL患者中应用效果良好,既可以有效改善耳鸣程度,也可以提升生活质量。
关键词: 突发性耳聋;生活质量;知信行模式;高压氧疗法
Abstract
Objective To evaluate the efficacy of combining hyperbaric oxygen therapy with the "Knowledge-Action-Perception" (KAP) model in managing sudden sensorineural hearing loss (SSNHL). Methods A total of 62 SSNHL patients admitted between April 2024 and May 2025 were randomly assigned to either the observation group (hyperbaric oxygen therapy combined with KAP) or control group (hyperbaric oxygen therapy alone), with 31 patients in each group. The two groups were compared in terms of tinnitus improvement, average hearing threshold levels, psychological status, and quality of life enhancement. Results Post-treatment evaluations showed that the observation group demonstrated lower scores for tinnitus improvement, average hearing threshold levels, and psychological status compared to the control group (P<0.05), while the observation group exhibited higher quality of life scores (P<0.05). Conclusion The combination of hyperbaric oxygen therapy and KAP proves effective in SSNHL management, demonstrating dual benefits of reducing tinnitus severity and improving patients' quality of life.
Key words: Sudden deafness; Quality of life; Knowledge, belief and practice model; Hyperbaric oxygen therapy
参考文献 References
[1] 秦小夜,王昕,耿璨.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[J].中华航海医学与高气压医学杂志,2023,30(3):380-383.
[2] 韦淑怡.高压氧结合“知信行”护理模式干预对脑卒中后患者康复影响[J].中文科技期刊数据库(引文版)医药卫生,2024(7):0193-0196.
[3] 田德英,邹余婷,罗朝斤.基于格林模式的健康教育结合听觉认知训练对老年突发性耳聋患者的影响[J].中国听力语言康复科学杂志,2025,23(3):305-308.
[4] 唐国恩,杨雨诗,程成龙.高压氧联合鼓室内注射治疗全频听力下降型突发性耳聋的疗效观察[J].浙江临床医学,2024,26(9):1317-1318.
[5] 胡可心,石彩红.高压氧疗法联合鼓室注射对特发性突发性感音神经性耳聋应用效果[J].深圳中西医结合杂志, 2024, 34(22):125-127.
[6] 金开林,赵琴,黄应亮.鼓室注射糖皮质激素和高压氧治疗对特发性突发性感音神经性耳聋的疗效[J].中国药师, 2024,27(2):302-308.
[7] 程慧,郑洪忠,储晨晨,张凯标,徐磊,代雯,刘政,张亮.红细胞分布宽度/血小板计数比值对突发性耳聋高压氧治疗预后的预测价值[J].保健医学研究与实践,2024,21(10): 55-60.
[8] 郎健勇.高压氧同步脑仿生电刺激治疗突发性耳聋患者听力与血液高凝状态的临床研究[J].全科医学临床与教育,2024,22(3):236-239.
[9] 田立俊,董文荣,马丽霞,张滋,周顺,赵昱.清肝理肺汤口服联合针灸疗法治疗听力平坦下降型突发性耳聋肝火上炎证的临床观察[J].山东医药,2024,64(35):84-87.
[10] 殷伟,张益峰.糖皮质激素全身疗法与耳后注射疗法在2型糖尿病合并突发性耳聋患者中的疗效比较[J].糖尿病新世界,2024,27(23):89-92.