The impact of whole-process nursing based on the concept of precision care on the compliance with medical advice and balance function of patients with otolithic malacia
基于精细化护理理念的全过程护理对耳石症患者遵医依从性及平衡功能的影响

摘要

目的 分析在耳石症患者护理管理中应用基于精细化护理理念的全过程护理对患者遵医依从性及平衡功能的实际影响。方法 选择2024年7月-2025年7月我院门诊收治的80例耳石症患者为研究对象，基于随机双盲原则分为对照组和研究组，各40例。对照组患者接受常规护理干预，研究组在对照组基础上实施基于精细化护理理念的全过程护理干预，比较两组患者依从性、平衡功能以及生活质量。结果 相较于对照组，研究组患者遵医依从性明显更高，组间差异有统计学意义（P<0.05）；两组干预前Berg平衡量表 （BBS）评分未见显著性差异（P>0.05），干预后均升高，且不同干预阶段研究组BBS评分均高于对照组（P<0.05）；两组干预后生活质量各项评分均较护理前有大幅提升且研究组提升幅度高于对照组（P<0.05）。结论 在耳石症患者护理管理中应用基于精细化护理理念的全过程护理有助于提高其遵医依从性，促进平衡功能恢复，对提高患者生活质量有积极帮助，值得推广应用。

Abstract

Objective To analyze the actual impact of applying whole-process nursing based on the concept of precision care in the nursing management of patients with otolith malacia on their compliance with medical advice and balance function.
Methods 80 patients with otolith malacia admitted to our hospital's outpatient department from July 2024 to July 2025 were selected as the research subjects. They were randomly and double-blindly divided into the control group and the study group, with 40 cases in each group. Patients in the control group received routine nursing intervention, while patients in the study group received whole-process nursing intervention based on the concept of precision care in addition to the control group. The compliance with medical advice, balance function, and quality of life of the two groups were compared.
Results Compared with the control group, the compliance with medical advice of the study group was significantly higher, and the difference between the groups was statistically significant (P<0.05); there was no significant difference in the Berg Balance Scale (BBS) score before intervention between the two groups (P>0.05), and after intervention, both groups increased, and the BBS score of the study group was higher than that of the control group in different intervention stages (P<0.05); the quality of life scores of both groups after intervention were significantly improved compared with those before nursing, and the improvement of the study group was higher than that of the control group (P<0.05).
Conclusion   Applying whole-process nursing based on the concept of precision care in the nursing management of patients with otolith malacia can help improve their compliance with medical advice, promote the recovery of balance function, and have a positive effect on improving the quality of life of patients, which is worthy of promotion and application.