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目的探讨探讨循证护理(EBN)在高压氧(HBO)治疗突发性耳聋(SD)患者中的应用效果。方法选取井冈山大学附属医院2013—2015年收治的SD患者62例,根据护理方法不同分为常规组和观察组,各31例。常规组患者采用常规护理,观察组采用EBN模式。比较两组患者治疗前后Zung’s抑郁自评量(SDS)评分、焦虑自评量表(SAS)评分及护理满意度、并发症发生情况。结果护理前,两组患者SDS评分、SAS评分比较,差异无统计学意义(P>0.05);治疗后,观察组患者SDS评分、SAS评分低于对照组(P<0.05)。观察组患者护理满意度优于对照组(P<0.05)。观察组患者中耳气压伤、氧中毒、减压病发生率低于对照组(P<0.05)。结论 EBN在行HBO治疗的SD患者中应用效果良好,可有效改善患者焦虑和抑郁情绪,减少并发症发生,提高护理满意度。
Objective To explore the application of EBN in patients with sudden deafness (HBO) treated by hyperbaric oxygen (HBO). Methods Sixty-two SD patients admitted to the Hospital Affiliated to Jinggangshan University from 2013 to 2015 were divided into the control group and the conventional group according to different nursing methods, with 31 cases in each group. The patients in the conventional group were treated with routine care and the EBN model in the observation group. Zung’s Depression Self-rating Scale (SDS), Self-rating Anxiety Scale (SAS), nursing satisfaction and complications were compared between the two groups before and after treatment. Results Before treatment, there was no significant difference in SDS score and SAS score between two groups (P> 0.05). After treatment, SDS score and SAS score in observation group were lower than those in control group (P <0.05). The nursing satisfaction of patients in observation group was better than that of control group (P <0.05). The incidence of middle ear barotrauma, oxygen poisoning and decompression sickness in the observation group was lower than that in the control group (P <0.05). Conclusion EBN is effective in treating SD patients with HBO, which can effectively improve anxiety and depression, reduce the incidence of complications and improve nursing satisfaction.