強(qiáng)化認(rèn)知聯(lián)合Orem自理護(hù)理模式對突發(fā)性耳聾伴耳鳴患者睡眠質(zhì)量和疾病不確定感的影響
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AbstractObjective：To exploretheefectsof intensivecognition interventioncombined withOremself-carenursing modelon sleepqualityanddiagnosis-relateduncertainty inpatients withsuddendeafnessaccompaniedbytinnitus.Methods：Atotalof 80 patientswithsuddendeafnessand tiitusadmitedtotheFirstAfliated Hospitalof XiamenUniversityfromDecember202 to December 2O24 were selectedas theresearch subjects.They were randomly divided into acontrol group andan observation group， with 40 patients ineach groupbyrandomnumbertable.Thecontrolgroupreceivedroutine nursing intervention，whiletheobservationgroupreceivedintensivecognitivecombinedwithOremself-carenursingintervention.ThePsychosocialAdjustmenttoss Scale（PAIS-SR）wasused toevaluate thediseaseadaptationabilityof two groupsofpatients beforeandaftertheinterventionThe MishelUncertaintyinIllnessScale（MUIS）wasusedtoevaluatethediagnosticuncertaityofpatients inthetwogroupsand the Self-rating AnxietyScale（SAS）andSelf-rating Depresion Scale（SDS）wereusedtoevaluatetheimprovementofanxietyand depressionofpatients inthetwo groups.TheInsomniaSeverityIndex（ISI）wasused tocomparetheslepseverityandthePitsburgh SleepQualityIndex（PSQI）wasusedtocompareimprovementinthesleepqualityofpatients inthetwogroupsbeforeandafter intervention.Results;After tw weeksofintervention，thePAS-SRscore，MUSscore，SASscore，SDSscore，ISIscore，andPSQI scoreof thetwogroups were allreducedandthoseoftheobservationgroup wassignificantlylowercomparedtothecontrol group， with statistically significant difference between the two groups（ P<0.05 ）.Conclusion： The intensive cognitive intervention combined with Oremself-care nursing modelcanreducethediagnosticuncertaintyofsudden deafnessandtinnitus，improvetheirpsychologicalstateandsleepqualityelieveteiranxietyanddepresion，andpreventtheoccurrenceofsleepdisordersItisworthy of clinical promotion and application.
KeywordsSuddendeafness withtinitus；Intensivecognition；Oremself-carenursing intervention；Diagnosticuncertainty; Sleep quality
中圖分類號： R764.43+7 ;R338.63 文獻(xiàn)標(biāo)識碼：A doi：10.3969/j. issn.2095-7130.2025.04.055
突發(fā)性耳聾常伴有耳鳴癥狀，其作為一種突然發(fā)生的感音神經(jīng)性聽力損失疾病，嚴(yán)重影響患者的生命質(zhì)量[1]。（剩余5416字）