心理干预在老年人良性阵发性位置性眩晕治疗中的应用效果

The Effect of Paroxysmal Vertigo Treatment Combined with Psychological Intervention in Benign Paroxysmal Positional Vertigo for the Elderly

目的分析阵发性眩晕治疗联合心理干预对老年人良性阵发性位置性眩晕的效果。方法选取我院2021年1月—2023年3月收治的老年人良性阵发性位置性眩晕病例作为研究对象,从2021年12月开始实行心理干预,此前未实行心理干预的25例患者设为对照组,实行心理干预后的47例患者设为观察组。对照组给予基础治疗联合常规护理,观察组实行常规治疗联合心理护理干预。评价两组干预前、后的心理状态(SAS、SDS)、眩晕残障程度及生活质量评分,及患者对心理干预护理的满意度及随访两组的眩晕复发情况。结果在干预后两组心理状态评分、眩晕残障程度评分均较干预前降低,观察组低于对照组(均P<0.05)。在干预后两组生活质量评分较干预前提升,观察组高于对照组(均P<0.05)。观察组患者对心理干预护理的满意度评分高于对照组,而眩晕复发率低于对照组(P<0.05)。结论阵发性眩晕治疗联合心理干预对老年人良性阵发性位置性眩晕可明显改善患者不良情绪的严重程度,减轻眩晕对日常生活的影响,提升患者的生活质量,减少眩晕复发率。

Objective To observe the effect of paroxysmal vertigo treatment combined with psychological intervention in benign paroxysmal positional vertigo for the elderly.Methods Elderly patients with benign paroxysmal positional vertigo admitted to our hospital from January 2021 to March 2023 were selected as the subjects.Psychological intervention was implemented from December 2021.25 patients who had not received psychological intervention before were set as the control group,and 47 patients after psychological intervention were set as the observation group.The control group received basic treatment combined with routine nursing,and the observation group received routine treatment combined with psychological nursing intervention.The psychological state(SAS,SDS),disability degree of vertigo and quality of life scores of the two groups before and after intervention were evaluated,as well as the patients'satisfaction with psychological intervention and nursing,and the recurrence of vertigo in the two groups were followed up.Results After intervention,the scores of mental state and degree of vertigo disability in both groups were lower than before intervention,and the observation group was lower than the control group(all P<0.05).After intervention,the quality of life score of the two groups was improved compared with that before intervention,and the observation group was higher than the control group(all P<0.05).The satisfaction score of psychological intervention nursing in observation group was higher than that in control group,and the recurrence rate of vertigo was lower than that in control group(P<0.05).Conclusions The combination of paroxysmal dizziness treatment and psychological intervention can significantly improve the severity of adverse emotions in elderly patients with benign paroxysmal positional dizziness,reduce the impact of dizziness on daily life,reduce follow-up recurrence rate.