护理干预对老年听力障碍患者配助听器后助听效果的研究

目的了解护理干预对老年听力障碍患者配助听器后的助听效果的影响。方法选取某三级甲等医院耳鼻喉科就诊的老年听力障碍患者60例作为研究对象,随机分为干预组和对照组,每组30例。对照组的老年患者只接受常规配助听器后的指导,干预组的老年患者在常规指导的基础上,还接受由耳鼻喉科专科护士提供的护理干预措施,具体包括有关听力知识的讲座、个性化教育及听力康复方面材料的发放。干预前后,对老年听力障碍患者进行助听器效果国际条目(IOI-HA)、助听器每日生活使用满意度调查表(SADL)的测评,评估助听器配戴效果。结果对干预前、后两组IOI-HA问卷得分差值(干预后-干预前)进行组间比较,两组IOI-HA得分差异有统计学意义(P<0.05);对干预前、后两组SADL问卷得分差值(干预后-干预前)进行组间比较,两组SADL得分差异有统计学意义(P<0.05);干预组干预前后两问卷得分差异均具有统计学意义(P<0.05);对照组前后测两问卷得分均具有统计学意义(P<0.05)。结论通过耳鼻喉科专科护士主导的护理干预能够提高老年听力障碍患者配助听器后的助听效果,同时还能改善其生活质量。因此,对老年听力障碍患者配助听器后实施综合的护理干预有助于患者的全面康复。

Objective To understand the impact of nursing interventions on elderly hearing-impaired patients with bearing aids. Methods 60 elderly bearing-impaired patients were selected from ENT of one of the upper first-class hospitals, and there were 30 in the experimental group and 30 in the control group. Elderly pa- tients in the control group only accepts the guidance of the routine with hearing aids, the intervention group of elderly patients on the basis of general guidelines, but also accepted by the ENT specialist nurses provide nursing interventions, including the lectures of the hearing knowledge, personalized the release of education and bearing rehabilitation materials. Before and after the intervention, using the international entries （IOI-HA） and hearing aids daily life satisfaction questionnaire （SADL） to evaluate the effect of hearing aid wearers for elderly bearing-impaired patients. Results Before and after the intervention, the two groups in IOI-HA questionnaire score, the score difference （ after the intervention - before the intervention） of the two groups was statistically significant （ P 〈 0. 05 ） ; before and after the intervention, the two groups in SADL questionnaire, the score difference between the two groups （ intervention - before the intervention ） was statistically significant （ P 〈 0.05 ） ; before and after the intervention, the score differences of the two questionnaires in the intervention group were statistically significant （ P 〈 0. 05 ） ; the score differences of the two questionnaires in control group of the pretest and posttest were statistically significant （ P 〈 0. 05 ）. Conclusion The intervention of ENT specialist nurses can improve the effect of the elderly hearing-impaired patients with hearing aids, and aslo improve their quality of life. Therefore, the implementation of integrated care intervention on the elderly hearlng-im- paired patients with hearing aids after, could help them with comprehensive rehabilitation.