认知护理干预对耳鸣患者焦虑抑郁情绪的影响

Effect of cognitive nursing intervention in improving anxiety and depression in patients with tinnitus

目的探讨认知护理干预对改善耳鸣患者焦虑、抑郁情绪的效果。方法2008年10月至2010年10月将深圳市盐田区人民医院耳鼻喉科100例耳鸣患者随机分为观察组和对照组，两组各50例。两组患者均采用常规治疗及护理措施，观察组患者有针对性地进行认知护理干预。分别对两组患者在治疗前和治疗4周后采用Zung焦虑自评量表（SAS）及抑郁自评量表（SDS）对患者的焦虑、抑郁程度进行评定。结果治疗前观察组患者SAS及SDS评分分别为（51．14±0．97），（53．60±1．05）分，对照组分别为（51．04±0．90），（53．00±1．54）分，两组比较，差异无统计学意义（t值分别为0．534，2．278；P〉0．05）；护理干预后观察组SAS评分为（43．86±1．51）分，SDS评分为（46．10±1．87）分，均明显低于对照组的（49．54±1．11），（50．74±1．12）分，两组比较，差异有统计学意义（t值分别为-21．41，-15．08；P〈0．01）。结论实施认知护理干预能够有效改善耳鸣患者的焦虑、抑郁情绪。

Objective To discuss the effect of cognitive nursing intervention in improving anxiety and depression in patients with tinnitus. Methods A total of 100 patients with tinnitus in the Department of Otolaryngology, Shenzhen Yantian People＇s Hospital from October 2008 to October 2010 were randomly divided into the observation group （50 cases） and the control group （50 cases）. Both groups received conventional treatment and nursing, and the observation group had cognitive nursing intervention in addition. The score of SAS and SDS were used to evaluate their degree of anxiety and depression before and 4 weeks after treatment. Results Before treatment, SAS was （ 51.14 ± 0.97 ） and SDS was （ 53.60 ± 1.05 ） in the observation group, SAS was （51.04 ±0.90） and SDS was （53.00 ± 1.54） in the control group, and the differences were not statistically significant （t = 0. 534, 2. 278, respectively; P 〉 0.05 ）. After intervention, score of SAS was （43.86 ± h 51 ） and SDS was （46.10 ± 1.87） in the observation group, SAS was （49.54 ± 1.11 ） and SDS was （50.74 ± 1. 12） in he control group, and the differences were statistically significant （t = -21.41, - 15.08, respectively; P 〈 1 ）. Conclusions Cognitive nursing intervention can effectively release the anxiety and depression in patients with tinnitus, thus worthy of clinical application.