突发性耳聋患者焦虑状况调查

Investigation of anxiety status of patients with sudden deafness

目的调查突发性耳聋住院患者焦虑状况，探讨其心理护理对策，以减轻患者的不良情绪。方法应用焦虑自评量表（SAS）问卷调查168例突发性耳聋住院患者的焦虑状况。结果168例患者SAS平均得分为（59．92±7．38）分，153例存在不同程度的焦虑症状，发生率为91．07％。其中轻度焦虑有81例占52．94％，中度焦虑60例占39．22％，重度焦虑12例占7．84％。不同文化程度、户籍、医保患者SAS得分比较差异均有统计学意义（t分别为2．36，3．05，3．44；P〈0．01）；不同年龄、性别患者焦虑程度比较差异无统计学意义（P〉0．05），单侧与双侧耳聋患者焦虑程度比较差异有统计学意义（X2=6．50，P〈0．05）；不同听力受损程度患者焦虑得分比较差异有统计学意义（X2=17．92，P〈0．05）。结论突发性耳聋患者普遍具有不同程度的焦虑症状，应针对其相应特点加强心理护理。

Objective To investigate the anxiety status of patients with sudden deafness, and discuss psychological nursing methods. Methods SAS was used to investigate the anxiety status of 168 patients with sudden deafness. Results The average score of 168 patients＇ SAS was （59.92±7.58 ）, among which 153 suffered from anxiety to some extent, with the incidence rate of 91.07%. 81 patients had mild anxiety, accounting for 52.94% , 60 had moderate anxiety, accounting for 39. 22%, and 12 had severe anxiety, accounting for 7.84%. Patients with different cultural degrees, registered permanent residences, health cares had statistically significant different SAS scores （t = 2.36, 3.05, 3.44, respectively ; P 〈 0.01 ）. Patients with different ages and genders had non-statistically significant different SAS scores （ P 〉 0. 05 ）. There was statistically significant difference of anxiety status between patients of unilatersl deafness and bilateral deafness （X^2 = 6.50, P 〈 0.05 ）. And there was statistically significant difference of anxiety status between patients of different degrees of hearing defect （X^2 = 17.92,P 〈 0.05）. Conclusions Patients with sudden deafness suffer from anxiety of different degrees, and psychological nursing should be strengthened according to their respective characteristics.