综合性护理干预对周围性面瘫之乳突部疼痛患者的效果

Effect of comprehensive nursing intervention on the patients with mastoid pain of peripheral facial paralysis

目的探讨综合性护理干预对周围性面瘫之乳突部疼痛患者的效果。方法选取2014年5月-2016年2月三河市医院、三河市妇幼保健院和三河市中医医院收治的周围性面瘫之乳突部疼痛患者共66例，根据随机数字表法将所纳入患者分成两组，观察组和对照组，每组各33例。对照组采用常规护理方法，观察组采用综合性护理干预方法。对两组的护理疗效进行观察，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评价两组患者的焦虑、抑郁改善情况．采用Poa—mann评分量表进行评分以观察患者的面瘫改善情况，并对两组患者的护理满意度进行比较。采用统计学软件SPSS18．0进行统计学处理和分析。结果观察组和对照组护理总有效率（90．9％比69．7％）比较，差异有统计学意义（χ^2=4．89，P〈0．05）。观察组和对照组SAS评分、SDS评分干预前比较，差异无统计学意义（均P〉0．05）；干预2周后SAS评分[（37．21±2．35）分比（51．75±3．56）分]、SDS评分[（41．37±3．21）分比（51．36±3．64）分]比较，差异有统计学意义（t=7．96、7．45，P〈0．05）。护理干预2周后，观察组和对照组护理满意度（93．9％比66．7％）比较，差异有统计学意义（χ^2=7．96，P〈0．05）。Poa—mann评分[（18．24±2．36）分比（14．05±2．28）分]比较，差异有统计学意义（t=4．62，P〈0．05）。结论综合性护理干预能明显提高对周围性面瘫之乳突部疼痛患者的护理效果，减轻患者的焦虑、抑郁不良情绪，提高周围性面瘫治疗效果，且提高了患者的护理满意度，值得临床推广应用。

Objective To explore the effect of comprehensive nursing intervention on the patients with mastoid pain of peripheral facial paralysis. Methods 66 cases of the patients with mastoid pain of peripheral facial paralysis in Sanhe Hospital, Sanhe Maternal and Child health care Hospital and Sanhe Traditional Chinese Medicine Hospital from May 2014 to February 2016 were selected according to random number table, the enrolled patients were randomly divided into observation group and control group, with 33 cases in each group. The control group was given routine nursing, the observation group was given comprehensive nursing intervention. Clinical care of both groups was observed, self-rating anxiety scale （SAS） and Self-Rating Depression Scale （SDS） were used to evaluate anxiety and depression improvement of the patients in two groups, Port-mann Rating Scale score was used to observe improvement of facial paralysis in patients, satisfaction with nursing of the patients in two groups were compared. SPSS 18.0 statistical software was used for statistical processing and analysis. Results In the observation group and the control group, the total efficiency of care （90.9% vs 69.7,%） was compared, the difference was statistically significant （χ^2=4.89, P 〈 0.05）. In the observation group and control group, before intervention SAS score, SDS score were compared, the difference was not statistically significant （all P 〉 0.05）; after two weeks of intervention, bah score [（37.21±2.33）scores vs （51.75± 3.56）scores], SDS score [（41.37±3.21）scores vs （51.36±3.64）scores] were compared, the difference was statistically significant （t=7.96,7.45; P 〈 0.05）. After two weeks of nursing intervention in the observation group and the control group, nursing satisfaction （93.9% vs 66.＇/%） was compared, the difference was statistically significant （χ^2 = 7.96, P 〈 0.05）, Port-mann score [（18.24±2.36）scores vs （14.05±2.28）scores] was compared, the difference was statistically significant （t=4.62, P 〈 0.05）. Conclusion Comprehensive nursing intervention can significantly improve the nursing effect in the patients with mastoid pain of peripheral facial paralysis, and can reduce patients＇ bad mood of anxiety, depression, and can improve the treatment effect of peripheral facial paralysis, and improve patients＇ satisfaction with nursing, which is worthy of clinical application and promotion.