渐进式肌肉放松训练对突发性耳聋患者负性情绪和睡眠质量的影响研究

2024-01-21郑玲玲卜瑾璟

婚育与健康 2023年24期

郑玲玲卜瑾璟

【摘要】目标：分析渐进式肌肉放松训练对突发性耳聋患者负性情绪及睡眠质量的改善效果。方法：从我院耳鼻喉科2021年5月—2022年12月期间接诊的突发性耳聋患者中以目的抽样法选取73例，按照组间数据均衡可比的原则进行分组，对照组36名、实验组37名。对照组行常规干预，实验组行常规护理+渐进式肌肉放松训练。比较两组患者干预前后焦虑、抑郁及睡眠质量评分。结果：两组患者干预前各指标评分无明显差异（P>0.05），干预后实验组焦虑、抑郁评分明显低于对照组（P<0.05），干预后实验组焦虑、抑郁评分显著低于对照组（P<0.05），睡眠质量评分显著高于对照组（P<0.05）。结论：渐进式肌肉放松训练在突发性耳聋患者中的开展，在改善患者负性情绪和提升患者睡眠质量方面具有着突出效果。该护理莫安艺建议在临床推广。

【关键词】突发性耳聋；渐进式放松训练；负性情绪；睡眠质量

Progressive muscle relaxation training negative mood and sleep quality in patients with sudden deafness of impact study

ZHENG Lingling， BU Jinjing

Department of Otolaryngology， the Second Peoples Hospital of Hefei， Hefei， Anhui 230000， China

【Abstract】Objective： To analyze the effect of progressive muscle relaxation training on negative emotion and sleep quality in patients with sudden deafness. Methods： A total of 73 patients with sudden deafness who were admitted to the Department of Otolaryngology of our hospital from May 2021 to December 2022 were selected by the purposive sampling method and divided into the control group （n=36） and the experimental group （n=37） according to the principle of balanced and comparable data between groups. The control group was given routine intervention， and the experimental group was given routine nursing and progressive muscle relaxation training. The scores of anxiety， depression and sleep quality were compared between the two groups before and after intervention. Results： There was no significant difference in the scores of each index between the two groups before the intervention（P>0.05）. After the intervention， the anxiety and depression scores of the experimental group were significantly lower than those of the control group（P<0.05）. After the intervention， the anxiety and depression scores of the experimental group were significantly lower than those of the control group（P<0.05）， and the sleep quality score was significantly higher than that of the control group（P<0.05）. Conclusion： The development of progressive muscle relaxation training in patients with sudden deafness has a prominent effect in improving the negative emotions and sleep quality of patients. This nursing intervention is recommended to be popularized in clinical practice.

【Key Words】Sudden deafness； Progressive relaxation training； Negative emotions； Quality of sleep

突發性耳聋（sudden sensorineural hearing loss， SSHL）又称“突聋”，患者发病后可在短时间内听力丧失，致使患者处于一种应激状态，诱发出现严重的负性情绪。此外，突发性耳聋也会导致患者睡眠障碍[1]。关于该疾病在坚持积极治疗的同时也要辅以一套科学的护理干预方案，以更好的呵护患者身心健康和良好睡眠。但结合既往护理来看，无论是在护理内容还是在护理形式上都较为单一，且缺乏针对性，因而导致护理质量并不理想[2]。渐进式放松肌肉训练（Progressive Muscle Relaxation，PMR）是当前临床上比较新颖的一类物理疗法，对于增强副交感神经活动能力、降低交感神经兴奋性和提升患者疼痛阈值方面效果显著[3]。为获取PMR在SSHL患者护理实践中的实际效果，本文特进行了实验研究，现进行如下报道。