老年听力障碍患者的护理方法及实施效果观察

夏真洁　黄艳容　郑雪芳　陈广秀

【摘要】 目的：探讨老年听力障碍患者的护理方法及实施效果。方法：选取2019年1-10月笔者所在医院诊治的老年听力障碍患者84例，将其随机分为两组，每组42例。对照组给予常规护理，研究组给予针对性护理。比较两组听力障碍改善情况、高频听阈与低频听阈。结果：护理前，两组HHIE评分比较差异无统计学意义（P>0.05）;护理后，研究组HHIE评分（12.20±2.23）分，低于对照组的（15.34±3.20）分，差异有统计学意义（P<0.05）。护理前，两组高频听阈与低频听阈比较差异均无统计学意义（P>0.05）;护理后，研究组高频听阈（37.3±4.34）dB，低频听阈（38.2±4.50）dB，均低于对照组的（42.2±4.35）、（43.8±4.52）dB，差异有统计学意义（P<0.05）。结论：老年听力障碍患者给予针对性护理干预，可改善听力障碍程度，提高听力能力，具有较好的护理价值。

【关键词】 老年听力障碍 针对性护理 护理效果

doi：10.14033/j.cnki.cfmr.2020.21.028 文献标识码 B 文章编号 1674-6805（2020）21-00-02

Observation on Nursing Methods and Implementation Effect of Elderly Patients with Hearing Impairment/XIA Zhenjie， HUANG Yanrong， ZHENG Xuefang， CHEN Guangxiu. //Chinese and Foreign Medical Research， 2020， 18（21）： -69

[Abstract] Objective： To explore the nursing methods and implementation effect of elderly patients with hearing impairment. Method： A total of 84 elderly patients with hearing impairment treated in our hospital from January to October 2019 were selected and randomly divided into two groups， with 42 patients in each group. The control group was given routine nursing， and the study group was given targeted nursing. The improvement of hearing impairment， high frequency hearing threshold and low frequency hearing threshold were compared between the two groups. Result： Before nursing， there was no statistically significant difference in HHIE scores between the two groups （P>0.05）. After nursing， the HHIE score of the study group was （12.20±2.23） points， which was lower than （15.34±3.20） points of the control group， and the difference was statistically significant （P<0.05）. Before nursing， there were no statistically significant differences in high frequency hearing threshold and low frequency hearing threshold between the two groups （P>0.05）. After nursing， the high frequency hearing threshold （37.3±4.34） dB and low frequency hearing threshold （38.2±4.50） dB in the study group were all lower than （42.2±4.35） dB and （43.8±4.52） dB in the control group， the differences were statistically significant （P<0.05）. Conclusion： Targeted nursing intervention for elderly patients with hearing impairment can improve the degree of hearing impairment and hearing ability， which has good nursing value.

[Key words] Elderly hearing impairment Targeted nursing Nursing effect

First-authors address： The First Peoples Hospital of Huizhou， Huizhou 516001， China

聽力障碍是老年群体的常见病，属于慢性疾病，多表现为内耳耳蜗病变，由于听力障碍性疾病起病隐匿，无明显特点，因此多数患者对于自身病情无明显感知，未能够及时接受治疗，随着病情发展，听力障碍的严重程度也不断提高，逐渐对患者正常生活形成影响。临床给予听力障碍老年患者护理干预，以改善患者听力障碍，提高患者生活质量为主要目的，针对性护理是以针对某种病症给予针对性护理服务的一种护理手段，用于老年听力障碍患者的临床护理中，既有利于减轻患者因疾病引起的不良情绪，也有利于指导患者保持健康的生活方式，更好地对自身病情进行干预护理。本文以笔者所在医院2019年1-10月诊治的老年听力障碍患者84例为研究对象，评估针对性护理的应用价值，现报道如下。

1 资料与方法

1.1 一般资料……