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目的观察康复干预对噪声聋患者心理、睡眠质量等方面的影响。方法从淄博市职业病防治院已确诊噪声聋患者中选取92名患者,对所有患者进行初步评定,包括纯音听阈测听、匹斯堡睡眠质量评定PSQI、症状自评量表(SCL-90)评定。将92例患者随机分为康复组和对照组各46例,全部患者均给予常规对症治疗。康复组每天进行耳区穴位按摩、音乐噪声掩蔽、放松训练、健康教育和转移注意力等康复治疗。结果治疗前2组纯音听阈测听、匹斯堡睡眠质量评定、SCL-90评分差异无统计学意义,康复治疗2个月后康复组心理((SCL-90))及睡眠质量评分均较康复前有明显提高(P<0.01)。康复组与对照组SCL-90评分别为143.7±6.76和165.2±6.72,差异有统计学意义(t=15.30,P<0.01);PSQI评分分别为6±2.56和9±3.49,差异亦有统计学意义(t=4.70,P<0.01)。结论对噪声聋患者进行系统的康复治疗能明显改善心理感受,提高生活质量。
Objective To observe the effects of rehabilitation intervention on the psychology and sleep quality of patients with noise and deafness. Methods Totally 92 patients were selected from patients with deafness who had been diagnosed with noise in the Occupational Disease Prevention and Treatment Hospital of Zibo City. All patients were initially evaluated, including pure tone audiometry, PSQI, Pittsburgh Sleep Quality Assessment (SCL-90) . 92 patients were randomly divided into rehabilitation group and control group of 46 patients, all patients were given conventional symptomatic treatment. The rehabilitation group conducted ear acupuncture points massage, music noise masking, relaxation training, health education and divert attention each day. Results There was no significant difference between the two groups before pure tone audiometry, the quality of Pittsburgh sleep and the score of SCL-90. After two months of rehabilitation, the scores of psychology (SCL-90) and sleep quality in rehabilitation group were significantly higher than those in rehabilitation group Before significantly increased (P <0.01). The scores of SCL-90 in rehabilitation group and control group were 143.7 ± 6.76 and 165.2 ± 6.72, respectively, with statistical significance (t = 15.30, P <0.01). The PSQI scores were 6 ± 2.56 and 9 ± 3.49, respectively Significance (t = 4.70, P <0.01). Conclusion The systematic rehabilitation of patients with noise-deaf patients can significantly improve the psychological feelings and improve the quality of life.