基于COM⁃B模型的护理干预对老年性聋病人助听后康复效果的影响

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Influence of nursing intervention based on COM⁃B on rehabilitation effect of presbycusis patients after hearing aid

LI Wen1， YU Wenyong2*， YAN Yuyang1， WEI Jiaxin1， LIU Dongye1

1.Nursing College of Shanxi Medical University， Shanxi 030001 China；2.First Hospital of Shanxi Medical University

*Corresponding Author  YU Wenyong， E⁃mail： yuwenyongyong@sina.com

Abstract    Objective：To explore the impact of nursing intervention based on the COM⁃B model on hearing aid effectiveness and auditory improvement in patients with age⁃related hearing loss. Methods： A total of 78 patients with age⁃related hearing loss who had been fitted with hearing aids from the First Hospital of Shanxi Medical University and a hearing aid fitting center in Taiyuan were selected and randomly divided into the control group and the intervention group， with 41 patients in control group and 42 patients in intervention group.The control group received routine education， while the intervention group received nursing interventions based on the COM⁃B model.The daily wearing duration of hearing aids，wearing effectiveness，and auditory improvement were compared between the two groups.Results： Eventually 39 patients in each group completed the intervention.After 8 weeks of intervention，the daily wearing duration of hearing aids， wearing effectiveness scores， and auditory improvement scores under noisy conditions in the intervention group were higher than those before the intervention and those in the control group at the same time point （P<0.05）.Conclusion： Nursing  interventions based on the COM⁃B model can help patients with age⁃related hearing loss improve their adaptability and compliance with hearing aids， as well as enhance the effectiveness of wearing hearing aids and auditory ability.

Keywords    presbycusis； age⁃related hearing loss； hearing aid； hearing rehabilitation； COM⁃B model； nursing

摘要  目的：探讨基于能力⁃机会⁃动机⁃行为模型（COM⁃B）模型的护理干预对老年性聋病人助听效果和听觉改善的影响。（剩余8364字）