强化认知联合Orem自理护理模式对突发性耳聋伴耳鸣患者睡眠质量和疾病不确定感的影响
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AbstractObjective：To exploretheefectsof intensivecognition interventioncombined withOremself-carenursing modelon sleepqualityanddiagnosis-relateduncertainty inpatients withsuddendeafnessaccompaniedbytinnitus.Methods：Atotalof 80 patientswithsuddendeafnessand tiitusadmitedtotheFirstAfliated Hospitalof XiamenUniversityfromDecember202 to December 2O24 were selectedas theresearch subjects.They were randomly divided into acontrol group andan observation group， with 40 patients ineach groupbyrandomnumbertable.Thecontrolgroupreceivedroutine nursing intervention，whiletheobservationgroupreceivedintensivecognitivecombinedwithOremself-carenursingintervention.ThePsychosocialAdjustmenttoss Scale（PAIS-SR）wasused toevaluate thediseaseadaptationabilityof two groupsofpatients beforeandaftertheinterventionThe MishelUncertaintyinIllnessScale（MUIS）wasusedtoevaluatethediagnosticuncertaityofpatients inthetwogroupsand the Self-rating AnxietyScale（SAS）andSelf-rating Depresion Scale（SDS）wereusedtoevaluatetheimprovementofanxietyand depressionofpatients inthetwo groups.TheInsomniaSeverityIndex（ISI）wasused tocomparetheslepseverityandthePitsburgh SleepQualityIndex（PSQI）wasusedtocompareimprovementinthesleepqualityofpatients inthetwogroupsbeforeandafter intervention.Results;After tw weeksofintervention，thePAS-SRscore，MUSscore，SASscore，SDSscore，ISIscore，andPSQI scoreof thetwogroups were allreducedandthoseoftheobservationgroup wassignificantlylowercomparedtothecontrol group， with statistically significant difference between the two groups（ P<0.05 ）.Conclusion： The intensive cognitive intervention combined with Oremself-care nursing modelcanreducethediagnosticuncertaintyofsudden deafnessandtinnitus，improvetheirpsychologicalstateandsleepqualityelieveteiranxietyanddepresion，andpreventtheoccurrenceofsleepdisordersItisworthy of clinical promotion and application.
KeywordsSuddendeafness withtinitus；Intensivecognition；Oremself-carenursing intervention；Diagnosticuncertainty; Sleep quality
中图分类号： R764.43+7 ;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.055
突发性耳聋常伴有耳鸣症状，其作为一种突然发生的感音神经性听力损失疾病，严重影响患者的生命质量[1]。（剩余5416字）