| Purpose:To understand the sudden deafness in patients with anxiety,depression and sleep quality,in patients with sudden deafness joint day drums progressive muscle relaxation training,discussing their anxiety and depression in patients with sudden deafness and the effects of sleep quality.Method:In this study in liaoning university of traditional Chinese medicine affiliated hospital otolaryngology sudden deafness patients as the research object,using the method of random Numbers table 72 patients were randomly divided into intervention group and control group,control group using conventional treatment and care.Routine treatment includes: expanding blood vessel,anti-fiber,improving microcirculation,nutrient nerve and glucocorticoid,etc.Routine nursing includes: admission guidance,environmental nursing,psychological nursing,diet nursing,auricular pressure seed guidance,hyperbaric oxygen nursing,health education,discharge guidance,etc.On the basis of routine treatment and nursing,the intervention group performed progressive muscle relaxation combined with ming-day drum training,which lasted for 35 minutes and lasted for 14 days.The general information,anxiety,depression and sleep condition of the two groups were assessed before intervention,and the intervention was evaluated again.SPSS17.0 statistical software was used for data analysis,and the statistical methods were descriptive statistical analysis,independent sample t test,paired t test,chi-square test,mann-whitney U rank test.Results:1.In general,72 patients with sudden deafness were included in this study,and 36 patients in the intervention group and the control group.In the experiment,no subjects were deleted and left.Among them,31 cases were male,accounting for 43.1%,and 41 cases were female,accounting for 56.9%.The mean age is(45.43±16.15).To two groups of patients' social demography and disease related data comparison,the patients' religious faith,occupation,gender,history of allergies,family income per capita,cultural degree,marital status,medical payment form,high risk,the history,with symptoms of chi-square test,P>0.05,there was no statistically significant difference.The incidence degree of the two groups was tested by mann-whitney U test,z=-0.918,P=0.359(P>0.05),and the difference was not statistically significant.The mean age of the intervention group was(45.97±16.00), and the average age of the control group was(44.89±16.51).The two independent samples t test was conducted for the two groups of patients,t=0.283,P=0.778(P>0.05),and the difference was not statistically significant.The patients in the two groups were generally balanced and comparable.2.Impact on anxiety: comparison between groups: intervention group after the intervention HAMA score(6.86±2.03),the control group after the intervention(11.00±1.97)points,HAMA score lower than the control group after intervention group intervention,state anxiety score differences between the two groups after intervention has statistical significance(P<0.05);Is: in the group and intervention group intervention before HAMA score for(13.83±2.16),intervention group after the intervention HAMA score(6.86±2.03),the results showed that intervention group after the intervention,HAMA score lower than before,and the difference was statistically significant(P < 0.05);In the control group,the score of HAMA was(13.44 ±2.52),and the score of HAMA was(11.00±1.97)after the intervention of the control group,and the difference was statistically significant(P<0.05).3.Impact on depressed: comparison between groups: intervention group after the intervention HAMD score(5.19±1.53),the control group after the intervention(7.47 ±1.83)points,the intervention group after the intervention HAMD score lower than the control group,the two groups after intervention depression score differences statistically significant(P<0.05);Is: in the group and intervention group intervention before the HAMD score for(9.61±1.82),intervention group after the intervention HAMD score for(5.19±1.53),the results showed that intervention group after the intervention,HAMD score lower than before,and the difference was statistically significant(P<0.05);In the control group,HAMD score was(8.97±1.86)before intervention,and the HAMD score was(7.47±1.83)after intervention in the control group,and the difference was statistically significant(P<0.05).4.Impact on the quality of sleep: comparison between groups: the intervention group after the intervention PSQI score(6.67±1.26),the control group after the intervention(8.89±1.60)points,the intervention group after the intervention PSQI score lower than the control group,the two groups after intervention in sleep quality score differences statistically significant(P<0.05);Is: in the group and intervention group intervention before the PSQI score for(9.94±1.58),intervention group after the intervention PSQI score for(6.67±1.26),according to the results,the intervention group after the intervention,PSQI score lower than before,and the difference was statistically significant(P<0.05);In the control group,the score of PSQI was(9.44±1.27),and the score of HAMA was(8.89±1.60)in the control group.The P value was 0.096 and the difference was not statistically significant(P>0.05).5.Comprehensive curative effect: the intervention group after the intervention healed for 30 people,83.3% of the group,4 had marked effect,11.1% of the group,the number of effective 1,invalid number is 1,each accounting for 2.8% of the group.The total number of patients in the control group was 13,36.1% in the group,14 in the group,38.9% in the group,7 in the group,19.4% in the group,and 5.6% in the group.Using mann-whitney U test to evaluate the efficacy of the two groups of patients after intervention,z=-3.946,P<0.001,the difference was statistically significant(P<0.005).Conclusion:1.Anxiety,depression and poor sleep were common in patients with sudden d eafness.2.PMR combined with tin drum training can reduce anxiety and depression in patients with sudden deafness and improve their sleep quality.3.The PMR joint day drums training compared with routine nursing mode,thr ough consciously muscle training,enhance the capacity of parasympathetic activ ity against the excitability of sympathetic nerve,reduce the body's stress reacti on,and through into the drum,and achieve strong solid renal,obsessed with t he dredge meridian,moisten the ear,the purpose of which can more effectivel y promote the recovery of patients with sudden deafness diseases. |
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