|
|
|
| Nursing intervention and effect analysis of multiple cochlear implantation in children with severe hearing loss |
| Wang Jialing, Huang Lizhen |
| Department of Otorhinolaryngology, Ningbo Second Hospital, Ningbo 315010, China |
|
|
|
|
Abstract Objective To explore the effective way of nursing intervention of cochlear implantation for patients with severe hearing loss in children, and to observe the influence of nursing intervention on mental state and social life of the patients. Methods Nursing care of children with cochlear implantation was introduced after January 2014. From January 2014 to June 2014, 100 cases of patients with severe hearing loss were treated in our hospital. The children were divided into experimental group and control group according to the principle of complete randomization. Both groups of patients received the same multi-channel cochlear implantation and perioperative nursing care, and besides, the experimental group received postoperative rehabilitation training, psychological support and other nursing intervention. Before and after the operation, the communication mode of two groups was calculated, and the NICQ score and SCL-90 score of two groups were calculated. Results After 6 months and 1 year, the number of children relying on sign language in the experimental group was less than that of the control group (P<0.05); however, two years after surgery, the 2 groups mainly relied on language exchange, and there was no difference (P>0.05). In the experimental group, the score of NICQ was higher than that in the control group (P<0.05). In SCL-90 test, there weren′t differences in aspects of somatization, obsessive compulsive symptoms, depression and paranoia (P>0.05), but experimental group had lower scores in aspects of relationship, anxiety, hostility, terror and psychosis (P<0.05). Conclusion Nursing intervention in the patients with cochlear implantation can effectively alleviate the bad mood, increase the confidence of the children, and help children to integrate into the society as soon as possible to improve the quality of life after surgery.
|
|
Received: 29 October 2015
|
|
|
|
[1] HASHEMI SB, RAJAEEFARD A, NOROUZPOUR H, et al. The Effect of Cochlear Implantation on the Improvement of the Auditory Performance in 2-7 Years old Children, Shiraz 2004-2008[J]. Iranian Red Crescent Medical Journal,2013,15(3):223-228.
[2] BOISVERT I, MCMAHOU CM, DOWELL RC, et al. Long-Term Asymmetric Hearing Affects Cochlear Implantation Outcomes Differently in Adults with Pre-and Postlingual Hearing Loss[J]. Plos One,2015,10(6):e0129167.
[3] ERIKA CA, LUIS L, JAVIER G. Cochlear Implantation in Patients with Neurofibromatosis Type 2 and Patients with Vestibular Schwannoma in the Only Hearing Ear[J]. International Journal of Otolaryngology,2012,2012:ID157497.
[4] 赵雅囡.人工电子耳蜗植入术治疗耳聋35例疗效观察与护理[J].齐鲁护理杂志,2014,20(22):45-46.
[5] 侯军华,宁菲,赵素萍,等.人工耳蜗植入患者术后并发症的观察及护理干预[J].中华护理杂志,2008,43(5):441-442.
[6] 徐悦,孙振.舒适护理在低龄电子耳蜗植入术患儿中的应用[J].护理实践与研究,2013,10(1):68-69.
[7] 周利辉.先天性耳聋伴颅内异常病人人工耳蜗植入术的护理[J].中国耳鼻咽喉颅底外科杂志,2006,12(2):143-144.
[8] 侯军华,赵素萍,宁菲,等.导入式训练法在电子耳蜗植入患儿术前心理护理的应用[J].现代护理,2006,12(11):1044-1045.
[9] 刘建平,黎红梅,李小红,等.60例老年突发性感音神经性聋的治疗及护理体会[J].湖南中医杂志,2013,29(8):87-89.
[10]杜晶艳,刘慧,李金兰,等.一例前庭导水管扩大聋儿的人工耳蜗植入术围手术期护理[J].护士进修杂志,2012,27(12):1152-1153.
[11]朱宣娇.210例人工耳蜗植入术的配合及护理[J].健康必读(中旬刊),2012,11(8):245-246.
[12]许燕,朱素娟,邱赛琴,等.20例人工耳蜗植入术的手术护理体会[J].中国实用医药,2013,8(2):179-180.
[13]程世红,李静,段磊,等.14例人工耳蜗植入患儿的护理[J].西部中医药,2012,25(4):83-85.
[14]吴彩芹,杜小滢.101例人工耳蜗植入术的围手术期护理[C]//第六届中国西部耳鼻咽喉头颈外科学术会议暨云南省第九届四次耳鼻咽喉头颈外科、中医药学会第五届三次耳鼻咽喉学术会议论文集,2012:278-282.
[15]崔瑾,王林娥.不同人工耳蜗植入手术术中护理配合[J].中国中西医结合耳鼻咽喉科杂志,2012,20(2):130-133.
[16]陈治.人工耳蜗植入术的护理体会[C]//2012第三届全国耳鼻咽喉科医师大会论文集,2012:160-160.
[17]黄秋菊,黎菁,陈文君,等.针对性心理护理干预对人工耳蜗植入术后患儿依从性的影响[J].海南医学,2013,24(5):770-771.
[18]金伟,宁丽丽,刘燕京,等.人工耳蜗植入围手术期的心理护理探讨[J].中华耳科学杂志,2013,11(1):118-120. |
| [1] |
. [J]. journal1, 2017, 24(1): 42-43. |
| [2] |
. [J]. journal1, 2017, 24(1): 49-51. |
| [3] |
. [J]. journal1, 2016, 23(6): 462-463. |
|
|
|
|
