Therapeutic effect of predictive nursing strategy combined with traditional Chinese medicine emotional nursing on patients with sudden deafness accompanied by tinnitus

doi:10.3877/cma.j.issn.2095-9133.2026.01.004

Abstract

Abstract:

Objective

To analyze and study the application effect of predictive nursing strategy and emotional nursing in patients with sudden deafness and tinnitus.

Methods

A total of 100 patients with sudden deafness and tinnitus admitted to our hospital from September, 2023 to August, 2024 were selected as the research object of this project. There were 44 males and 56 females. The age ranged from 23 to 69 years, with an average of (44.10±5.18) years.100 patients were randomly divided into observation group (n=50) and control group (n=50). Patients in the control group were intervened by conventional nursing mode during hospitalization, while patients in the observation group were intervened by predictive nursing strategy and emotional nursing mode of traditional Chinese medicine during hospitalization for 2 weeks. The symptom recovery effect, air conduction hearing threshold and tinnitus symptom score before and after nursing and psychological state of the two groups were compared.

Results

The total effective rate of symptom recovery in the observation group was significantly higher than that in the control group (P<0.05). The threshold of hearing guidance and tinnitus symptom score in both groups showed a significant downward trend with the extension of nursing time (F_time of air-guided hearing threshold was 89.62, F_time of THI score was 95.47, F_time>F_0.05 (3.04), P<0.05). There was a significant interaction effect between grouping and nursing time (air conduction threshold F_interaction was 12.35, THI score F_interaction is 14.82, F_interaction>F_0.05 (3.04), P<0.05), which indicated that the decline of the threshold of air conduction hearing and tinnitus symptom score in the observation group was significantly superior. After two weeks of nursing, the scores of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) in the two groups were lower than those before nursing, and the scores in the observation group were lower than those in the control group at the same period (P<0.05). The recurrence rate of deafness or tinnitus in the observation group was significantly lower than that in the control group (P<0.05).

Conclusion

Predictive nursing and emotional nursing of traditional Chinese medicine can significantly improve the hearing recovery effect of patients with sudden deafness and tinnitus, and play a significant role in reducing the degree of tinnitus and in improving the hearing level and psychological state of patients.

Key words: Predictive nursing strategy, Emotional nursing of traditional Chinese medicine, Sudden deafness, Tinnitus, Rehabilitation effect

Ying Xu, Chanchan Li, Yuechuan Peng, Xuechun Wang, Xiaoyu Yang, Xiuzhi Sun. Therapeutic effect of predictive nursing strategy combined with traditional Chinese medicine emotional nursing on patients with sudden deafness accompanied by tinnitus[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2026, 12(01): 16-20.

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References 14

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组别	例数	性别		年龄（岁，±s）	受教育时间（年，±s）
组别	例数	男性	女性	年龄（岁，±s）	受教育时间（年，±s）
观察组	50	23（46.00）	27（54.00）	44.52±5.11	16.71±2.34
对照组	50	21（42.00）	29（58.00）	43.67±5.26	16.59±2.48
χ²/t值		0.16		0.82	0.25
P值		>0.05		>0.05	>0.05
组别	例数	病程（d，±s）	患病位置分布
组别	例数	病程（d，±s）	左耳	右耳	双耳
观察组	50	7.52±3.31	23（46.00）	22（44.00）	5（10.00）
对照组	50	7.67±2.96	20（40.00）	24（48.00）	6（12.00）
χ²/t值		0.24	0.39
P值		>0.05	>0.05

组别	例数	性别		年龄（岁，±s）	受教育时间（年，±s）
组别	例数	男性	女性	年龄（岁，±s）	受教育时间（年，±s）
观察组	50	23（46.00）	27（54.00）	44.52±5.11	16.71±2.34
对照组	50	21（42.00）	29（58.00）	43.67±5.26	16.59±2.48
χ²/t值		0.16		0.82	0.25
P值		>0.05		>0.05	>0.05
组别	例数	病程（d，±s）	患病位置分布
组别	例数	病程（d，±s）	左耳	右耳	双耳
观察组	50	7.52±3.31	23（46.00）	22（44.00）	5（10.00）
对照组	50	7.67±2.96	20（40.00）	24（48.00）	6（12.00）
χ²/t值		0.24	0.39
P值		>0.05	>0.05

组别	例数	显效	有效	无效	总有效率
观察组	50	27（54.00）	20（40.00）	3（6.00）	47（94.00）
对照组	50	21（42.00）	19（38.00）	10（20.00）	40（80.00）
χ²值					4.33
P值					<0.05

组别	例数	显效	有效	无效	总有效率
观察组	50	27（54.00）	20（40.00）	3（6.00）	47（94.00）
对照组	50	21（42.00）	19（38.00）	10（20.00）	40（80.00）
χ²值					4.33
P值					<0.05

组别	例数	气导听阈值（dB HL）			THI评分（分）
组别	例数	护理前	护理1周	护理2周	护理前	护理1周	护理2周
观察组	50	44.62±6.89	33.34±5.51^a	28.26±5.38^a	28.79±4.36	20.54±3.64^a	15.18±3.38^a
对照组	50	44.15±7.06	36.43±4.73^a	33.54±5.21^a	29.15±4.24	23.16±3.87^a	18.27±3.19^a
t值		0.34	3.00	4.99	0.42	3.49	4.70
P值		>0.05	<0.05	<0.001	>0.05	<0.05	<0.001

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