Main Article Content
High-quality care; methylprednisolone; sudden deafness; application value
Objective: Explore the application value of high-quality nursing combined with methylprednisolone in the treatment of sudden deafness. Methods: The patients who came to our hospital for treatment due to sudden deafness from January 2017 to December 2019 were selected as the research object, and were divided into a control group (n=65) and an observation group (n=65) according to the random number table method. The group used routine nursing intervention, and the observation group used high-quality nursing intervention combined with methylprednisolone intervention to compare the efficacy, negative emotions, quality of life, nursing satisfaction and PTA of the two groups. Results: The effective rate of the observation group was 90.77% higher than that of the control group of 76.92%, the difference was statistically significant (P <0.05); the SAS and SDS scores of the two groups before intervention were compared, and there was no statistically significant difference (P>0.05), The SAS and SDS scores of both groups decreased, and the observation group was significantly lower than the control group, the difference was statistically significant (P <0.05); the quality of life score of the observation group after intervention was higher than the control group, the difference was statistically significant (P <0.05); the nursing satisfaction of the observation group was 90.77% significantly higher than that of the control group 73.85%, the difference was statistically significant (P <0.05); the PTA of both groups decreased after intervention, and the PTA of the observation group was lower than that of the control group , The difference was statistically significant (P<0.001).Conclusion: High-quality nursing combined with methylprednisolone has a significant effect on sudden deafness, which can relieve patients' negative emotions, improve quality of life and nursing satisfaction, and is worthy of promotion.
Bayoumy Ahmed Bayoumy,de Ru Jacob Alexander. Sudden deafness and tuning fork tests: towards optimal utilisation.[J]. Practical neurology,2020,20(1): 66-68.
Huang Yang,Lv Tao,Xie Minqiang,et al. Blood homocysteine and folic acid levels may provide reference value for the treatment of sudden total frequency deafness.[J]. Annals of palliative medicine,2019,8(5): 604-610.
Yuan J,Xu S S,Zhang X L,et al. [Correlation between prognosis and laboratory parameters of complete deafness in patients with sudden deafness].[J]. Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery,2019,33(5): 421-424.
Chen Yi-Chun,Tsai Shiang-Jiun,Chen Jin-Cherng,et al. Risks of tinnitus, sensorineural hearing impairment, and sudden deafness in patients with non-migraine headache.[J]. PloS one,2019,14(9): e0222041.
Wang X,Liu X D,Zhao B,et al. [Treatment of sudden deafness with type 2 diabetesmellitus by post-auricular subperiosteal injection of methylprednisolone].[J]. Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery,2018,32(22): 1719-1722.
José Ángel González García,Carlos Pollán Guisasola,Carlos Miguel Chiesa Estomba,et al. Reconstruction of Oropharyngeal Defects After Transoral Robotic Surgery. Review and Recommendations of the Commission of Head and Neck Surgery of the Spanish Society of Otolaryngology and Head and Neck Surgery[J]. Acta Otorrinolaringologica (English Edition),2019,70(4)：235-244.
von Itzstein Mitchell S,Gupta Arjun,Kernstine Kemp H,et al. Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?[J]. PloS one,2020,15(4): e0231258.
Calaway Adam C,Foster Richard S,Tong Yan,et al. Improving postoperative quality of care in germ cell tumor patients: Does scheduled alvimopan, acetaminophen, and gabapentin improve short-term clinical outcomes after retroperitoneal lymph node dissection?[J]. Urologic oncology,2020,38(4): 305-312.
Marc J. W. Lammers,Emily Young,David Fenton,et al. Westerberg. The prognostic value and pathophysiologic significance of three‐dimensional fluid‐attenuated inversion recovery (3D‐FLAIR) magnetic resonance imaging in idiopathic sudden sensorineural hearing loss: A systematic review and meta‐analysis[J]. Clinical Otolaryngology,2019,44(6): 1017-1025.
Costentin Guillaume,Richard C,Rouille A,et al. Sudden blindness and deafness disclosing meningeal carcinomatosis in non-small cell lung cancer.[J]. Acta neurologica Belgica,2019,119(3): 491-492.
Song S P,Li J X,Li W W,et al. [Study on the relationship between neutrophil lymphocyte ratio and platelet lymphocyte ratio and sudden deafness].[J]. Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery,2018,32(19): 1486-1490.
Zhang T,Yu G D. [Observation of Flupentixol and melitracen on curative effect of sudden deafness patients with anxiety and depression in different stages].[J]. Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery,2018,32(9): 643-646.
Yung Kam Chau,Xu Cheng Wei,Zhang Ze Wen,et al. Investigation on glucocorticoid receptors within platelets from adult patients with immune thrombocytopenia.[J]. Hematology (Amsterdam, Netherlands),2020,25(1): 37-42.
Hou J,Qi H,Dai Y H,et al. [Clinical observation on the effect of glucocorticoid insensitivity on sudden sensorineural hearing loss patients].[J]. Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery,2017,52(8): 566-572.
Chen Jianqing,Wu Yingwei,Shi Jun,Jia Huan,Wang Zhaoyan,Zhang Zhihua,Wu Hao. Predictors of round window membrane visibility in pediatric cochlear implant surgery using temporal bone HRCT: A retrospective study.[J]. International journal of pediatric otorhinolaryngology,2019,121: 150-153.
Liu Yudong,Zhu Yaxing,Liu Jingyu,et al. Design of Bionic Cochlear Basilar Membrane Acoustic Sensor for Frequency Selectivity Based on Film Triboelectric Nanogenerator.[J]. Nanoscale research letters,2018,13(1): 191.
Tomofumi Nishino,Kojiro Hyodo,Yukei Matsumoto,et al. Surgical results of atypical femoral fractures in long-term bisphosphonate and glucocorticoid users – Relationship between fracture reduction and bone union[J]. Journal of Orthopaedics,2020,19: 143-149.
Montes Silvia,Rodríguez-Muguruza Samantha,Soria Viña,et al. Atypical Cogan' syndrome associated with sudden deafness and glucocorticoid response.[J]. Reumatologia clinica,2014,10(4): 267-8
B. Carvalho,S. M. Kinsella. Obstetric Anaesthetists’ Association/National Perinatal Epidemiology Unit collaborative project to develop key indicators for quality of care in obstetric anaesthesia: first steps in the right direction[J]. Anaesthesia,2020,75(5): 573-575.
Inger J. Bergerød MSc, RN,Ingvild Dalen PhD,et al. Braut MD,Bjørnar Gilje PhD, MD,Siri Wiig PhD. Measuring next of kin satisfaction with hospital cancer care: Using a mixed‐method approach as basis for improving quality and safety[J]. Journal of Advanced Nursing,2020,76(5): 1232-1246.