简介：　　【摘要】 目的：研究在突发性耳聋护理中实行集束护理的临床效果，以及对患者抑郁焦虑情绪的影响。方法：选取笔者所在医院耳鼻喉科自 2016年 6月 -2018年 6月收治的突发性耳聋患者 62例，采取随机数字表法随机分为参照组与试验组，将采取耳鼻喉科常规护理的患者作为参照组，将采取集束护理的患者作为试验组，分析对比两组患者护理后焦虑、抑郁评分及护理总有效率。结果：试验组患者护理总有效率为 96.77%、焦虑评分为（ 37.23±2.24）分、抑郁评分为（ 35.82±2.23）分，与参照组比较差异均有统计学意义（ P<0.05）。结论：将集束护理对干预应用在突发性耳聋患者中具有显著的疗效，可以有效缓解患者焦虑、抑郁情绪，改善患者生存质量。  　　【关键词】 集束护理； 突发性耳聋； 焦虑； 抑郁； 改善作用  　　 [Abstract] Objective: To study the clinical effect of cluster nursing in the nursing of sudden deafness and its influence on depression and anxiety of patients. Methods: 62 patients with sudden deafness in otorhinolaryngology Department of the author's Hospital from June 2016 to June 2018 were selected and randomly divided into the reference group and the experimental group by using the random number table method. The patients who took the routine nursing care in the ear, nose and throat department were taken as the reference group, and the patients who took the cluster nursing as the experimental group Rate. Results: the total effective rate was 96.77%, anxiety score was (37.23 ± 2.24) points, depression score was (35.82 ± 2.23) points, compared with the control group, the difference was statistically significant (P < 0.05). Conclusion: the application of cluster nursing intervention in patients with sudden deafness has significant curative effect, can effectively alleviate the anxiety and depression of patients, and improve the quality of life of patients.

简介：[摘要 ]目的观察临床护理路径（ CPN）对鼻中隔偏曲矫正患者术后疼痛及生活质量的影响。方法选取 2017年 1月～ 2019年 12月在我院治疗的 60例鼻中隔偏曲患者作为研究对象，运用随机数表法将其分为两组，均 30例。对照组采取临床常规护理，观察组则实施 CPN护理。观察两组术后疼痛与生活质量。结果观察组术后 12、 24、 72h时疼痛评分低于对照组，差异有统计学意义（ P<0.05）；观察组干预后躯体功能、心理功能、社会功能、物质生活等维度评分均显著优于对照组，差异有统计学意义（ P<0.05）；观察组住院时间、住院费用均少于对照组，差异有统计学意义（ P<0.05）。结论 CPN的实施有助于缓解鼻中隔偏曲矫正患者术后疼痛，提升其生活质量，缩短治疗时间，对促进疾病康复作用显著。  　　 [关键词 ]临床护理路径；鼻中隔偏曲矫正术；术后疼痛；生活质量  [Abstract] Objective To observe the effect of clinical nursing pathway (Cpn) on postoperative pain and quality of life of patients with nasal septum deviation correction. Methods 60 patients with nasal septum deviation who were treated in our hospital from January 2017 to December 2019 were selected as the research objects. They were randomly divided into two groups, 30 cases in each group. The control group was given routine clinical nursing, while the observation group was given CPN nursing. The postoperative pain and quality of life were observed. Results the pain score of the observation group was lower than that of the control group at 12, 24 and 72 hours after operation, and the difference was statistically significant (P < 0.05); after intervention, the scores of physical function, psychological function, social function and material life of the observation group were significantly better than those of the control group (P < 0.05); the length of stay and hospitalization expenses of the observation group were less than those of the control group, the difference was statistically significant (P < 0.05) .05）。 Conclusion the implementation of CPN is helpful to relieve postoperative pain, improve the quality of life, shorten the treatment time and promote the recovery of the disease.