基于循证理念的细节护理联合面肌训练在面神经炎患者中的应用效果研究

黄漫华; 吴怡卿; 罗丽霞; 何颖仪; 邱洪兰; 杨嘉琳

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湖南师范大学学报医学版 ›› 2025, Vol. 22 ›› Issue (3) : 180-184.

护理学

基于循证理念的细节护理联合面肌训练在面神经炎患者中的应用效果研究

黄漫华, 吴怡卿, 罗丽霞, 何颖仪, 邱洪兰, 杨嘉琳

作者信息 +

Research on the application effect of evidence based detail nursing combined with facial muscle training in patients with facial neuritis

HUANG Manhua, WU Yiqing, LUO Lixia, HE Yingyi, QIU Honglan, YANG Jialin

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摘要

目的: 研究基于循证理念的细节护理联合面肌训练在面神经炎患者中的应用,及对患者面神经功能和心理状况的影响。方法: 选取2023年1月—2024年6月在本院神经内科就诊的80例面神经炎患者为研究对象,使用信封法将其分为两组,各40例。对照组采用常规护理干预,观察组在对照组基础上采用面肌训练联合基于循证理念的细节护理干预,比较两组干预效果。结果: 干预2周后观察组面神经功能评估分级表（House-Brackmann）优于对照组（P<0.05）;观察组干预2周后面部残疾指数（facial disability index,FDI）评分显著优于对照组（P<0.05）;观察组干预2周后汉密尔顿焦虑量表（Hamilton anxity rating scale,HAMA）评分、汉密尔顿抑郁量表（Hamilton depression rating scale,HAMD）评分均低于对照组（P<0.05）;观察组干预2周后护理满意度显著高于对照组（P<0.05）。结论: 基于循证理念的细节护理联合面肌训练可以有效促进面神经炎患者面神经功能恢复,减轻疼痛,在消除患者负面心理情绪、提高护理满意度和生活质量方面具有积极影响。

Abstract

Objective To investigate the application of detailed nursing care based on evidence-based concepts combined with facial muscle training in patients with facial neuritis. Methods Eighty patients with facial neuritis who visited the Department of Neurology in our hospital from January 2023 to June 2024 were selected as study subjects. They were divided into two groups of 40 patients each using the envelope method. The control group received conventional nursing interventions, while the observation group received facial muscle training combined with detailed nursing interventions based on evidence-based concepts in addition to the conventional interventions. The intervention effects of the two groups were compared. Results After 2 weeks of intervention, the Facial Nerve Function Assessment Rating Scale (House-Brackmann) scores in the observation group were better than those in the control group (P<0.05). The Facial Disability Index (FDI) scores in the observation group were significantly better than those in the control group after 2 weeks of intervention (P<0.05). Additionally, the Hamilton anxity rating scale (HAMA) and Hamilton depression rating scale (HAMD) scores in the observation group were lower than those in the control group after 2 weeks of intervention (P<0.05). Furthermore, nursing satisfaction in the observation group was significantly higher than that in the control group after 2 weeks of intervention (P<0.05). Conclusion Detailed care based on evidence-based concepts combined with facial muscle training can effectively promote the recovery of facial nerve function and reduce pain in patients with facial neuritis. This combination has a positive impact on eliminating patients’ negative psychological emotions, improving nursing satisfaction, and enhancing quality of life.

导出引用

黄漫华, 吴怡卿, 罗丽霞, 何颖仪, 邱洪兰, 杨嘉琳. 基于循证理念的细节护理联合面肌训练在面神经炎患者中的应用效果研究[J]. 湖南师范大学学报医学版. 2025, 22(3): 180-184

HUANG Manhua, WU Yiqing, LUO Lixia, HE Yingyi, QIU Honglan, YANG Jialin. Research on the application effect of evidence based detail nursing combined with facial muscle training in patients with facial neuritis[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(3): 180-184

中图分类号： R47

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