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1.首都医科大学附属北京中医医院 耳鼻咽喉科, 北京, 100010
2.首都医科大学附属北京中医医院 护理部, 北京, 100010
梅雪婷, E-mail: 632321780@qq.com
收稿日期:2025-05-20,
录用日期:2025-07-03,
网络出版日期:2025-08-08,
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郭曼杰, 梅雪婷, 裴晓璐, 等. 5A护理模式联合耳穴三部曲治疗1例儿童突发性聋的护理报告[DB/OL].中西医结合临床案例库, 2025.
GUO Manjie, MEI Xueting, PEI Xiaolu, et al. Nursing Report on 5A Nursing Model Combined with Three-Step Auricular Therapy for One Case of Pediatric Sudden Sensorineural Hearing Loss[DB/OL].Clinical archives of integrative medicine, 2025.
郭曼杰, 梅雪婷, 裴晓璐, 等. 5A护理模式联合耳穴三部曲治疗1例儿童突发性聋的护理报告[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202505200002.
GUO Manjie, MEI Xueting, PEI Xiaolu, et al. Nursing Report on 5A Nursing Model Combined with Three-Step Auricular Therapy for One Case of Pediatric Sudden Sensorineural Hearing Loss[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202505200002.
本文总结1例突发性聋患者采用5A护理模式联合耳穴三部曲的临床护理经验。对突发性聋患者在住院期间及出院后采取评估(assess)、建议(advice)、达成共识(agree)、帮助(assist)及随访(arrange)5个环节的5A护理模式进行干预,并给予耳部刮痧、推拿和耳穴压丸等中医外治法,有效改善患者听力,激发患者的自我效能感,提高患者生活质量。
This article summarizes the clinical nursing experience of applying the 5A nursing model combined with Three-Step Auricular Therapy for one case of sudden sensorineural hearing loss (SSHL). The 5A nursing model—comprising Assess, Advice, Agree, Assist, and Arrange—was implemented during hospitalization and post-discharge. Concurrently, traditional Chinese medicine (TCM) external therapies including auricular scraping (guasha), auricular massage, and auricular acupressure with magnetic beads were administered. This integrated approach effectively improved the patient’s hearing, stimulated self-efficacy, and enhanced quality of life.
中华耳鼻咽喉头颈外科杂志编辑委员会 , 中华医学会耳鼻咽喉头颈外科学分会 . 突发性聋的诊断和治疗指南(2005年, 济南) [J]. 中华耳鼻咽喉头颈外科杂志 , 2006 , 41 ( 5 ): 325 .
Editorial Board of Chinese Journal of Otolaryngology-Head and Neck Surgery , Chinese Medical Association Otolaryngology-Head and Neck Surgery Branch . Guidelines for diagnosis and treatment of sudden deafness (Jinan, 2005) [J]. Chin J Otorhinolaryngol Head Neck Surg , 2006 , 41 ( 5 ): 325 . (in Chinese)
崔彦儒 , 高伟 , 郑艳秋 . 血清Caspase-3、Lp-PLA2水平与突发性耳聋病情严重程度和预后的关系 [J]. 山东医药 , 2023 , 63 ( 22 ): 26 - 30 .
CUI Y R , GAO W , ZHENG Y Q . Relationship between serum Caspase-3 and Lp-PLA2 levels and the severity and prognosis of sudden deafness [J]. Shandong Med J , 2023 , 63 ( 22 ): 26 - 30 . (in Chinese)
张婉容 , 蔡伟伟 , 梁健刚 , 等 . 针刺疗法对突聋患者生活质量及焦虑抑郁状态的影响 [J]. 中华耳科学杂志 , 2020 , 18 ( 6 ): 1060 - 1065 .
ZHANG W R , CAI W W , LIANG J G , et al . The effect of acupuncture on quality of life and anxiety and depression in patients with sudden sensorineural hearing loss [J]. Chin J Otol , 2020 , 18 ( 6 ): 1060 - 1065 . (in Chinese)
GLASGOW R E , DAVIS C L , FUNNELL M M , et al . Implementing practical interventions to support chronic illness self-management [J]. Jt Comm J Qual Saf , 2003 , 29 ( 11 ): 563 - 574 .
卢佳丽 . 基于5A模式的护理干预在膝关节置换术患者自我管理中的应用研究 [D]. 呼和浩特 : 内蒙古医科大学 , 2023 .
王维凤 , 王艳波 , 王帆 , 等 . 5A护理模式临床应用新进展 [J]. 中国医药科学 , 2022 , 12 ( 1 ): 47 - 50, 124 .
WANG W F , WANG Y B , WANG F , et al . New advances in the clinical application of 5A nursing model [J]. China Med Pharm , 2022 , 12 ( 1 ): 47 - 50, 124 . (in Chinese)
曾珍 , 刘洋 , 张勤修 . 突发性耳聋中医外治法研究进展 [J]. 实用中医药杂志 , 2022 , 38 ( 4 ): 702 - 704 .
ZENG Z , LIU Y , ZHANG Q X . Research progress of external treatment of sudden deafness in traditional Chinese medicine [J]. J Pract Tradit Chin Med , 2022 , 38 ( 4 ): 702 - 704 . (in Chinese)
刘贤臣 , 唐茂芹 , 彭秀桂 , 等 . 焦虑自评量表SAS的因子分析 [J]. 中国神经精神疾病杂志 , 1995 , 21 ( 6 ): 359 - 360 .
LIU X C , TANG M Q , PENG X G , et al . Factor analysis of SAS of anxiety self-rating scale [J]. Chin J Nerv Ment Dis , 1995 , 21 ( 6 ): 359 - 360 . (in Chinese)
李建明 . 睡眠状况自评量表(SRSS)简介 [J]. 中国健康心理学杂志 , 2012 , 20 ( 12 ): 1851 .
LI J M . Seff-rating scale of sleep(SRSS) [J]. China J Health Psychol , 2012 , 20 ( 12 ): 1851 . (in Chinese)
许军 , 胡敏燕 , 杨云滨 , 等 . 健康测量量表SF-36 [J]. 中国行为医学科学 , 1999 ( 2 ): 150 - 152 .
XU J , HU M Y , YANG Y B , et al . Health measurement scale SF-36 [J]. Chin J Behav Med Sci , 1999 ( 2 ): 150 - 152 . (in Chinese)
陈斯 , 张剑宁 , 霍岩 , 等 . 基于CiteSpace的突发性聋伴耳鸣文献计量学分析及思考 [J]. 中华耳鼻咽喉头颈外科杂志 , 2024 , 59 ( 7 ): 719 - 726 .
CHEN S , ZHANG J N , HUO Y , et al . Metrology analysis and thoughts of literatures on tinnitus associated with sudden deafness based on CiteSpace [J]. Chin J Otorhinolaryngol Head Neck Surg , 2024 , 59 ( 7 ): 719 - 726 . (in Chinese)
俞浩 . 针刺天牖穴配合耳三针治疗气滞血瘀型突发性耳聋的临床疗效观察 [D]. 南京 : 南京中医药大学 , 2022 .
叶雪萍 , 彭倩华 , 周华青 , 等 . 精油芳香疗法联合穴位按摩对突发性聋患者生活质量及焦虑抑郁状态的影响 [J]. 中国临床保健杂志 , 2018 , 21 ( 6 ): 811 - 814 .
YE X P , PENG Q H , ZHOU H Q , et al . The effect of aromatherapy combined with acupoint massage on the quality of life, anxiety and depression of patients with sudden deafness [J]. Chin J Clin Healthc , 2018 , 21 ( 6 ): 811 - 814 . (in Chinese)
李燕 . 心理诱导联合耳穴按摩对10岁以下突发性耳聋患儿心理应激反应及听力恢复的影响 [J]. 辽宁医学杂志 , 2020 , 34 ( 1 ): 61 - 63 .
LI Y . Effect of psychological induction combined with auricular acupoint massage on psychological stress response and hearing recovery in children with sudden deafness under 10 years old [J]. Med J Liaoning , 2020 , 34 ( 1 ): 61 - 63 . (in Chinese)
蒋潓 , 杨晓倩 , 苏珊珊 . 耳部铜砭刮痧联合耳穴压丸治疗突发性耳聋气滞血瘀证的疗效观察 [J]. 中医药导报 , 2022 , 28 ( 12 ): 140 - 142, 160 .
JIANG H , YANG X Q , SU S S . Observation on the therapeutic effect of ear copper scraping combined with auricular point pressing pill on sudden deafness with qi stagnation and blood stasis syndrome [J]. Guid J Tradit Chin Med Pharm , 2022 , 28 ( 12 ): 140 - 142, 160 . (in Chinese)
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