The impact of cognitive intervention on sleep quality, negative emotions and hearing function in patients with sudden hearing loss
认知干预对突发性耳聋患者睡眠质量、负面情绪及听力功能的影响

摘要

目的 探讨认知干预对突发性耳聋患者睡眠质量、负面情绪及听力功能的改善作用，以及对听力功能恢复的影响。方法 将本院2025年1月-12月收治的56例突发性耳聋患者，分为观察组与对照组各28例。对比两组干预前后匹兹堡睡眠质量指数（PSQI）评分、汉密尔顿抑郁量表（HAMD）评分、汉密尔顿焦虑量表（HAMA）评分及听力功能指标变化。结果 干预2周后，两组PSQI各维度得分及总分均较干预前降低（P＜0.05），观察组评分低于对照组（P＜0.05）。干预后两组听力功能缺损评分、纯音气导听阈值差异有统计学意义（P＜0.05）。结论 认知干预可有效纠正突发性耳聋患者的错误认知，改善患者睡眠质量，缓解焦虑、抑郁等负面情绪，促进患者听力功能恢复，在突发性耳聋的临床护理中具有较高应用价值。

Abstract

Objective To explore the effect of cognitive intervention on the sleep quality, negative emotions and hearing function of patients with sudden hearing loss, as well as its impact on the recovery of hearing function.
Methods Fifty-six patients with sudden hearing loss admitted to our hospital from January to December 2025 were divided into an observation group and a control group, with 28 cases in each group. The Pittsburgh Sleep Quality Index (PSQI) scores, Hamilton Depression Scale (HAMD) scores, Hamilton Anxiety Scale (HAMA) scores and hearing function indicators before and after intervention were compared between the two groups.
Results After 2 weeks of intervention, the scores of each dimension and the total score of PSQI in both groups were lower than those before intervention (P < 0.05), and the score of the observation group was lower than that of the control group (P < 0.05). After the intervention, there were statistically significant differences in the hearing function impairment scores and pure tone air conduction threshold values between the two groups (P < 0.05).
Conclusion   Cognitive intervention can effectively correct the incorrect cognition of patients with sudden hearing loss, improve their sleep quality, alleviate negative emotions such as anxiety and depression, and promote the recovery of hearing function. It has high application value in the clinical nursing of sudden hearing loss.