Effects of self-management on coping style and quality of life of patients with deafness

Abstract

Objective To explore the effects of self-management on coping style and quality of life of patients with deafness. Methods A number of 38 patients with sudden deafness in hospital from January 2014 to December 2014 were selected as the control group and received the routine nursing management mode. Meanwhile, a total of 40 patients with sudden deafness in hospital from January 2015 to December 2015 were selected as the observation group and treated with additional self-management. Improvement in self-efficacy, coping style and quality of life before and after the intervention were compared between two groups. Results The increased score of positive coping style and the decreased score of negative coping style in intervention group were significantly higher than those of control group (t=4.586, 5.863; P<0.01) . The scores of medication compliance, monitoring of symptoms, psychological adjustment, role function, emotional control and management of communication with doctors were higher than those in control group, with statistically significant differences (t=5.785, 4.425, 4.956, 8.754, 6.632, 3.758; P<0.01) . Improvement in scores of physiological function, psychological function, social function, health self cognition and total quality of life were significantly higher than those in control group. The differences were statistically significant (t=5.456, 4.875, 4.312, 4.154, 3.989; P<0.01) . Conclusions Self-management education mode can significantly improve the coping style, self-efficacy and quality of life of deaf patients. Key words: Quality of life; Coping style; Deafness; Self-management