Lesner Sharon A
The University of Akron, School of Speech-Language Pathology and Audiology, Akron, OH 44325-3001, USA.
Int J Audiol. 2003 Jul;42 Suppl 2:2S68-76.
The listening needs of older individuals cannot be successfully addressed with hearing aids alone. Assistive listening devices and systems (ALDs), either solely or in conjunction with the use of personal hearing aids, can facilitate listening in various acoustic environments, especially those in which excessive noise, reverberation and distance exist between the listener and sound source. Listening situations that are especially problematic, even with hearing aids, such as listening in large groups, on the telephone, in restaurants and at concerts and movies are ideally suited for ALD use. ALDs can reduce the impact of hearing loss and also ensure safety for older individuals. Owing to a variety of age-related factors, candidacy for ALD use among older individuals must be carefully considered. In addition, several issues related to the interaction between the older adult and the devices, the compatibility of the devices and hearing aids, as well as professional issues, complicate the fitting of ALDs. The purpose of this article is to explore these issues with a particular emphasis on who are candidates for ALD use, issues related to ALD use by older individuals, fitting considerations, reasons why ALDs are rejected by older adults, and ways to avoid these potential problems.
仅使用助听器无法成功满足老年人的听力需求。辅助听力设备和系统（ALD），无论是单独使用还是与个人助听器结合使用，都可以在各种声学环境中促进听力，特别是在那些存在过多噪音、混响以及听众与声源之间存在距离的环境中。即使使用了助听器，一些特别成问题的听力场景，如在大型群体中聆听、打电话、在餐厅以及在音乐会和电影院中聆听，都非常适合使用ALD。ALD可以减少听力损失的影响，并确保老年人的安全。由于各种与年龄相关的因素，必须仔细考虑老年人使用ALD的适用性。此外，与老年人和设备之间的交互、设备与助听器的兼容性以及专业问题相关的几个问题，使ALD的适配变得复杂。本文的目的是探讨这些问题，特别强调哪些人是ALD的适用对象、老年人使用ALD相关的问题、适配考虑因素、老年人拒绝使用ALD的原因以及避免这些潜在问题的方法。
