Smith M F, Nathan R G, Wayner D S, Mitnick N C
Department of Family Practice, Albany Medical College, NY 12208-3495.
J Fam Pract. 1992 Oct;35(4):411-6.
Hearing loss is one of the most common of all physical impairments, but physicians seldom screen adults for it, and patients often overlook or deny hearing problems. This study was designed to validate the use of two self-administered hearing loss questionnaires.
Two self-administered screening questionnaires and a hearing screening evaluation using the Welch Allyn Audioscope 3 instrument were given to 409 consecutive family practice patients over the age of 18 years. Correlational, discriminate, sensitivity, and specificity analyses were conducted on the data.
Neither of the existing questionnaires was clinically sensitive enough to be recommended for use. A new tool based on a discriminate function analysis of the existing questionnaires was developed. In contrast, the audioscope proved to be a sensitive screening tool. Of those patients who were identified, 88% did not follow recommendations to obtain further evaluation.
Existing self-administered questionnaires cannot be recommended for use. A controlled clinical study using the newly derived questionnaire, the Smith Hearing Screening, should be conducted.
听力损失是所有身体损伤中最常见的一种，但医生很少对成年人进行听力筛查，患者也常常忽视或否认听力问题。本研究旨在验证两种自行填写的听力损失调查问卷的实用性。
对409名连续就诊的18岁以上家庭医疗患者发放了两种自行填写的筛查问卷，并使用Welch Allyn Audioscope 3仪器进行听力筛查评估。对数据进行了相关性、判别性、敏感性和特异性分析。
现有的两种问卷在临床上都不够敏感，不足以推荐使用。在对现有问卷进行判别函数分析的基础上开发了一种新工具。相比之下，听力检查仪被证明是一种敏感的筛查工具。在被查出有问题的患者中，88%没有听从建议去做进一步评估。
现有的自行填写问卷不推荐使用。应开展一项使用新生成问卷“史密斯听力筛查”的对照临床研究。
