Amorim Raquel Martins da Costa, Almeida Katia de
Universidade Veiga de Almeida.
Pro Fono. 2007 Jan-Apr;19(1):39-48. doi: 10.1590/s0104-56872007000100005.
benefit and acclimatization.
to characterize the short-term benefits presented by adults, recent users of hearing aids, through objective (functional gain) and subjective (self-evaluation questionnaires) procedures. The possible occurrence of the phenomenon of acclimatization was also investigated based on the analysis of the speech recognition percent index (SRPI) before the fitting of the hearing aids and after four and 16/18 weeks of hearing aids use.
sixteen subjects, with ages between 17 and 89 years, with symmetric moderate or severe sensorineural hearing loss, recent hearing aid users, were evaluated. The study was divided in three phases: before the hearing aids fitting, and after four and 16/18 weeks following the fitting process. In all of the phases the following procedures were used: pure tone audiometry, speech recognition percent index, speech recognition threshold and the Hearing Handicap Inventory for Elderly Screening Version or the Hearing Handicap Inventory for the Adults Screening Version, and the Abbreviated Profile of Hearing Aid Benefit. After the hearing aid fitting process, subjects were submitted to free field audiometry.
results showed statistically significant differences between objective and subjective measures after the use of hearing aids, indicating short-term benefit. However, as time went by, the benefit obtained with the use of hearing aids did not improve significantly, suggesting that benefit does not increase with time. SRPI as well as subjective measures improved with long-term hearing aid use, but such differences were not statistically significant.
short-term benefits were obtained with the use of hearing aids, however the phenomenon of acclimatization was not observed through the SRPI.
益处与适应。
通过客观(功能增益)和主观(自我评估问卷)程序,描述近期使用助听器的成年人所呈现的短期益处。还基于对助听器佩戴前以及佩戴4周和16/18周后的言语识别百分比指数(SRPI)的分析,研究了适应现象的可能发生情况。
对16名年龄在17至89岁之间、患有对称性中度或重度感音神经性听力损失且近期使用助听器的受试者进行评估。该研究分为三个阶段:助听器佩戴前、佩戴后4周以及佩戴后16/18周。在所有阶段均使用以下程序:纯音听力测定、言语识别百分比指数、言语识别阈值以及老年人听力障碍筛查量表或成人听力障碍筛查量表,还有助听器益处简表。在助听器佩戴过程之后,受试者接受自由声场听力测定。
结果显示,使用助听器后客观和主观测量之间存在统计学上的显著差异,表明存在短期益处。然而,随着时间推移,使用助听器所获得的益处并未显著改善,这表明益处不会随时间增加。长期使用助听器后,SRPI以及主观测量有所改善,但这些差异无统计学意义。
使用助听器可获得短期益处,然而通过SRPI未观察到适应现象。