Muluk Nuray Bayar
Department of Otolaryngology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.
J Otolaryngol Head Neck Surg. 2009 Apr;38(2):166-71.
This prospective study investigated the multi-item patient functions of health concepts using the SF-36 Health Survey in tinnitus patients with a high jugular bulb (HJB).
The study group consisted of 10 adult tinnitus patients (7 males, 3 females) with an HJB on temporal bone high-resolution computed tomography (HRCT). The control group consisted of 10 healthy patients with normal hearing levels (7 males and 3 females) without tinnitus. Using a questionnaire, a tinnitus loudness level score (TLL-Sc) was found. Using the SF-36 questionnaire, eight health concepts were evaluated: physical functioning (PF), role limitations due to physical problems (RP), social functioning (SF), bodily pain (BP), general mental health (MH), role limitations due to emotional problems (RE), vitality (VT), and general health perceptions (GH).
SF and VT scores were significantly lower in the study group (p < .05). As the duration of the tinnitus increased, sleep problems and impaired SF-36 scores were seen. Higher TLL-Scs did not cause lower quality of life (QOL) scores, even though they are associated with significantly higher sleep disturbance. In males, TLL-Scs seem to be higher and SF-36 domains lower than in females. Older patients have lower TLL-Scs and do not have impaired HJB-related QOL results, although they do have sleep problems.
Longer tinnitus duration, male gender, and sleeping problems may impair QOL. With higher TLL-Scs, QOL results are not lower owing to patients' getting used to living with their tinnitus. According to the SF-36 Health Survey, tinnitus patients appear to have a higher level of emotional disability than physical disability.
本前瞻性研究使用SF-36健康调查对高位颈静脉球(HJB)耳鸣患者的多项患者健康概念功能进行了调查。
研究组由10名成年耳鸣患者(7名男性,3名女性)组成,颞骨高分辨率计算机断层扫描(HRCT)显示有高位颈静脉球。对照组由10名听力水平正常的健康患者(7名男性和3名女性)组成,无耳鸣。通过问卷调查得出耳鸣响度水平评分(TLL-Sc)。使用SF-36问卷评估八个健康概念:身体功能(PF)、因身体问题导致的角色受限(RP)、社会功能(SF)、身体疼痛(BP)、总体心理健康(MH)、因情绪问题导致的角色受限(RE)、活力(VT)和总体健康感知(GH)。
研究组的SF和VT评分显著较低(p < 0.05)。随着耳鸣持续时间的增加,出现了睡眠问题和SF-36评分受损的情况。较高的TLL-Sc并未导致较低的生活质量(QOL)评分,尽管它们与明显更高的睡眠障碍相关。在男性中,TLL-Sc似乎高于女性,而SF-36各领域得分低于女性。老年患者的TLL-Sc较低,尽管存在睡眠问题,但与高位颈静脉球相关的生活质量结果并未受损。
较长的耳鸣持续时间、男性性别和睡眠问题可能会损害生活质量。TLL-Sc较高时,由于患者已习惯与耳鸣共存,生活质量结果并不会更低。根据SF-36健康调查,耳鸣患者的情感残疾水平似乎高于身体残疾水平。