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双侧骨锚式助听器:使用格拉斯哥受益量表评估对生活质量的影响。

Bilateral Bone-anchored Hearing Aid: impact on quality of life measured with the Glasgow Benefit Inventory.

机构信息

Department of Otolaryngology, University Hospital Birmingham, Birmingham, UK.

出版信息

Otol Neurotol. 2009 Oct;30(7):891-6. doi: 10.1097/MAO.0b013e3181b4ec6f.

Abstract

OBJECTIVE

To investigate whether the fitting of bilateral Bone-anchored Hearing Aid (BAHA) would result in any additional improvement in patients' quality of life (QOL) over and above what we would experience from the fitting of a single-sided BAHA.

STUDY DESIGN

Retrospective, anonymized, cross-sectional postal survey using the Glasgow Benefit Inventory (GBI).

SETTING

Tertiary referral center.

PATIENTS

All 93 adult patients who had been using bilateral BAHA for more than 6 months.

INTERVENTION(S): Hearing rehabilitation using bilateral BAHA.

MAIN OUTCOME MEASURE(S): These include the GBI benefit scores across the following domains: "overall benefit," "general health benefit," "physical health benefit," and "social benefit." Comparison of GBI scores against other otological interventions including single-sided BAHA.

RESULTS

Response rate was 76%. Ninety-two percent of patients reported improvement in QOL. Positive QOL improvement scores were reported across all domains. Overall GBI benefit score was +ve 38. This is higher than the benefit scores reported by patients with single-sided BAHA, although this may not be statistically significant.

CONCLUSION

After fitting the second BAHA, patients may report additional improvement in their QOL (of a smaller magnitude) over and above the initial improvement in their QOL after fitting of their first BAHA. In fact, the overall benefit score for bilateral BAHA seem to be close to that for cochlear implantation.

摘要

目的

研究双侧骨锚式助听器(BAHA)的适配是否会在单侧 BAHA 适配之外为患者的生活质量(QOL)带来额外的改善。

研究设计

使用格拉斯哥受益量表(GBI)进行回顾性、匿名、横断面邮寄调查。

设置

三级转诊中心。

患者

所有 93 名使用双侧 BAHA 超过 6 个月的成年患者。

干预措施

双侧 BAHA 的听力康复。

主要观察指标

包括以下领域的 GBI 受益评分:“总体受益”、“一般健康受益”、“身体健康受益”和“社会受益”。GBI 评分与单侧 BAHA 等其他耳科干预措施的比较。

结果

回复率为 76%。92%的患者报告 QOL 改善。所有领域均报告了积极的 QOL 改善评分。总体 GBI 受益评分呈正值 38。这高于单侧 BAHA 患者报告的受益评分,尽管这可能没有统计学意义。

结论

在适配第二个 BAHA 后,患者可能会报告他们的 QOL 在初始适配第一个 BAHA 后的初始改善之外有额外的改善(幅度较小)。事实上,双侧 BAHA 的总体受益评分似乎接近人工耳蜗植入的评分。

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