Kelly Rebecca J, Atcherson Samuel R
Department of Communication Disorders, University of Canterbury, Private Bag 4800, Christchurch 8140, New Zealand.
J Commun Disord. 2011 May-Jun;44(3):336-44. doi: 10.1016/j.jcomdis.2011.01.004. Epub 2011 Jan 26.
The purpose of this exploratory study was to assess perceptions of quality of life for individuals with hearing impairment who have not consulted for services and their significant others who are in same-sex relationships vs. those who are in different-sex relationships. Data were collected on a total of 20 older couples: 10 in same-sex relationships and 10 in different-sex relationships. In each of the couples, one member self-identified as having hearing impairment. The couples completed an audiologic evaluation, a disease-specific quality of life questionnaire, and a short, structured interview (which served as a general measure of quality of life). No differences between the groups were found on demographic or audiologic variables. Differences between the groups and within the couples were found on the disease-specific and overall quality of life measures. Participants with hearing impairment in different-sex relationships reported significantly more total consequences of hearing impairment than those in the same-sex relationships. Differences were found in the rate of reporting for various contributors to overall quality of life and consequences of hearing impairment on quality of life. There was more congruity between same-sex couples than different-sex couples. There appear to be important differences in perceptions of both disease-specific and overall quality of life based on sexual orientation for older couples who have not consulted for hearing services. These differences can help inform clinical practice with this under-researched population.
Readers will be able to: (1) Describe quality of life variables for individuals with hearing problems in same- and different-sex relationships, (2) understand the differences in quality of life variables between same- and different-sex couples, (3) consider the clinical implications of these quality of life variables.
本探索性研究的目的是评估未寻求服务的听力障碍者及其处于同性关系与异性关系中的重要他人对生活质量的看法。总共收集了20对老年夫妇的数据:10对同性关系夫妇和10对异性关系夫妇。在每对夫妇中,有一名成员自我认定有听力障碍。这些夫妇完成了听力评估、特定疾病生活质量问卷以及简短的结构化访谈(作为生活质量的一般衡量标准)。在人口统计学或听力变量方面未发现两组之间存在差异。在特定疾病和总体生活质量衡量指标上发现了两组之间以及夫妇内部的差异。与同性关系中的听力障碍参与者相比,异性关系中的听力障碍参与者报告的听力障碍总体后果明显更多。在总体生活质量的各种影响因素以及听力障碍对生活质量的后果的报告率方面发现了差异。同性伴侣之间的一致性比异性伴侣之间更多。对于未寻求听力服务的老年夫妇来说,基于性取向,在特定疾病和总体生活质量的看法上似乎存在重要差异。这些差异有助于为针对这一研究不足人群的临床实践提供参考。
读者将能够:(1)描述同性和异性关系中听力问题个体生活质量的变量,(2)理解同性和异性伴侣之间生活质量变量的差异,()考虑这些生活质量变量的临床意义。