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英国听力障碍老年人的经验洞察:护士主导的康复建议。

Insights from the experiences of older people with hearing impairment in the United Kingdom: recommendations for nurse-led rehabilitation.

机构信息

PhD Researcher, Department of Life and Health Sciences, Aston University, Birmingham, UKPrincipal Lecturer in Psychology and Deputy Director of the Centre for Health Psychology, Staffordshire University, Stoke-on-Trent, UK.

出版信息

Int J Older People Nurs. 2013 Dec;8(4):270-8. doi: 10.1111/j.1748-3743.2012.00318.x. Epub 2012 Feb 7.

Abstract

AIMS AND OBJECTIVES

This study aims to explore, and develop a greater understanding of the experience of living with age-related hearing impairment from the perspectives of older people themselves to highlight possible recommendations for the improvement of hearing aid (HA) services and rehabilitation.

BACKGROUND

Hearing impairment (HI) is one of the most common chronic conditions affecting older people. HI can have a huge impact on a wide variety of life factors including physical, mental and social health and can lead to a reduction in quality of life. With the current ageing population, the numbers living with hearing impairment in old age is likely to increase. Currently, the diagnosis of hearing impairment in older people can be slow with individuals living with hearing impairment for around 10 years before being diagnosed.

METHODS

The research utilises a descriptive qualitative method in the form of descriptive thematic analysis. Findings are reported from semi-structured interviews with nine participants with self-reported HI, aged 61-93.

RESULTS

Themes include; the loss itself, communication, using HAs, isolation, and coping strategies.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The results highlight the need for early diagnosis of HI and the development of nurse-led rehabilitation strategies and support services that address the felt stigma and potentially isolating experiences of older people with HI.

摘要

目的和目标

本研究旨在从老年人自身的角度探索和深入了解与年龄相关的听力障碍的体验,以突出对助听器(HA)服务和康复的改进的可能建议。

背景

听力障碍(HI)是影响老年人最常见的慢性疾病之一。HI 会对包括身体、精神和社会健康在内的广泛生活因素产生巨大影响,并导致生活质量下降。随着当前人口老龄化,老年听力障碍人群的数量可能会增加。目前,老年人听力障碍的诊断可能比较缓慢,个体在被诊断出听力障碍之前可能要经历大约 10 年的时间。

方法

该研究采用描述性定性方法,即描述性主题分析。研究结果来自对 9 名自报听力障碍、年龄在 61-93 岁的参与者的半结构化访谈。

结果

主题包括:听力损失本身、沟通、使用助听器、孤立和应对策略。

结论和对实践的启示

研究结果强调了早期诊断 HI 的必要性,以及开发护士主导的康复策略和支持服务的必要性,以解决老年 HI 患者感到的耻辱感和潜在的孤立体验。

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