Löhler J, Moser L, Heinrich D, Hörmann K, Walther L E
Wissenschaftliches Institut für angewandte HNO-Heilkunde, Deutscher Berufsverband der HNO-Ärzte e. V., Maienbeeck 1, Bad Bramstedt, Germany.
HNO. 2012 Jul;60(7):626-36. doi: 10.1007/s00106-011-2466-x.
Speech audiometry studies do not deliver structured testimony of patients as to the actual benefit of hearing aids based on individual daily life experiences. This deficiency can be resolved by applying structured inventory questionnaires. The APHAB (German version) is an evaluated inventory questionnaire consisting of six questions put to patients with hearing deficiencies with and without hearing aids in four different hearing situations.
We collected the APHAB data of 560 patients before and after fitting hearing aids. We also gathered personal data as to age, prior experience with hearing aids, duration of daily use of the hearing aid and degree of hearing loss.
The average age of the patients was a little under 70 years, 84% had just received their first hearing aid, and 83% exhibited moderate or severe hearing loss. The APHAB results were classified in percentile and contingency tables. The latter allow one to determine conditional probabilities of the potential success of fitting a hearing aid to a new patient for each APHAB scale.
The APHAB can be applied regularly to measure the benefit of fitting a hearing aid to a patient in particular in problematic hearing situations. By registering the personal view of the patients, it expands the scope of the standard methods (e.g., speech audiometry) so that the quality of diagnostics and therapy can be improved. It qualitatively records the success of hearing aid fitting, predicts potential problem areas and thereby may reduce the number of unused hearing aids.
言语测听研究无法根据患者的个人日常生活经历提供关于助听器实际益处的结构化证词。通过应用结构化调查问卷可以解决这一缺陷。APHAB（德文版）是一种经过评估的调查问卷，由六个问题组成，针对有听力缺陷且佩戴或未佩戴助听器的患者在四种不同听力情况下进行询问。
我们收集了560名患者在佩戴助听器前后的APHAB数据。我们还收集了关于年龄、先前使用助听器的经历、助听器每日使用时长以及听力损失程度的个人数据。
患者的平均年龄略低于70岁，84%的患者刚佩戴第一台助听器，83%的患者表现为中度或重度听力损失。APHAB结果按百分位数和列联表进行分类。后者可以让人们针对每个APHAB量表确定为新患者佩戴助听器潜在成功的条件概率。
APHAB可以定期应用于衡量为患者佩戴助听器的益处，特别是在听力有问题的情况下。通过记录患者的个人观点，它扩展了标准方法（如言语测听）的范围，从而可以提高诊断和治疗的质量。它定性地记录了助听器佩戴的成功情况，预测潜在问题区域，从而可能减少未使用助听器的数量。
