Zhu Zhenzhen, Zheng Yun, Li Gang
Hearing Center, Hearing and Speech Science Laboratory, Department of Otolaryngology-Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Jan;27(1):13-5.
To investigate the reasons that hearing-impaired patients who owned the indication of hearing aid fitting but were not successfully fitted.
Analyzing the records of hearing aid fitting for 2 635 hearing-impaired people from 2005 to 2010, especially for the people who were not successfully fitted.
In general, there were 1 700 people having proper hearing aids. The success rate of hearing aid fitting is 64.52%, which increased year by year. According to the analysis of records about hearing-impaired people who were not successfully fitting, the primary factor was economic constraints (23.64%), the second was the patients could not accept them (18.61%), and the third was acceptation and satisfaction for the professional centers (10.27%). The another factor also included the dissatisfaction for the hearing aid (8.13%). Meanwhile, it showed the success rate in the auditory specialist clinic was significantly lower than that in the general otolaryngologist clinic (P < 0.05). In addition, the success rate (61.29%) in the group patients' ages were lower than 50 years old was significantly lower than that (66.33%) in the group patients' ages were more than 50 years old (P < 0.05).
The research shows that so many factors could lead to the success of hearing aid fitting. So its necessary for us to do some special things to overcome them, including disseminating the knowledge about hearing rehabilitation and improving our abilities. They are the only solutions to improve the patients confidence and make them get the better rehabilitation from the hearing aids.
调查有助听器验配指征但未成功验配的听力障碍患者的原因。
分析2005年至2010年2635例听力障碍患者的助听器验配记录，尤其关注未成功验配的患者。
总体而言，有1700人佩戴了合适的助听器。助听器验配成功率为64.52%，且逐年上升。通过对未成功验配的听力障碍患者记录分析，主要因素是经济限制（23.64%），其次是患者无法接受（18.61%），第三是对专业机构的接受度和满意度（10.27%）。其他因素还包括对助听器不满意（8.13%）。同时，结果显示听觉专科门诊的成功率显著低于普通耳鼻喉科门诊（P<0.05）。此外，年龄小于50岁患者组的成功率（61.29%）显著低于年龄大于50岁患者组的成功率（66.33%）（P<0.05）。
研究表明，诸多因素可导致助听器验配成功。因此，我们有必要采取一些特殊措施来克服这些因素，包括传播听力康复知识和提高我们的能力。这些是提高患者信心并使他们从助听器中获得更好康复效果的唯一解决办法。
