Ekberg Katie, Grenness Caitlin, Hickson Louise
Am J Audiol. 2014 Sep;23(3):337-50. doi: 10.1044/2014_AJA-14-0011.
It has long been documented that patients may experience emotional reactions to a diagnosis of hearing impairment and recommendation of hearing aids. Because of this, patients may raise psychosocial concerns regarding their hearing rehabilitation during audiology appointments, particularly in relation to getting hearing aids. However, thus far there has been little systematic research exploring how patients' concerns about hearing aids are addressed by audiologists within appointments.
This study used conversation analysis to examine a corpus of 63 video-recorded initial audiology appointments with older adults with hearing impairment.
The findings demonstrated that when patients expressed concerns regarding hearing aids, these concerns were typically psychosocial in nature and expressed in a way that carried a negative emotional stance. These types of turns thus invited an empathic response. However, patients' concerns were not typically addressed by audiologists during the appointment. As a consequence, patients persistently re-raised their concerns in subsequent turns, leading to expanded sequences of interaction during the management phase of the appointment.
Older adults' psychosocial concerns regarding hearing aids may not always be sufficiently addressed within audiology appointments. A greater emphasis on emotionally focused communication within audiology could result in improved outcomes from hearing health care services.
长期以来有文献记载，患者可能会对听力障碍的诊断及助听器的建议产生情绪反应。因此，患者在听力检查预约过程中可能会提出有关听力康复的心理社会问题，尤其是与佩戴助听器相关的问题。然而，迄今为止，很少有系统研究探讨听力学家在预约过程中如何处理患者对助听器的担忧。
本研究采用会话分析方法，对63段与有听力障碍的老年人进行的首次听力检查预约的视频记录语料库进行了分析。
研究结果表明，当患者表达对助听器的担忧时，这些担忧通常具有心理社会性质，并且是以带有负面情绪立场的方式表达的。这类话语因此引发了共情回应。然而，在预约过程中，听力学家通常并未处理患者的担忧。结果，患者在后续话语中不断重新提出他们的担忧，导致在预约管理阶段的互动序列不断扩展。
在听力检查预约过程中，老年人对助听器的心理社会担忧可能并未总是得到充分处理。在听力学科中更加强调以情感为中心的沟通可能会改善听力保健服务的效果。
