听力受损老年人佩戴助听器前后的自我认知。
Self-perception of the hearing-impaired elderly before and after hearing-aid fittings.
作者信息
Barbosa Mirna Rossi, Medeiros Daniel de Sousa, Rossi-Barbosa Luiza Augusta Rosa, Silveira Marise Fagundes, de Barros Lima Martins Andrea Maria Eleutério, Caldeira Antônio Prates
机构信息
Postgraduate Program in Health Sciences, State University of Montes Claros, Montes Claros, Brazil.
出版信息
Geriatr Gerontol Int. 2015 Aug;15(8):977-82. doi: 10.1111/ggi.12376. Epub 2014 Nov 3.
AIM
To evaluate the impact of hearing aid (HA) fittings among elderly patients through the Hearing Handicap Inventory for the Elderly (HHIE).
METHODS
The present study was carried out with 125 hearing-impaired individuals over aged 65 years in the northern region of Minas Gerais, Brazil. The instrument used was the HHIE self-assessment questionnaire. HHIE were completed before and after HA fittings. Data were analyzed using the non-parametric Wilcoxon test and the McNemar χ(2)-test.
RESULTS
There were significant decreases in general, social and emotional handicap after HA use (P < 0.001). The percentage of patients with severe hearing handicap decreased from 45.6% to 8.8% with HA use. The greatest difficulty reported by respondents, both before and after HA use, was "hearing when someone whispers".
CONCLUSIONS
Although HA use significantly improves the hearing handicap, some older adults still maintain social and emotional limitations. The HHIE instrument can be a great ally in helping professionals understand and rehabilitate the difficulties that remain after amplification.
目的
通过老年人听力障碍量表（HHIE）评估助听器（HA）验配对老年患者的影响。
方法
本研究对巴西米纳斯吉拉斯州北部地区125名65岁以上的听力受损个体进行。使用的工具是HHIE自评问卷。在HA验配前后完成HHIE。数据采用非参数威尔科克森检验和 McNemar χ²检验进行分析。
结果
使用HA后，总体、社交和情感障碍显著降低（P < 0.001）。使用HA后，重度听力障碍患者的比例从45.6%降至8.8%。受访者在使用HA前后报告的最大困难都是“有人低语时听清”。
结论
尽管使用HA能显著改善听力障碍，但一些老年人仍存在社交和情感方面的限制。HHIE工具在帮助专业人员理解和解决放大后仍存在的困难方面可能是一个有力的辅助手段。
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