Kamil Rebecca J, Lin Frank R
Albert Einstein College of Medicine, Bronx, NY.
Departments of Otolaryngology-Head and Neck Surgery, Geriatric Medicine, Mental Health, and Epidemiology, Johns Hopkins University, Baltimore, MD.
J Am Acad Audiol. 2015 Feb;26(2):155-82. doi: 10.3766/jaaa.26.2.6.
Hearing impairment is highly prevalent in older adults and can affect the daily activities of a person who is hard of hearing (HOH). The impact of hearing impairment may also have collateral effects on the primary communication partner (CP; e.g., spouse, close family member, or caregiver) of the person who is HOH.
We aimed to characterize the impact of hearing loss in a person who is HOH on his or her CP.
We conducted a systematic review of manuscripts examining the consequences of hearing loss in a person who is HOH on the CP. We searched PubMed, Embase, Scopus, PyscINFO, CINAHL Plus with full text, and Web of Science for peer-reviewed articles using a predefined search string and hand-searched reference lists of relevant articles.
We initially screened abstracts blinded for author and journal to eliminate irrelevant and duplicate articles. Descriptive information on study populations, hearing assessments, outcome metrics, and study findings were extracted from full-length manuscripts.
Of the 1,047 abstracts retrieved from database searching and 5 hand-searched articles, 24 articles met inclusion criteria. These articles included observational clinical studies, randomized clinical trials, and epidemiologic studies. Overall, CPs experienced a restricted social life, increased burden of communication, and poorer quality of life (QOL) and relationship satisfaction. Effects of hearing impairment on a CP's mental health were unclear. Treatment of hearing loss in the person who is HOH tended to improve QOL, communication, feelings toward the person who is HOH, and activity participation of the CP.
This review highlights the broad effects of hearing impairment and the importance of involving CPs in hearing loss treatment decisions.
听力障碍在老年人中非常普遍，会影响听力受损者的日常活动。听力障碍的影响也可能对听力受损者的主要交流伙伴（如配偶、近亲或照顾者）产生附带影响。
我们旨在描述听力损失对听力受损者的主要交流伙伴的影响。
我们对研究听力受损者的听力损失对其主要交流伙伴的影响的手稿进行了系统综述。我们使用预定义的搜索词在PubMed、Embase、Scopus、PyscINFO、CINAHL Plus全文数据库和Web of Science中搜索同行评审文章，并对手检相关文章的参考文献列表进行了搜索。
我们首先对作者和期刊进行盲态筛选，以排除无关和重复的文章。从全文手稿中提取有关研究人群、听力评估、结局指标和研究结果的描述性信息。
在从数据库搜索中检索到的1047篇摘要和5篇手检文章中，有24篇文章符合纳入标准。这些文章包括观察性临床研究、随机临床试验和流行病学研究。总体而言，主要交流伙伴经历了社交生活受限、交流负担增加、生活质量（QOL）较差以及关系满意度较低。听力障碍对主要交流伙伴心理健康的影响尚不清楚。治疗听力受损者的听力损失往往会改善主要交流伙伴的生活质量、交流、对听力受损者的感受以及活动参与度。
本综述强调了听力障碍的广泛影响以及让主要交流伙伴参与听力损失治疗决策的重要性。
