Granço Fernanda Soares, Fernandes Nayara Freitas, Morettin Marina, Filho Orozimbo Alves Costa, Bevilacqua Maria Cecília
MSc Graduate student. Master's degree. Speech pathologist and audiologist.
PhD in Science. Speech pathologist and audiologist.
Int Arch Otorhinolaryngol. 2013 Apr;17(2):202-7. doi: 10.7162/S1809-97772013000200014.
In recent years, the benefits associated with the use of cochlear implants (CIs), especially with regard to speech perception, have proven to surpass those produced by the use of hearing aids, making CIs a highly efficient resource for patients with severe/profound hearing loss. However, few studies so far have assessed the satisfaction of adult users of CIs.
To analyze the relationship between the level of speech perception and degree of satisfaction of adult users of CI.
This was a prospective cross-sectional study conducted in the Audiological Research Center (CPA) of the Hospital of Craniofacial Anomalies, University of São Paulo (HRAC/USP), in Bauru, São Paulo, Brazil. A total of 12 users of CIs with pre-lingual or post-lingual hearing loss participated in this study. The following tools were used in the assessment: a questionnaire, "Satisfaction with Amplification in Daily Life" (SADL), culturally adapted to Brazilian Portuguese, as well as its relationship with the speech perception results; a speech perception test under quiet conditions; and the Hearing in Noise Test (HINT)Brazil under free field conditions.
The participants in the study were on the whole satisfied with their devices, and the degree of satisfaction correlated positively with the ability to perceive monosyllabic words under quiet conditions. The satisfaction did not correlate with the level of speech perception in noisy environments.
Assessments of satisfaction may help professionals to predict what other factors, in addition to speech perception, may contribute to the satisfaction of CI users in order to reorganize the intervention process to improve the users' quality of life.
近年来，事实证明，使用人工耳蜗（CI）带来的益处，尤其是在言语感知方面，超过了使用助听器所产生的益处，这使得人工耳蜗成为重度/极重度听力损失患者的高效资源。然而，迄今为止，很少有研究评估成年人工耳蜗使用者的满意度。
分析成年人工耳蜗使用者的言语感知水平与满意度之间的关系。
这是一项前瞻性横断面研究，在巴西圣保罗州鲍鲁市圣保罗大学颅面畸形医院听觉研究中心（CPA）进行。共有12名患有语前或语后听力损失的人工耳蜗使用者参与了本研究。评估中使用了以下工具：一份经文化适应巴西葡萄牙语的问卷“日常生活中对放大装置的满意度”（SADL），以及它与言语感知结果的关系；安静条件下的言语感知测试；以及自由场条件下的巴西噪声环境下听力测试（HINT）。
研究参与者总体上对其设备感到满意，满意度与安静条件下感知单音节词的能力呈正相关。满意度与噪声环境下的言语感知水平无关。
满意度评估可能有助于专业人员预测除言语感知外，还有哪些其他因素可能有助于人工耳蜗使用者的满意度，以便重新组织干预过程，提高使用者的生活质量。
