Brooks D N
Regional Audiology Unit, Withington Hospital, Manchester.
Br J Audiol. 1989 Feb;23(1):3-11. doi: 10.3109/03005368909077813.
Hearing aids are obtained or provided with the primary objective of diminishing the handicapping effect of hearing impairment. The benefit obtained from amplification by an individual can be assessed in many different ways. The amount of use made of the hearing aid has the merits of reasonable accuracy, relevance and simplicity in determination. Poor use of hearing aids may be a result of many factors. Modern instruments are technically adequate to the needs of most candidates provided they are correctly fitted. The reasons for disuse and under-use nowadays appear to be more related to the attitude of the potential user. To investigate this aspect of hearing aid provision, questionnaires have been sent to hearing aid candidates prior to the supply of the instrument. These questionnaires have been designed to assess such factors as failure to come to terms with the hearing loss, perceptions of stigma associated with hearing aids, lack of support or even overt hostility from close relatives, and withdrawal from social contacts. The relationships between these attitude measurements and outcome in terms of daily use of the aid 4 months later have been investigated. The findings of this study support the concept that attitude is a significant determinant of hearing aid use, and also suggest that aberrant attitudes can, in many individuals, be modified by counselling such that a better outcome can be achieved.
获取或提供助听器的主要目的是减少听力障碍的致残影响。个人从放大声音中获得的益处可以通过多种不同方式进行评估。助听器的使用量在确定时具有合理准确性、相关性和简单性的优点。助听器使用不当可能是多种因素造成的。只要正确适配，现代仪器在技术上足以满足大多数使用者的需求。如今，不使用和使用不足的原因似乎更多地与潜在使用者的态度有关。为了调查助听器供应的这一方面，在提供仪器之前，已向助听器使用者发送了问卷。这些问卷旨在评估诸如未能接受听力损失、对与助听器相关的污名的认知、缺乏近亲支持甚至公然的敌意以及退出社交接触等因素。已经调查了这些态度测量与4个月后助听器日常使用结果之间的关系。这项研究的结果支持这样一种观念，即态度是助听器使用的一个重要决定因素，并且还表明，在许多人身上，异常态度可以通过咨询得到改变，从而实现更好的结果。
