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成年助听器使用者的满意度、依从性及其影响因素评估

Satisfaction and compliance of adult patients using hearing aid and evaluation of factors affecting them.

作者信息

Korkmaz Mehmet Hakan, Bayır Ömer, Er Serap, Işık Eray, Saylam Güleser, Tatar Emel Çadallı, Özdek Ali

机构信息

Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, Yıldırım Beyazıt University, Ankara, Turkey.

Department of Otolaryngology and Head and Neck Surgery, Dışkapı Yıldırım Beyazıt Research and Training Hospital, Ministry of Health, Mehmet Akif Ersoy Mh. 284 Sk. No:7/9 Yenimahalle, Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3723-3732. doi: 10.1007/s00405-016-4046-x. Epub 2016 Apr 19.

Abstract

The aims of this study are to reveal patient compliance and satisfaction in hearing aid-prescribed adult population and to determine the relevant clinical factors. The study was designed retrospectively, and those patients who have been using hearing aid for at least 6 months were invited for evaluation. Demographical data, hearing aid type (digital vs analog), general satisfaction, and daily usage time were asked. Then, the Hearing Aid Satisfaction Questionnaire (HASQ) was applied to all patients which included visual analog scale (VAS)-based 10 questions about the effects of hearing aid on social communication, efficiency, cosmetics, life quality and cost. Totally 400 patients were included in the study. The HASQ was confirmed to be highly reliable by "Kaiser Meyer Olkin and Bartlett Sphericity" tests after exclusion of aid-cost question. There was a negative correlation between age and satisfaction, and a positive correlation between hearing aid usage time (years) and satisfaction (p < 0.05). There was no significant difference between mean HASQ scores regarding gender, employment status, hearing aid type and the site of hearing aid wearing. HASQ scores were significantly worse in pure sensorineural loss type, lower educational status, shorter daily usage time, but better in higher pure tone threshold levels (p < 0.05). Age, time of hearing aid usage daily, type of hearing impairment, the threshold of hearing and education were the factors affecting satisfaction. Regular daily usage of hearing aid should be encouraged in patients, since by this way aid usage and satisfaction may be improved.

摘要

本研究的目的是揭示助听器佩戴成年人群的患者依从性和满意度,并确定相关临床因素。本研究为回顾性设计,邀请那些使用助听器至少6个月的患者进行评估。询问了人口统计学数据、助听器类型(数字式与模拟式)、总体满意度和每日使用时间。然后,对所有患者应用了助听器满意度问卷(HASQ),该问卷包括基于视觉模拟量表(VAS)的10个问题,涉及助听器对社交沟通、效率、美观、生活质量和成本的影响。本研究共纳入400例患者。在排除助听器成本问题后,通过“Kaiser Meyer Olkin和Bartlett球形度”检验证实HASQ具有高度可靠性。年龄与满意度呈负相关,助听器使用时间(年)与满意度呈正相关(p<0.05)。在性别、就业状况、助听器类型和佩戴助听器部位方面,平均HASQ得分无显著差异。在纯感音神经性听力损失类型、较低教育程度、较短每日使用时间的患者中,HASQ得分明显较差,但在较高纯音阈值水平的患者中得分较好(p<0.05)。年龄、每日助听器使用时间、听力障碍类型、听力阈值和教育程度是影响满意度的因素。应鼓励患者定期每日使用助听器,因为这样可能会提高助听器的使用和满意度。

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