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听力学家对后天性听力损失成人听觉康复服务的实践与观点。

Practices and views of audiologists regarding aural rehabilitation services for adults with acquired hearing loss.

作者信息

Makhoba Musa, Joseph Neethie

机构信息

Discipline of Audiology, University of KwaZulu-Natal.

出版信息

S Afr J Commun Disord. 2016 Sep 29;63(1):e1-e10. doi: 10.4102/sajcd.v63i1.155.

Abstract

BACKGROUND

Hearing loss in adults is one of the leading disabilities globally. It is managed through aural rehabilitation for which there is a paucity of literature in South Africa. This raises the question of interest, the integrity of holistic service provision amongst audiologists and whether interest and challenges affect current practices.

OBJECTIVES

To describe audiologists' practices and views on aural rehabilitation services for adults, including interest and challenges experienced.

METHOD

A descriptive online survey was completed by 45 of 1440 invited practicing audiologists who were members of the two national professional associations in South Africa. Each association emailed the questionnaire link to all its members. Data were analysed using the Statistical Package for the Social Sciences version 21, and included the paired samples t-test and chi-squared tests.

RESULTS

The most provided services were hearing aids (81.4%), communication strategies training (69.8%) and informational counselling (79.8%). A strong interest was reported by most for each service. Challenges included limited client compliance, unaffordability of services, limited undergraduate training, language barriers, unrealistic expectations and individual differences. Statistically significant differences between service provision, interest and challenges indicated that these are influential but not individually significant to service provision.

CONCLUSION

Imbalanced service provision, high interest and many more challenges are experienced. These factors contribute but are not solely markedly influential in service provision.

摘要

背景

成人听力损失是全球主要的残疾问题之一。其通过听觉康复进行管理,但在南非,关于这方面的文献却很匮乏。这引发了人们对该领域的兴趣问题、听力学家提供整体服务的完整性问题,以及兴趣和挑战是否会影响当前实践的疑问。

目的

描述听力学家对成人听觉康复服务的实践和看法,包括所经历的兴趣和挑战。

方法

南非两个全国性专业协会的1440名在职听力学家受邀参与调查,其中45人完成了一项描述性在线调查。每个协会都将问卷链接通过电子邮件发送给其所有成员。使用社会科学统计软件包第21版对数据进行分析,分析方法包括配对样本t检验和卡方检验。

结果

提供最多的服务是助听器(81.4%)、沟通策略培训(69.8%)和信息咨询(79.8%)。大多数人对每项服务都表现出浓厚兴趣。挑战包括客户依从性有限、服务费用高昂、本科培训有限、语言障碍、期望不切实际以及个体差异。服务提供、兴趣和挑战之间的统计学显著差异表明,这些因素具有影响力,但对服务提供而言并非个别因素具有显著影响。

结论

存在服务提供不均衡、兴趣浓厚以及更多挑战的情况。这些因素对服务提供有影响,但并非在服务提供中单独起显著作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8906/5842976/46a286ae14a5/SAJCD-63-155-g001.jpg

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