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听力损失给交流伙伴带来的负担及其对听力评估的影响。

Burden of Hearing Loss on Communication Partners and Its Influence on Pursuit of Hearing Evaluation.

机构信息

1Division of Head and Neck Surgery & Communication Sciences, Duke University Medical Center, Durham, North Carolina, USA; 2Loma Linda University, Loma Linda, California, USA; 3Duke Clinical Research Institute, Durham, North Carolina, USA; and 4National Center for Rehabilitative Auditory Research, Portland VA Health Care System, Portland, Oregon, USA.

出版信息

Ear Hear. 2017 Sep/Oct;38(5):e285-e291. doi: 10.1097/AUD.0000000000000421.

Abstract

OBJECTIVE

Describe how the burden on the communication partner (CP) from the patient's hearing loss, as perceived by both the patient and their CP, influences a patient's pursuit of hearing evaluation.

DESIGN

Cross-sectional design. Demographics, perception of patient's hearing loss, and associated burden on the CP were collected from both patient and CP via online questionnaires. Patients and their CPs from Duke University Medical Center Otolaryngology Clinic, 55 to 75 years of age, being seen for any reason, who indicated a CP has expressed concern about their hearing. Final sample was 245 matched pairs.

RESULTS

Based on completed questionnaires, on average, patients perceived their own hearing loss as more burdensome to the CP than the CP did. However, CPs of patients who believed themselves to have no hearing handicap scored the patient's hearing loss 54.3% higher than the patient. The patient's perspective about the amount of burden their hearing loss placed on the CP predicted patients seeking a hearing evaluation.

CONCLUSIONS

Recognition of early stage hearing loss and associated burden on CPs may be delayed in patients; CPs may help elucidate unrecognized concerns. Educational approaches that raise awareness of burden of hearing loss on CPs along with hearing loss indications could be a feasible, multidimensional strategy to promote help seeking behaviors.

摘要

目的

描述患者听力损失给其交流伙伴(CP)带来的负担(患者和 CP 双方的感知)如何影响患者寻求听力评估。

设计

横断面设计。通过在线问卷收集来自杜克大学医学中心耳鼻喉科诊所的患者及其 CP 的人口统计学信息、对患者听力损失的感知以及 CP 相关负担的信息,年龄在 55 至 75 岁之间,因任何原因就诊,且 CP 表示对其听力有担忧。最终样本为 245 对匹配的患者和 CP。

结果

根据完成的问卷,平均而言,患者认为自己的听力损失对 CP 的负担比 CP 认为的更大。然而,认为自己没有听力障碍的患者的 CP 对患者听力损失的评分比患者高 54.3%。患者对听力损失给 CP 带来的负担的看法预测了患者寻求听力评估的意愿。

结论

患者可能会延迟识别早期听力损失及其对 CP 的相关负担;CP 可能有助于阐明未被识别的担忧。提高对 CP 听力损失负担以及听力损失指征的认识的教育方法可能是一种可行的、多维度的策略,可促进寻求帮助的行为。

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