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人工耳蜗对语后单侧重度聋患者的有效性:意义何在?

Cochlear implant effectiveness in postlingual single-sided deaf individuals: what's the point?

作者信息

Finke Mareike, Bönitz Hanna, Lyxell Björn, Illg Angelika

机构信息

a Department of Otolaryngology , Hannover Medical School , Hannover , Germany.

b Cluster of Excellence "Hearing4all" , Oldenburg & Hannover , Germany.

出版信息

Int J Audiol. 2017 Jun;56(6):417-423. doi: 10.1080/14992027.2017.1296595. Epub 2017 Mar 5.

DOI:10.1080/14992027.2017.1296595
PMID:28635507
Abstract

OBJECTIVES

By extending the indication criteria for cochlear implants (CI), the population of CI candidates increased in age, as well as range and type of hearing loss. This qualitative study identified factors that contributed to seek CI treatment in single-sided deaf individuals and gained insights how single-sided deafness (SSD) and hearing with a CI affect their lives.

DESIGN

An open-ended questionnaire and a standardised inventory (IOI-HA) were used. Qualitative data reflecting the reasons to seek CI treatment and the individual experiences after CI switch-on were collected.

STUDY SAMPLE

A total of 19 postlingually deafened single-sided deaf CI users.

RESULTS

Participants use their CI daily and stated that their life satisfaction increased since CI activation. The analysis of the qualitative data revealed four core categories: sound localisation, tinnitus and noise sensitivity, fear to lose the second ear and quality of life.

CONCLUSIONS

Our results show how strongly and diversely quality of hearing and quality of life is affected by acquired SSD and improved after CI activation. Our data suggest that the fear of hearing loss (HL) on the normal hearing (NH) ear is an important but so far neglected reason to seek treatment with a CI in individuals with postlingual SSD.

摘要

目的

通过扩大人工耳蜗(CI)植入的适应症标准,CI候选人群的年龄、听力损失范围和类型都有所增加。这项定性研究确定了促使单侧耳聋个体寻求CI治疗的因素,并深入了解了单侧耳聋(SSD)以及使用CI听力对他们生活的影响。

设计

采用开放式问卷和标准化量表(IOI-HA)。收集反映寻求CI治疗原因以及CI开机后个人体验的定性数据。

研究样本

共有19名单侧耳聋的语后聋CI使用者。

结果

参与者每天都使用CI,并表示自CI激活以来他们的生活满意度有所提高。定性数据分析揭示了四个核心类别:声音定位、耳鸣和噪声敏感性、担心失去对侧耳朵以及生活质量。

结论

我们的结果表明,后天性SSD对听力质量和生活质量的影响是多么强烈和多样,以及CI激活后听力质量和生活质量如何得到改善。我们的数据表明,对正常听力(NH)耳听力损失(HL)的恐惧是语后SSD个体寻求CI治疗的一个重要但迄今被忽视的原因。

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