Nordvik Øyvind, Laugen Heggdal Peder O, Brännström Jonas, Vassbotn Flemming, Aarstad Anne Kari, Aarstad Hans Jørgen
3Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.
1Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.
BMC Ear Nose Throat Disord. 2018 Jan 22;18:1. doi: 10.1186/s12901-018-0051-6. eCollection 2018.
To the best of our knowledge, no empirically based consensus has been reached as to if, and to what extent, persons with hearing loss (HL) have reduced generic Quality of life (QoL). There seems to be limited knowledge regarding to what extent a hearing aid (HA) would improve QoL. The main aim of the present study was to review studies about the relationship between HL and QoL. A supporting aim was to study the association between distress and HL.
Literature databases (Cinahl, Pub Med and Web of Science) were searched to identify relevant journal articles published in the period from January 2000 to March 17, 2016. We performed a primary search pertaining to the relationship between HL, HA and QoL (search number one) followed by a supporting search pertaining to the relationship between distress/mood/anxiety and HL (search number two). After checking for duplications and screening the titles of the papers, we read the abstracts of the remaining papers. The most relevant papers were read thoroughly, leaving us with the journal articles that met the inclusion criteria.
Twenty journal articles were included in the present review: 13 were found in the primary search (HL and QoL), and seven in the supporting search (HL and distress). The literature yields equivocal findings regarding the association between generic QoL and HL. A strong association between distress and HL was shown, where distressed persons tend to have a lowered generic QoL. It is suggested that QoL is lowered among HL patients. Some studies suggest an increased generic QoL following the use of HA, especially during the first few months after initiation of treatment. Other studies suggest that HA use is one of several possible factors that contribute to improve generic QoL.
The majority of the studies suggest that HL is associated with reduced generic QoL. Using hearing aids seem to improve general QoL at follow-up within the first year. HL is a risk factor for distress. Further research is needed to explore the relationship between HL and generic QoL, in addition to the importance of influencing variables on this relationship.
据我们所知,关于听力损失(HL)患者的总体生活质量(QoL)是否以及在多大程度上有所降低,尚未达成基于实证的共识。关于助听器(HA)能在多大程度上改善生活质量,人们的了解似乎有限。本研究的主要目的是回顾关于HL与QoL之间关系的研究。一个辅助目的是研究痛苦与HL之间的关联。
检索文献数据库(护理学与健康领域数据库、医学期刊数据库和科学引文索引数据库),以识别2000年1月至2016年3月17日期间发表的相关期刊文章。我们先进行了一项关于HL、HA与QoL之间关系的初步检索(检索一),随后进行了一项关于痛苦/情绪/焦虑与HL之间关系的辅助检索(检索二)。在检查重复项并筛选论文标题后,我们阅读了其余论文的摘要。对最相关的论文进行了深入阅读,最终确定了符合纳入标准的期刊文章。
本综述纳入了20篇期刊文章:13篇在初步检索(HL与QoL)中找到,7篇在辅助检索(HL与痛苦)中找到。关于总体QoL与HL之间的关联,文献得出了模棱两可的结果。研究表明痛苦与HL之间存在密切关联,痛苦的人总体生活质量往往较低。这表明HL患者的生活质量有所降低。一些研究表明,使用HA后总体生活质量有所提高,尤其是在开始治疗后的头几个月。其他研究表明,使用HA是有助于提高总体生活质量的几个可能因素之一。
大多数研究表明,HL与总体生活质量降低有关。使用助听器似乎能在第一年的随访中改善总体生活质量。HL是痛苦的一个风险因素。除了影响这种关系的变量的重要性之外,还需要进一步研究来探索HL与总体生活质量之间的关系。