与年龄相关性听力损失患者助听器效率相关的因素。
Factors associated with the efficiency of hearing aids for patients with age-related hearing loss.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China,
Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China,
出版信息
Clin Interv Aging. 2019 Feb 26;14:485-492. doi: 10.2147/CIA.S190651. eCollection 2019.
OBJECTIVE
The aim of this study was to investigate the satisfaction of age-related hearing loss (ARHL) or presbycusis patients with individual, accurate, and precise fitting progress, which is a priority for bilateral hearing aids, and to explore the related influencing factors and their role in predicting the efficiency of hearing aids.
METHODS
A total of 73 cases of presbycusis patients aged 60-95 years old underwent pure tone audiometry and speech recognition ability examination to obtain the pure tone audiometry of the better ear (BPTA) and maximum speech recognition rate of the better ear (BSRR) in quiet environment before hearing aid fitting. Audiologists evaluated the efficiency and satisfaction of participants according to the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire scores by face-to-face or telephone investigations after using the hearing aids for at least 3 months. The data were analyzed related to possible influencing factors.
RESULTS
Total satisfaction percentage according to IOI-HA scores was 86.3%. There was no significant correlation between age, first fitting age, unilateral or bilateral hearing aids, BPTA, and IOI-HA total score. BSRR was strongly correlated to total IOI-HA scores (=0.768). According to the multiple linear regression analysis, BPTA and BSRR both had a statistically significant effect on the total IOI-HA scores after hearing aid intervention.
CONCLUSION
ARHL patients with accurate hearing aid fitting will have high satisfaction and bilateral hearing aids are better than unilateral ones. Age and first fitting age are not meaningful to satisfaction with hearing aids. A higher maximum speech recognition rate before hearing aids fitting could predict better efficiency and satisfaction with hearing aids. Therefore, completing speech recognition ability examination before fitting would make a great contribution to the efficiency of hearing aids, and help ARHL patients have realistic expectations.
目的
本研究旨在探讨年龄相关性听力损失（ARHL）或老年性聋患者对个体化、准确和精确的适配进展的满意度，这是双侧助听器的首要任务，并探讨相关影响因素及其在预测助听器效果中的作用。
方法
共有 73 例 60-95 岁老年性聋患者接受纯音测听和言语识别能力检查，以获得助听器适配前较好耳的纯音听阈（BPTA）和安静环境下较好耳的最大言语识别率（BSRR）。听力学家通过面对面或电话调查，在使用助听器至少 3 个月后，根据国际助听器效果问卷（IOI-HA）评分评估参与者的效果和满意度。分析可能的影响因素相关数据。
结果
根据 IOI-HA 评分，总满意度百分比为 86.3%。年龄、首次适配年龄、单侧或双侧助听器、BPTA 与 IOI-HA 总分均无显著相关性。BSRR 与 IOI-HA 总分呈强相关（=0.768）。根据多元线性回归分析，BPTA 和 BSRR 对助听器干预后的总 IOI-HA 评分均有统计学意义。
结论
准确的助听器适配会使 ARHL 患者满意度较高，双侧助听器优于单侧助听器。年龄和首次适配年龄对助听器满意度没有意义。助听器适配前的最大言语识别率越高，可预测助听器效果越好。因此，在适配前完成言语识别能力检查将对助听器的效果有很大贡献，并帮助 ARHL 患者建立现实的期望。
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