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提高患者对扩音设备的依从性。

Gaining Greater Adherence from Patients for Amplification.

作者信息

Kasewurm Gyl A

机构信息

Dr. Kasewurm's Professional Hearing Services, Ltd., St. Joseph, Michigan.

出版信息

Semin Hear. 2019 Aug;40(3):245-252. doi: 10.1055/s-0039-1693491. Epub 2019 Aug 13.

Abstract

Every audiology curriculum features coursework and clinical practicum experiences on the knowledge and skills necessary to complete a basic audiological evaluation, diagnose the source of any abnormalities, and a plan for intervention. More advanced coursework typically includes information on balance disorders, newborn infant hearing screening, hearing conservation, amplification, and other electrophysiological tests. In addition, most programs include at least one course on the basic management principles on how to start and maintain a private practice in audiology. However, educational programs rarely include any type of coursework on how to handle common objections to obtaining help in the form of amplification. This is rather surprising considering that more than 90% of patients whom an audiologist evaluates have sensory neural hearing loss where the primary treatment is amplification, except for people with severe hearing losses who are candidates for cochlear implants. This lack of training and experience often leaves clinicians intimidated by common objections to treatment involving purchasing amplification. This article will discuss common objections that patients voice each day to obtaining amplification and will offer possible solutions.

摘要

每门听力学课程都包含有关完成基本听力学评估、诊断任何异常来源以及制定干预计划所需知识和技能的课程作业和临床实习经验。更高级的课程作业通常包括有关平衡障碍、新生儿听力筛查、听力保护、放大以及其他电生理测试的信息。此外,大多数课程至少包括一门关于如何在听力学领域开展和维持私人诊所的基本管理原则的课程。然而,教育项目很少包括任何关于如何处理以放大形式获得帮助时常见异议的课程作业。考虑到听力学专家评估的患者中超过90%患有感音神经性听力损失,除了适合人工耳蜗植入的重度听力损失患者外,主要治疗方法是放大,这一点相当令人惊讶。这种培训和经验的缺乏常常使临床医生对涉及购买放大设备的治疗常见异议感到畏惧。本文将讨论患者每天对获得放大设备提出的常见异议,并提供可能的解决方案。

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