Henry James A, Piskosz Michael, Norena Arnaud, Fournier Philippe
Veterans Affairs Rehabilitation Research & Development, National Center for Rehabilitative Auditory Research,VA Portland Health Care System, OR.
Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland.
Am J Audiol. 2019 Dec 16;28(4):1059-1064. doi: 10.1044/2019_AJA-19-0070. Epub 2019 Nov 5.
Purpose Although tinnitus is highly prevalent among patients receiving audiology services, audiologists are generally untrained in tinnitus management. Audiology graduate programs, as a rule, do not provide comprehensive instruction in tinnitus clinical care. Training programs that do exist are inconsistent in their recommendations. Furthermore, no standards exist to prevent the delivery of unvetted audiologic services, which can be expensive for patients. Patients seeking professional services by an audiologist, therefore, have no basis upon which to be assured they will receive research-based care. The purpose of this article is to describe the current status of tinnitus management services that exist within the general field of audiology and to suggest specific approaches for improving those services. Conclusion Audiologists may be in the best position to serve as the primary health care providers for patients experiencing tinnitus. Tinnitus care services by audiologists, however, must achieve a level of evidence-based standardization.
目的 尽管耳鸣在接受听力学服务的患者中非常普遍，但听力学家通常未接受过耳鸣管理方面的培训。通常，听力学研究生课程并不提供耳鸣临床护理方面的全面指导。现有的培训项目在其建议方面并不一致。此外，不存在防止提供未经审查的听力学服务的标准，而这些服务对患者来说可能成本高昂。因此，寻求听力学家专业服务的患者没有依据确保他们将获得基于研究的护理。本文的目的是描述听力学一般领域内存在的耳鸣管理服务的现状，并提出改进这些服务的具体方法。结论 听力学家可能最有资格作为耳鸣患者的初级医疗保健提供者。然而，听力学家提供的耳鸣护理服务必须达到基于证据的标准化水平。
