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基于互联网/智能手机的耳鸣治疗应用:系统评价。

Internet/smartphone-based applications for the treatment of tinnitus: a systematic review.

机构信息

Research Officer (Audiology), All India Institute of Speech and Hearing, Manasagangothri, Mysuru, 570 006, India.

出版信息

Eur Arch Otorhinolaryngol. 2020 Mar;277(3):649-657. doi: 10.1007/s00405-019-05743-8. Epub 2019 Dec 5.

Abstract

INTRODUCTION

Most of the individuals suffering from tinnitus report of negative effects on their lives to the extent that clinical intervention is necessary. Although traditional tinnitus management has proven to be effective in treating tinnitus, there are a few drawbacks. The major drawback is the lack of professionals for the treatment of tinnitus, especially in remote areas. Considering the growing usage of the internet as a platform for availing treatment, there is a requirement for the development of applications in the health care sector. Recent search related to tinnitus treatment revealed that more than 200 applications are available online in the most popular platforms like Android and iOS. However, most of the applications for the treatment of tinnitus lack validation, and thus, there is a need for research on this ground.

METHOD

Five studies evaluating the efficacy of Internet/app delivered tinnitus treatments were identified. The treatment forms included were Tinnitus E-program, Mobile serious game, Tinnitus web-based sound therapy, and Tailor-made notch music therapy delivered through a smart phone.

RESULTS

Each study used a variety of standardized and validated questionnaires to measure the outcome of the treatment. The outcome measures were diverse, but both Internet/app-based and traditional methods like Tinnitus Retraining Therapy, Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy had similar improvements in terms of tinnitus distress and quality of life.

CONCLUSION

It can be construed that the development of tinnitus treatment applications and web-based platforms will have a significant impact on the normal life of individuals with tinnitus.

摘要

简介

大多数患有耳鸣的个体报告称,耳鸣对他们的生活产生了负面影响,以至于需要进行临床干预。尽管传统的耳鸣管理已被证明对治疗耳鸣有效,但仍存在一些缺点。主要缺点是缺乏治疗耳鸣的专业人员,特别是在偏远地区。考虑到互联网作为提供治疗的平台的使用越来越多,医疗保健部门需要开发应用程序。最近与耳鸣治疗相关的搜索显示,在最受欢迎的平台(如 Android 和 iOS)上,有 200 多个应用程序可在线用于治疗耳鸣。然而,大多数耳鸣治疗应用程序缺乏验证,因此需要对此进行研究。

方法

确定了五项评估互联网/应用程序提供的耳鸣治疗效果的研究。所采用的治疗形式包括耳鸣 E 程序、移动严肃游戏、基于网络的耳鸣声音疗法和通过智能手机提供的定制凹口音乐疗法。

结果

每项研究都使用了各种标准化和经过验证的问卷来衡量治疗效果。这些衡量标准各不相同,但基于互联网/应用程序的方法,如耳鸣再训练疗法、认知行为疗法和接受与承诺疗法,与传统方法一样,在耳鸣困扰和生活质量方面都有类似的改善。

结论

可以推断,耳鸣治疗应用程序和基于网络的平台的开发将对耳鸣患者的正常生活产生重大影响。

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