Rocha Larissa Veloso, Martinelli Maria Cecília
Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.
Departamento de Fonoaudiologia, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.
Codas. 2020 Feb 3;32(2):e20180259. doi: 10.1590/2317-1782/20192018259. eCollection 2020.
To verify the effects of cognition on the benefit obtained with the use of hearing aids and on the quality of life of elderly people with hearing loss.
17 elderly people with moderate sensorineural hearing loss (SNHL) bilateral were evaluated. The elderly people were divided into two groups according to the results of 10-point cognitive screening 10-CS: G1- seven elderly people without change and G2-10 elderly people with a suggestive result of cognitive alteration. Study protocol: self-evaluation questionnaire - (Hearing Handicap Inventory for the Elderly (HHIE)), geriatric depression scale (GDS), quality of life questionnaire - (Short-Form 36 (SF36)) and evaluation of the listening effort through the Visual Analogue Scale (VAS). After the evaluation, the elderly people received hearing aids. After three months of effective amplification, the protocol was reapplied with the inclusion of the International Questionnaire for the Evaluation of Hearing Aids - (IOI-HA).
The sample was characterized according to age, schooling, Critério de Classificação Econômico Brasil Associação Brasileira das Empresas de Pesquisa (ABEP), degree of loss, Índice Percentual de Reconhecimento da Fala (IPRF) and Speech Intelligibility Index (SII) of the ear with better audibility. The statistical study revealed that there was significant difference only in relation to age. The comparative study before and after the intervention revealed a significant improvement in the 10-CS scores in the group G2, in the participation restriction - HHIE, in the listening effort and in some areas of the SF36. There was no difference in QI-AASI between groups second the factor 1, factor 2 and Total Score.
There was improvement of the quality of life after three months of amplification use. There was no effect of cognition on the benefit obtained with the use of hearing aids.
验证认知对使用助听器所获益处以及对老年听力损失患者生活质量的影响。
对17名双侧中度感音神经性听力损失（SNHL）的老年人进行评估。根据10分认知筛查（10-CS）结果将老年人分为两组：G1组-7名认知无变化的老年人，G2组-10名有认知改变提示结果的老年人。研究方案：自我评估问卷-（老年人听力障碍量表（HHIE））、老年抑郁量表（GDS）、生活质量问卷-（简明健康状况调查量表（SF36））以及通过视觉模拟量表（VAS）评估听力努力程度。评估后，老年人佩戴助听器。有效放大三个月后，重新应用该方案，并纳入助听器评估国际问卷-（IOI-HA）。
根据年龄、受教育程度、巴西经济分类标准巴西企业研究协会（ABEP）、听力损失程度、较好听力耳的言语识别率百分比（IPRF）和言语可懂度指数（SII）对样本进行特征描述。统计学研究表明仅在年龄方面存在显著差异。干预前后的对比研究显示，G2组在10-CS评分、参与限制-HHIE、听力努力以及SF36的某些领域有显著改善。根据因素1、因素2和总分，两组之间的听觉辅助器具使用满意度问卷（QI-AASI）无差异。
使用助听器放大三个月后生活质量有所改善。认知对使用助听器所获益处没有影响。
