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全科医生在管理与年龄相关的听力损失中的作用:范围综述。

The Role of the General Practitioner in Managing Age-Related Hearing Loss: A Scoping Review.

机构信息

Department of Audiology and Speech Pathology, The University of Melbourne, Parkville, Victoria, Australia.

Ear Science Institute Australia, Subiaco, Western Australia.

出版信息

Am J Audiol. 2020 Jun 8;29(2):265-289. doi: 10.1044/2020_AJA-19-00090. Epub 2020 May 28.

Abstract

Purpose The purpose of this review was to examine the research activity relating to the role of the general practitioner (GP) in managing age-related hearing loss in older adults. Method A literature search of peer-reviewed journal articles published in English was conducted in online bibliographic databases using multiple variations of the keywords "general practitioner" and "hearing." Results The search strategy identified 3,255 articles. The abstracts of all articles were screened with 124 full-text records subsequently assessed for eligibility. Forty-nine articles met the inclusion criteria and were included in this review. Conclusions For people with hearing loss, the GP can play an instrumental role in guiding appropriate and timely choices for addressing hearing concerns. There are a range of quick, easy, and sensitive methods available to GPs to assist the objective evaluation of hearing. The evidence suggests that implementing hearing screening programs targeting older adults will increase rates of hearing loss detection and subsequently increase the number of patients receiving hearing loss intervention. Education and training appear key to improving GPs' screening, management, and referral of patients with hearing loss in the primary health care setting.

摘要

目的

本综述旨在考察全科医生(GP)在管理老年人群与年龄相关的听力损失方面的作用的研究活动。

方法

在在线书目数据库中,使用“全科医生”和“听力”的多种变体,对英文同行评审期刊文章进行了文献检索。

结果

检索策略确定了 3255 篇文章。对所有文章的摘要进行了筛选,随后对 124 篇全文记录进行了评估,以确定其是否符合纳入标准。有 49 篇文章符合纳入标准,并纳入本综述。

结论

对于有听力损失的人来说,全科医生可以在指导解决听力问题的适当和及时选择方面发挥重要作用。全科医生有一系列快速、简单和敏感的方法可用于协助听力的客观评估。有证据表明,实施针对老年人的听力筛查计划将提高听力损失检测率,从而增加接受听力损失干预的患者数量。教育和培训似乎是提高全科医生在初级保健环境中筛查、管理和转介听力损失患者的关键。

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