成人语后极重度感音神经性聋患者人工耳蜗植入前后的健康相关生活质量。
Health-related quality of life in adults with profound postlingual hearing loss before and after cochlear implantation.
机构信息
Rehabilitation Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Department of Special Education, The Maria Grzegorzewska University, Szczęśliwicka 40, 02-353, Warszawa, Poland.
出版信息
Eur Arch Otorhinolaryngol. 2021 Sep;278(9):3393-3399. doi: 10.1007/s00405-021-06866-7. Epub 2021 Jun 8.
PURPOSE
In clinical trials and everyday medical practice, health-related quality of life (HRQoL) measures are increasingly being used. That is, in addition to the usual biological health assessment, the impact of disease and treatment on the patient's functioning in the physical, mental, and social areas is an important parameter. The aim of this study was to assess HRQoL before and after using a cochlear implant (CI) in adults with profound hearing loss.
METHODS
There were 104 patients who qualified for the study. All gave informed and free consent. The study involved adults with bilateral hearing loss above 81 dB HL and rated according to the World Health Organization (WHO) classification scheme as having profound hearing loss (which includes deafness). In each participant, the hearing loss was postlingual, that is, it occurred after speech and language had developed. The assessment of quality of life (AQoL-8D) questionnaire was used to assess the health-related quality of life in the study participants.
RESULTS
Quality of life significantly increased (p < 0.001) after cochlear implantation in almost all domains (except the pain dimension). The mean increase in overall quality of life was 0.16, the greatest improvement was found in the dimensions senses (mean change of 0.17) and self-worth (mean change of 0.16).
CONCLUSION
Cochlear implantation improves the health-related quality of life of the postlingually deaf.
目的
在临床试验和日常医疗实践中，越来越多地使用健康相关生活质量（HRQoL）的衡量标准。也就是说，除了通常的生物学健康评估之外，疾病和治疗对患者在身体、心理和社会方面的功能的影响也是一个重要的参数。本研究的目的是评估成人重度听力损失患者使用人工耳蜗植入（CI）前后的 HRQoL。
方法
共有 104 名符合研究条件的患者。所有患者均给予知情和自由同意。该研究涉及双侧听力损失超过 81dB HL 的成年人，根据世界卫生组织（WHO）分类方案，他们被归类为患有重度听力损失（包括耳聋）。在每个参与者中，听力损失是后天性的，也就是说，它发生在言语和语言发展之后。使用 AQoL-8D 问卷评估研究参与者的健康相关生活质量。
结果
人工耳蜗植入后，几乎所有领域（疼痛维度除外）的生活质量都显著提高（p<0.001）。整体生活质量的平均提高为 0.16，感觉维度（平均变化 0.17）和自我价值维度（平均变化 0.16）的改善最大。
结论
人工耳蜗植入术可改善后天性聋患者的健康相关生活质量。
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