Division of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, Utah.
School of Medicine, University of Nevada-Reno, Reno, Nevada.
Otol Neurotol. 2022 Feb 1;43(2):e191-e197. doi: 10.1097/MAO.0000000000003427.
To evaluate factors affecting quality of life (QOL) in caregivers of older cochlear implant (CI) recipients.
Cross-sectional survey.
Academic medical center.
Adults over age 65 receiving CI between July 13, 2000 and April 3, 2019.
Cochlear implantation.
Linear regression models for caregiver QOL measured by Significant Other Scale for Hearing Disability (SOS-HEAR), with independent variables: caregiver role, patient gender, 11 factor modified frailty index (mFI), duration of hearing loss, hearing aid use, age at surgery, time since surgery, change in pure tone average (PTA), processor input type and Nijmegen Cochlear Implant Questionnaire (NCIQ). Correlations between SOS-HEAR and patient speech recognition scores.
Questionnaires were mailed to all 294 living CI recipients. Seventy-one caregivers completed the questionnaire. Only patient gender and mFi were significant predictors of caregiver QOL on both univariate (p ≤ 0.001, β= -20.26 [95% confidence interval -30.21, -10.3]; 0.005, -0.72 [-1.20, -0.23], respectively) and multivariate (p = 0.005, β = -20.09, -33.05 to -7.13; 0.003, -0.93 [-1.50, -0.37]) analysis, where caregivers of female patients with lower mFI (better health) had better QOL scores. Caregiver QOL was significantly associated with patient's change in PTA and self-reported QOL scores on univariate (p = 0.041, β = 0.52 [0.08, 0.96]; 0.024, -0.27 [-0.52, -0.02]) but not multivariate analysis. Time since CI was significant only on multivariate analysis (0.041, -0.17 [-0.33, -0.01]). Caregiver QOL did not correlate with patient speech recognition scores.
Higher QOL scores were found among caregivers of healthier, female CI recipients. Patient hearing measurements did not correspond with better caregiver QOL.
评估影响老年人工耳蜗（CI）接受者照顾者生活质量（QOL）的因素。
横断面调查。
学术医疗中心。
2000 年 7 月 13 日至 2019 年 4 月 3 日期间接受 CI 的 65 岁以上成年人。
人工耳蜗植入。
使用配偶听力残疾量表（SOS-HEAR）测量的照顾者 QOL 的线性回归模型，自变量为：照顾者角色、患者性别、11 项修正脆弱性指数（mFI）、听力损失持续时间、助听器使用、手术年龄、手术时间、纯音平均听阈变化（PTA）、处理器输入类型和奈梅亨人工耳蜗植入问卷（NCIQ）。SOS-HEAR 与患者语音识别评分之间的相关性。
向所有 294 名存活的 CI 接受者邮寄了问卷。71 名照顾者完成了问卷。只有患者性别和 mFI 是照顾者 QOL 的显著预测因子，无论是在单变量（p≤0.001，β=-20.26[95%置信区间-30.21，-10.3]；0.005，-0.72[-1.20，-0.23]）还是多变量分析（p=0.005，β=-20.09，-33.05 至-7.13；0.003，-0.93[-1.50，-0.37]）中，女性患者和 mFI 较低（健康状况较好）的照顾者的 QOL 评分更高。照顾者 QOL 与患者 PTA 的变化和单变量自我报告的 QOL 评分显著相关（p=0.041，β=0.52[0.08，0.96]；0.024，-0.27[-0.52，-0.02]），但在多变量分析中并不相关。CI 后时间仅在多变量分析中具有统计学意义（0.041，-0.17[-0.33，-0.01]）。照顾者 QOL 与患者语音识别评分无关。
在更健康的女性 CI 接受者的照顾者中发现了更高的 QOL 评分。患者的听力测量与更好的照顾者 QOL 不对应。
