单侧听力损失未助听和助听儿童的主观疲劳。
Subjective Fatigue in Children With Unaided and Aided Unilateral Hearing Loss.
机构信息
Department of Otorhinolaryngology, Radboud University Medical Centre, Nijmegen, the Netherlands.
Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, U.S.A.
出版信息
Laryngoscope. 2023 Jan;133(1):189-198. doi: 10.1002/lary.30104. Epub 2022 Mar 11.
OBJECTIVES
Fatigue is frequently observed in children with chronic diseases and can affect the quality of life (QoL). However, research in children with unilateral hearing loss (UHL) is scarce. Subsequently, no studies investigated the effects of hearing aids on fatigue in children. This study investigates subjective fatigue and hearing-related QoL in children with UHL. Furthermore, it evaluates the influence of hearing aids, subject-specific factors, and respondent-type on subjective fatigue.
STUDY DESIGN
A cross-sectional study was conducted from June 2020 until September 2020 at the department of otorhinolaryngology in a tertiary referral center.
METHODS
The primary outcome was the difference in subjective fatigue and hearing-related QoL between children with unaided UHL, aided UHL, and normal hearing. Subjective fatigue and hearing-related QoL were measured using the Pediatric Quality of Life Inventory™ Multidimensional Fatigue Scale (PedsQL™-MFS) and Hearing Environments and Reflection on Quality of Life (HEAR-QL™) questionnaires.
RESULTS
Along with 36 aided children with UHL, 34 unaided and 36 normal-hearing children were included. Child reports revealed significantly more cognitive fatigue in children with aided UHL than children with normal hearing (median difference 12.5, P = .013). Parents reported more fatigue in children with UHL compared to normal-hearing siblings. Especially children with aided UHL seemed at increased risk for fatigue. Children with UHL scored lower on hearing-related QoL than children with normal hearing. No apparent differences were found in fatigue and QoL between children with unaided and aided UHL.
CONCLUSION
Children with unaided and even aided UHL seem to experience more subjective fatigue and lower hearing-related QoL than children with normal hearing. Prospective longitudinal studies are required to investigate the influence of hearing aids on fatigue and QoL in individual patients.
LEVEL OF EVIDENCE
3 Laryngoscope, 2021 Laryngoscope, 133:189-198, 2023.
目的
疲劳在患有慢性疾病的儿童中很常见，会影响生活质量（QoL）。然而，单侧听力损失（UHL）儿童的研究却很少。因此，尚无研究调查助听器对儿童疲劳的影响。本研究调查了单侧听力损失儿童的主观疲劳和与听力相关的生活质量。此外，还评估了助听器、个体因素和应答者类型对主观疲劳的影响。
研究设计
这是一项在 2020 年 6 月至 9 月在一家三级转诊中心耳鼻喉科进行的横断面研究。
方法
主要结局是未助听单侧听力损失、助听单侧听力损失和正常听力儿童之间的主观疲劳和与听力相关的生活质量差异。使用儿童生活质量量表多维疲劳量表（PedsQL ™ -MFS）和听力环境与生活质量反思问卷（HEAR-QL ™ ）测量主观疲劳和与听力相关的生活质量。
结果
共纳入 36 名助听单侧听力损失儿童、34 名未助听单侧听力损失儿童和 36 名正常听力儿童。儿童报告显示，助听单侧听力损失儿童的认知疲劳明显高于正常听力儿童（中位数差值 12.5，P =.013）。与正常听力的兄弟姐妹相比，父母报告单侧听力损失儿童的疲劳感更严重。尤其是助听单侧听力损失儿童似乎有更高的疲劳风险。单侧听力损失儿童的听力相关生活质量评分低于正常听力儿童。未助听单侧听力损失和助听单侧听力损失儿童的疲劳和生活质量之间未见明显差异。
结论
与正常听力儿童相比，未助听和甚至助听单侧听力损失儿童似乎经历更多的主观疲劳和较低的听力相关生活质量。需要前瞻性纵向研究来调查助听器对个体患者疲劳和生活质量的影响。
证据等级
- 《喉镜》，2021 年；133：189-198.
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