Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China.
Department of Otolaryngology Head and Neck Surgery, The Affiliated Hefei Hospital of Anhui Medical University, Hefei 230011, China.
J Healthc Eng. 2022 Mar 26;2022:1770580. doi: 10.1155/2022/1770580. eCollection 2022.
The objective is to assess the benefit of cochlear implants in health-related quality of life among postlingually deaf adults in China.
Seventy-one postlingually deaf adult cochlear implant users in one cochlear implant center in China participated in this study. The HUI3 questionnaire as a measurement evaluated their quality of life. A cross-sectional analysis was conducted.
Cochlear implant had made statistically significant improvements in quality of life among postlingually deaf adults. The HUI3 scores were significantly better in four attributes (hearing, speech, emotion, and pain) after a cochlear implant. A positive correlation between change in hearing and improvement in emotion was significant. The change in pain and improvement in emotion also had a positive correlation. The duration of HA and CI use had no impact on the gain in HUI3 scores, and the baseline of hearing and emotion state had an influence on HUI3 gain.
This study found cochlear implant users had a greatly improved hearing, speech, emotion, and pain, which made statistically significant improvement in quality of life among postlingually deaf adults. There was a statistically significant association between the change of emotion state and improvement in hearing level. We also found a statistically significant correlation between the reduction of feeling in pain and improvement in emotion. The change of quality of life seemed to be influenced by the primary state of emotion and hearing. We believe the measurement HUI3 is suitable for these patients in China.
评估人工耳蜗植入术对中国成年语后聋患者健康相关生活质量的益处。
本研究纳入了中国一家人工耳蜗植入中心的 71 名成年语后聋人工耳蜗植入使用者。采用 HUI3 问卷评估他们的生活质量，进行了横断面分析。
人工耳蜗植入术使成年语后聋患者的生活质量在统计学上有显著改善。在植入人工耳蜗后，四个属性（听觉、言语、情感和疼痛）的 HUI3 评分显著提高。听力变化与情感改善之间存在显著的正相关。疼痛变化与情感改善之间也存在正相关。人工耳蜗使用时间的长短对 HUI3 评分的提高没有影响，而听力和情感状态的基线对 HUI3 评分的提高有影响。
本研究发现人工耳蜗植入使用者的听觉、言语、情感和疼痛有了极大改善，使成年语后聋患者的生活质量在统计学上有显著提高。情感状态的变化与听力水平的提高之间存在统计学显著关联。我们还发现疼痛减轻与情感改善之间存在统计学显著相关性。生活质量的变化似乎受到情感和听力的初始状态的影响。我们认为 HUI3 测量方法适用于中国的这些患者。
