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听力损失个体对听力困难的自我认知与生活质量

Self-Perception of Hearing Difficulties and Quality of Life in Individuals with Hearing Loss.

作者信息

de Andrade Adriana Neves, Soares Andrea, Skarzynska Magdalena Beata, Skarzynski Piotr Henryk, Sanfins Milaine Dominici, Gil Daniela

机构信息

Departamento de Fonoaudiologia, Universidade Federal de São Paulo, São Paulo 04023-062, Brazil.

Departamento de Audiologia, Clínica Fonotom, São Paulo 01228-200, Brazil.

出版信息

Audiol Res. 2022 Sep 29;12(5):527-538. doi: 10.3390/audiolres12050053.

Abstract

OBJECTIVES

To characterize the results of the Short Form Health Survey-36 (SF-36), Abbreviated Profile of Hearing Aid Benefit (APHAB), and the Hearing Handicap Inventory for Adults (HHIA) questionnaires in individuals with mild to moderate sensorineural hearing loss and compare them with brainstem auditory evoked potentials (BAEPs).

METHODS

There were 26 individuals with mild to moderate bilateral symmetrical sensorineural hearing loss who participated in the study. They were aged between 13 and 59 years old, right-hand preference, of both sexes, and were assigned to one of two groups according to the result of a BAEP test: normal ( = 16) or altered ( = 10). All subjects underwent a brief, cognitive screening battery and answered the SF-36, APHAB, and HHIA self-assessment questionnaires. For analysis of results, descriptive measures and inferential analysis were used.

RESULTS

On the SF-36 questionnaire, scores below 80 points were found in both groups, signifying minimal impact in the domains of pain, general health, vitality, and mental health compared to the other domains. The results of the APHAB questionnaire showed worse scores on the environmental noise subscale, and evaluation with the HHIA revealed a perception of severe restriction in participation in daily life activities. In a comparison between the groups, normal or abnormal BAEPs, no significant differences were found for any of the questionnaires.

CONCLUSIONS

The results of the self-assessment questionnaires indicate that individuals with hearing loss can experience reduced quality of life, with limitations and restrictions for participation in daily living. The use of BAEPs as a criterion for dividing the groups was not effective in isolating the central component in the results of the self-assessment questionnaires.

摘要

目的

对轻度至中度感音神经性听力损失患者的简明健康调查量表-36(SF-36)、助听器效益简表(APHAB)及成人听力障碍量表(HHIA)问卷结果进行特征描述,并将其与脑干听觉诱发电位(BAEP)进行比较。

方法

26例轻度至中度双侧对称性感音神经性听力损失患者参与本研究。他们年龄在13至59岁之间,惯用右手,男女皆有,并根据BAEP测试结果分为两组:正常组(n = 16)或异常组(n = 10)。所有受试者均接受了简短的认知筛查,并回答了SF-36、APHAB和HHIA自我评估问卷。结果分析采用描述性测量和推断性分析。

结果

在SF-36问卷中,两组得分均低于80分,这表明与其他领域相比,疼痛、总体健康、活力和心理健康领域受到的影响最小。APHAB问卷结果显示,环境噪声子量表得分较差,HHIA评估显示在参与日常生活活动方面存在严重受限的认知。在两组之间进行比较,即BAEP正常或异常组,各问卷均未发现显著差异。

结论

自我评估问卷结果表明,听力损失患者的生活质量可能会下降,在参与日常生活方面存在限制。使用BAEP作为分组标准并不能有效地分离自我评估问卷结果中的核心因素。

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