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佩戴助听器对轻度听力损失成年人健康相关生活质量的影响。

Effects of Receiving Hearing Aids on Health-Related Quality of Life in Adults With Mild Hearing Loss.

作者信息

Zahl Sverre Morten

机构信息

Department of Otorhinolaryngology, Aalesund Hospital, Aalesund, Norway.

出版信息

J Audiol Otol. 2023 Jan;27(1):24-29. doi: 10.7874/jao.2022.00227. Epub 2023 Jan 10.

Abstract

BACKGROUND AND OBJECTIVES

Hearing aid (HA) use is a common rehabilitation method for people with hearing loss. This study aimed to investigate whether the use of HA will advance the health-related quality of life (HRQoL). Subjects and.

METHODS

Patients referred to a public audiological department in Norway were invited to participate in this pre-post interventional study. The RAND-SF-36, a generic HRQoL questionnaire, was administered to the participants before and three months after HA fitting. Changes in HRQoL dimensions were analyzed for the whole group and for subgroups based on sex, age, and presence of tinnitus.

RESULTS

A total of 202 adults (109 men; mean age, 66.68 years [SD=10.92]) were included in the study. After a mean observation time of 91.63 days (SD=45.61), pain and general health significantly improved. Women aged ≥70 years without tinnitus improved in social functioning, while men aged <70 years with tinnitus improved in general health.

CONCLUSIONS

Adults with mild hearing loss reported better general health and less bodily pain three months after HA fitting than before. The patient subgroups reported improved general health and social functioning. However, causation remains uncertain because of methodological limitations. A randomized, controlled trial with a longer follow-up time could clarify such issues.

摘要

背景与目的

使用助听器是听力损失患者常用的康复方法。本研究旨在调查使用助听器是否会提高健康相关生活质量(HRQoL)。受试者与……

方法

邀请转诊至挪威一家公共听力学科室的患者参与这项干预前后的研究。在助听器验配前及验配后三个月,对参与者使用通用的HRQoL问卷——兰德36项健康调查简表(RAND-SF-36)进行评估。基于性别、年龄和耳鸣情况,分析了全组以及各亚组HRQoL维度的变化。

结果

共有202名成年人(109名男性;平均年龄66.68岁[标准差=10.92])纳入本研究。平均观察时间为91.63天(标准差=45.61)后,疼痛和总体健康状况显著改善。≥70岁无耳鸣的女性在社会功能方面有所改善,而<70岁有耳鸣的男性在总体健康方面有所改善。

结论

轻度听力损失的成年人在助听器验配三个月后报告的总体健康状况优于验配前,身体疼痛也更少。各患者亚组报告总体健康和社会功能有所改善。然而,由于方法学上的局限性,因果关系仍不确定。一项随访时间更长的随机对照试验可能会阐明此类问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4b2/9884990/b58c1b5f2137/jao-2022-00227f1.jpg

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