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助听器治疗对老年听力损失患者健康相关生活质量的影响。

The effect of hearing aid treatment on health-related quality of life in older adults with hearing loss.

机构信息

Department of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.

Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.

出版信息

Int J Audiol. 2024 Jul;63(7):500-509. doi: 10.1080/14992027.2023.2218994. Epub 2023 Jun 8.

Abstract

OBJECTIVE

To investigate the effect of hearing aid (HA) intervention on long-term health-related quality of life (HRQoL) changes in first-time and experienced HA users using the 15D questionnaire. Secondly, the study explored the relationship between clinical parameters and changes in 15D scores.

DESIGN

A prospective observational study.

STUDY SAMPLE

The study population included 1562 patients (1113 first-time and 449 experienced HA users) referred for HA rehabilitation. All patients responded to the 15D at baseline, two months after HA fitting, and at long-term follow-up (698 ± 298 d).

RESULTS

Among both first-time and experienced HA users, significant improvements in hearing-dimension (15D-3) score were observed at two-month follow-up which sustained at long-term follow-up. 15D total scores significantly decreased at long-term follow-up. Self-reported hearing abilities, word recognition scores, and HA use time were significantly and positively correlated to increased 15D.

CONCLUSIONS

Both groups of HA users reported improved hearing-related QoL after HA treatment which sustained at long-term follow-up but the improvement in total 15D total score did not sustain for either group. The results suggest that HA intervention positively affects hearing-related QoL among older adults with hearing loss, and the findings support the use of 15D as a tool for the evaluation of HA treatment effects.

摘要

目的

使用 15D 问卷探讨助听器(HA)干预对初次使用和有经验的 HA 用户长期健康相关生活质量(HRQoL)变化的影响。其次,研究还探讨了临床参数与 15D 评分变化之间的关系。

设计

前瞻性观察研究。

研究样本

研究人群包括 1562 名(1113 名初次使用和 449 名有经验的 HA 用户)因 HA 康复而接受治疗的患者。所有患者均在基线、佩戴 HA 后两个月和长期随访(698±298 天)时回答了 15D 问卷。

结果

初次使用和有经验的 HA 用户在佩戴 HA 后两个月时听力维度(15D-3)评分显著提高,且在长期随访时仍保持这种改善。15D 总评分在长期随访时显著降低。自我报告的听力能力、单词识别评分和 HA 使用时间与 15D 的增加呈显著正相关。

结论

两组 HA 用户在 HA 治疗后均报告听力相关生活质量得到改善,且在长期随访时仍保持改善,但两组的 15D 总评分改善并未持续。研究结果表明,HA 干预对听力损失老年人的听力相关生活质量有积极影响,同时支持使用 15D 作为评估 HA 治疗效果的工具。

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