Amsterdam UMC Location Vrije Universiteit Amsterdam, Ophthalmology, Amsterdam, The Netherlands.
Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands.
PLoS One. 2023 Sep 8;18(9):e0272890. doi: 10.1371/journal.pone.0272890. eCollection 2023.
Individuals with dual sensory loss (DSL) appear to have limited ability to compensate for their visual impairment with residual hearing, or for their hearing impairment with residual vision, resulting in challenges in various areas of life. The aim of this qualitative study was to explore the diverse experiences facing individuals with DSL as well as to determine how they experience sensory compensation. Semi-structured interviews were carried out in twenty adults with DSL (13 females and 7 males, mean age 47 years). The causes of DSL severity varied amongst participants. Sensory compensation and experiences in regards to access to information, mobility, communication and fatigue were discussed. Interviews were audio recorded and transcribed verbatim. Framework analysis was used to summarize and interpret the data. In relation to access to information, our results show that, despite various challenges, the use of assistive technology such as voice command functions, enabled participants to operate effectively. Regarding mobility, most participants were capable of finding their way in familiar environments. However, if the setting was unfamiliar, assistance from others or reliance on navigation applications was necessary. Participants experienced little issues with having conversations in quiet settings, however, crowded settings were considered very difficult. The final results showed that most participants suffered from fatigue. Carefully considering which daily activities were feasible and having a daily routine helped to cope with fatigue. This study revealed the experiences of individuals with DSL in important areas of life. The results suggest that, even though many challenges are experienced, individuals with DSL are resourceful in finding compensation strategies. However, capturing participants' sensory compensation experiences was challenging.
具有双重感觉损失 (DSL) 的个体似乎无法有效地利用残余听力来弥补视力障碍,或利用残余视力来弥补听力障碍,从而导致生活的各个领域都面临挑战。本定性研究旨在探索具有 DSL 的个体所面临的各种体验,并确定他们如何体验感觉补偿。对 20 名具有 DSL 的成年人(13 名女性和 7 名男性,平均年龄 47 岁)进行了半结构化访谈。参与者的 DSL 严重程度原因各不相同。讨论了感觉补偿以及在信息获取、移动性、沟通和疲劳方面的体验。采访进行了录音,并逐字转录。使用框架分析对数据进行总结和解释。关于信息获取,我们的结果表明,尽管存在各种挑战,但使用语音命令等辅助技术,使参与者能够有效地操作。关于移动性,大多数参与者能够在熟悉的环境中找到自己的路。然而,如果环境不熟悉,就需要他人的帮助或依赖导航应用程序。参与者在安静的环境中进行对话时几乎没有问题,但在拥挤的环境中则非常困难。最终结果表明,大多数参与者都感到疲劳。仔细考虑哪些日常活动是可行的,并制定日常计划有助于应对疲劳。这项研究揭示了具有 DSL 的个体在生活重要领域的体验。结果表明,尽管面临许多挑战,但具有 DSL 的个体在寻找补偿策略方面很有办法。然而,捕捉参与者的感官补偿体验具有挑战性。