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老年听力损失患者的社会隔离及其影响因素:一项横断面研究。

Social isolation and its influencing factors among age-related hearing loss patients: A cross-sectional study.

机构信息

College of Nursing, Chungnam National University, Daejeon, Republic of Korea.

College of Nursing, Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea.

出版信息

Medicine (Baltimore). 2024 Jan 26;103(4):e36766. doi: 10.1097/MD.0000000000036766.

Abstract

Hearing loss is considered one of the most common symptoms of aging worldwide, and age-related hearing loss is one of the three major chronic illnesses that affect older adults. This study examined social isolation among age-related hearing loss patients and its influencing factors. This cross-sectional descriptive study collected data from older adults with hearing loss from March 2019 to February 2020 at a university hospital. Social isolation, subjective hearing handicap, and communication-related life satisfaction were measured using a structured questionnaire. Objective hearing function was evaluated using an audiometer (Madsen Asterao 2). The independent t test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used for reporting this study. Almost half (49.9%) of 203 age-related hearing loss patients aged 60 to 92, with a mean age of 71.6 ± 7.95 years, experienced social isolation. Factors predicting social isolation were communication-related life satisfaction (P < .001), religiosity (P = 001), experience using hearing aids (P = .006), and subjective hearing handicap (P = .047). The explanatory power of the model was 58.2%. Interventions to reduce social isolation among age-related hearing loss patients should be implemented in an effort to develop effective, appropriate, and comprehensive strategies targeting this high-risk group.

摘要

听力损失被认为是全球最常见的衰老症状之一,与年龄相关的听力损失是影响老年人的三大慢性疾病之一。本研究调查了与年龄相关的听力损失患者的社会隔离及其影响因素。这项横断面描述性研究于 2019 年 3 月至 2020 年 2 月期间在一所大学医院收集了听力损失的老年患者的数据。使用结构化问卷测量社会隔离、主观听力障碍和与交流相关的生活满意度。使用听力计(Madsen Asterao 2)评估客观听力功能。使用独立 t 检验、单因素方差分析和多元线性回归分析来分析数据。使用加强观察性研究报告的生态学清单来报告这项研究。在 203 名年龄在 60 至 92 岁、平均年龄为 71.6±7.95 岁的与年龄相关的听力损失患者中,近一半(49.9%)经历了社会隔离。预测社会隔离的因素包括与交流相关的生活满意度(P<.001)、宗教信仰(P=001)、使用助听器的经验(P=0.006)和主观听力障碍(P=0.047)。该模型的解释力为 58.2%。应实施干预措施,以减少与年龄相关的听力损失患者的社会隔离,努力为这一高风险群体制定有效、适当和全面的策略。

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