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探讨突发性听力损失后的生活质量:汇聚平行方法。

Exploring quality of life post sudden onset hearing loss: A convergent parallel approach.

机构信息

Department of Audiology, Faculty of Humanities, University of the Witwatersrand, Johannesburg.

出版信息

S Afr J Commun Disord. 2024 Feb 16;71(1):e1-e7. doi: 10.4102/sajcd.v71i1.990.

DOI:10.4102/sajcd.v71i1.990
PMID:38426735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10912990/
Abstract

BACKGROUND

Sudden onset hearing loss (SOHL) is rare and presents differently to individuals; hence, it is complex to diagnose. The impact on the quality of life (QoL) varies for individuals and their support structure. However, the exploration of research designs is warranted.

OBJECTIVES

This study explored the lived experiences of adults post-SOHL diagnosis and the impact on the QoL. Facilitators of emotional and social aspects of counselling provided by audiologists post-SOHL diagnosis were established.

METHOD

This was a convergent parallel research study. Data were collected from the two primary participants and three secondary participants, face-to-face and telephonically. The Hearing Handicap Inventory for Adults (HHIA) screening tool and the semi-structured interviews were used for data collection. The data sets were analysed independently, viz. descriptive analysis and thematic analysis, to confirm the impact on the QoL post-SOHL diagnosis.

RESULTS

The HHIA scores obtained were 84% and 50% for P1 and P2, respectively. Key themes that emerged from the interviews revealed that communication difficulties mostly impacted the QoL, which in turn influenced their mental and social well-being. Aural rehabilitation was perceived as ineffective support, thus the inability to reduce the impact on the QoL post-SOHL diagnosis.

CONCLUSION

The integrated findings indicated the impact on the QoL post-SOHL diagnosis. Convergent parallel methods should be considered by researchers to understand rare auditory pathologies and their impact on the QoL.Contribution: Person-centred care (PCC) and family-centred care (FCC) are facilitators of counselling that audiologists can employ as QoL management strategies post-SOHL diagnosis.

摘要

背景

突发性聋(SOHL)较为罕见,其表现因人而异,因此诊断较为复杂。对生活质量(QoL)的影响因个体及其支持结构而异。但是,有必要探讨研究设计。

目的

本研究探讨了 SOHL 诊断后成年人的生活体验及其对 QoL 的影响。确定了 SOHL 诊断后听力学家提供咨询的情感和社会方面的促进因素。

方法

这是一项汇聚平行研究。数据是通过两名主要参与者和三名次要参与者面对面和电话收集的。使用成人听力障碍问卷(HHIA)筛查工具和半结构化访谈进行数据收集。数据集分别进行分析,即描述性分析和主题分析,以确认 SOHL 诊断后对 QoL 的影响。

结果

P1 和 P2 的 HHIA 评分分别为 84%和 50%。访谈中出现的主要主题表明,沟通困难对 QoL 的影响最大,这反过来又影响了他们的心理和社会福祉。听觉康复被认为是无效的支持,因此无法减轻 SOHL 诊断后对 QoL 的影响。

结论

综合研究结果表明,SOHL 诊断后对 QoL 有影响。研究人员应考虑采用汇聚平行方法来了解罕见的听觉病理学及其对 QoL 的影响。贡献:以人为本的护理(PCC)和以家庭为中心的护理(FCC)是听力学家可以在 SOHL 诊断后作为 QoL 管理策略采用的咨询促进因素。

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Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.新冠疫情期间的突发性感音神经性听力损失:一项系统综述与荟萃分析
Diagnostics (Basel). 2022 Dec 12;12(12):3139. doi: 10.3390/diagnostics12123139.
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Contributing factors to high prevalence of hearing impairment in the Elias Motsoaledi Local Municipal area, South Africa: A rural perspective.南非伊莱亚斯·莫措阿莱迪地方市辖区听力障碍高患病率的促成因素:乡村视角
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