Aggarwal Komal, Ravi Rohit, Yerraguntla Krishna
Department of Audiology and Speech-Language Pathology, Amity Medical School, Amity University, Haryana, India.
Department of Audiology and Speech-Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):314-321. doi: 10.1007/s12070-023-04153-x. Epub 2023 Aug 30.
Self-esteem is important for decision making, emotional health, and overall well-being. In individuals with hearing loss (HL), self-esteem may vary due to degree of HL, hearing devices, academic set-ups and communication strategies used by family members. This study aimed to systematically review the impact of hearing loss on self-esteem.
A systematic search was conducted to identify the studies focusing on self-esteem of the individuals with HL. Four electronic databases, PubMed, Scopus, Embase, and CINAHL, were used. Title screening and abstract reading were performed by two independent authors. Appropriate studies were considered for full-length reading. The references of the obtained articles were manually searched to identify eligible studies. A mixed-methods appraisal tool was used to critically appraise the included studies.
Out of 1219, twelve studies met the inclusion criteria. Individuals with HL exposed to total communication had a positive impact on self-esteem. Interestingly, hearing competence of parents and siblings was linked with their self-esteem. Children with HL have higher self-esteem than normal-hearing children. Children with HL attending mainstream schooling and using cochlear implants had positive and higher self-esteem. Further, higher education level, employment, and marital status were effectively associated with self-esteem.
Positive self-esteem intensely improves mental and emotional well-being. Appropriate and timely provided rehabilitation accompanied by family support can induce healthier and more fulfilling social life. Additionally, healthy self-esteem can empower individuals with HL to engage in social activities diligently. To sum up, early intervention and family participation are required to improve overall quality of life.
自尊对于决策、情绪健康和整体幸福感至关重要。在听力损失（HL）患者中，自尊可能因HL程度、听力设备、学术环境以及家庭成员所采用的沟通策略而有所不同。本研究旨在系统评价听力损失对自尊的影响。
进行系统检索以确定关注HL患者自尊的研究。使用了四个电子数据库，即PubMed、Scopus、Embase和CINAHL。由两位独立作者进行标题筛选和摘要阅读。对合适的研究进行全文阅读。手动检索所获文章的参考文献以确定符合条件的研究。使用一种混合方法评估工具对纳入的研究进行严格评估。
在1219项研究中，有12项符合纳入标准。接受全面沟通方式的HL患者对自尊有积极影响。有趣的是，父母和兄弟姐妹的听力能力与他们的自尊相关。HL儿童的自尊高于听力正常的儿童。在主流学校就读并使用人工耳蜗的HL儿童具有积极且更高的自尊。此外，较高的教育水平、就业和婚姻状况与自尊有效相关。
积极的自尊能极大地改善心理和情绪幸福感。适当且及时提供的康复治疗以及家庭支持可带来更健康、更充实的社会生活。此外，健康的自尊能使HL患者积极投身社会活动。总之，需要早期干预和家庭参与以提高整体生活质量。
