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人工耳蜗植入对患者工作生活影响的评估:一项横断面研究。

Evaluation of the Impact of Cochlear Implantation on Patients' Working Life: A Cross-Sectional Study.

作者信息

Olgun Yüksel, Arayici Mehmet Emin, İncesulu Armağan, Tuncer Ülkü, Güneri Enis Alpin, Ellidokuz Hülya, Olgun Levent

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Dokuz Eylül University, 35220 İzmir, Türkiye.

Department of Public Health, Faculty of Medicine, Dokuz Eylül Universtiy, 35220 İzmir, Türkiye.

出版信息

Healthcare (Basel). 2024 Feb 29;12(5):566. doi: 10.3390/healthcare12050566.

Abstract

Hearing loss that arises from various causes at different stages of life has a direct impact on individuals' physical and mental well-being. This paper aimed to evaluate the employment, workplace adaptation, productivity, and professional success of individuals who have hearing loss and whose hearing loss is corrected with a cochlear implant. In this cross-sectional study, data were collected between November 2022 and March 2023 with the participation of individuals with cochlear implants living in several settlements in all regions of Türkiye. A total of 142 participants with severe hearing loss who were corrected with a cochlear implant were included in this study. The survey method was used to collect data for the study. The questionnaire consisted of 32 questions and was distributed to the participants online. In the first part of the questionnaire (questions 1-10), the general characteristics of implant patients were investigated. In the second part (questions 11-32), the positive or negative effects of implantation on the work lives of the participants were evaluated. Almost half of the research group (49.3%, = 70) consisted of women, and the mean age of the participants was determined to be 35.8 ± 14.8 years. There was no significant difference between gender, educational status, implanted side, working time, working style (physical, desk), and factors affecting work life ( > 0.05). Professional satisfaction and success at work increased significantly more in those with acquired hearing loss ( = 0.010). Post-implantation workplace compliance, success, and productivity were found to be higher in those with acquired hearing loss ( = 0.013). Hearing loss had a significantly less negative impact on work performance in those implanted in childhood than in those implanted in adulthood ( = 0.043). It was observed that hearing loss had a greater negative impact on the work life of married people ( = 0.006). Cochlear implantation greatly enhances workplace satisfaction, increases self-confidence, and has a positive impact on the future of profoundly deaf individuals.

摘要

在人生不同阶段因各种原因产生的听力损失会对个人的身心健康产生直接影响。本文旨在评估患有听力损失且通过人工耳蜗植入矫正听力损失的个体的就业情况、工作场所适应能力、生产力和职业成就。在这项横断面研究中,于2022年11月至2023年3月期间收集数据,参与的是居住在土耳其所有地区多个定居点的人工耳蜗植入者。本研究共纳入了142名通过人工耳蜗植入矫正重度听力损失的参与者。采用调查方法收集研究数据。问卷由32个问题组成,并在线分发给参与者。在问卷的第一部分(问题1 - 10),调查了植入患者的一般特征。在第二部分(问题11 - 32),评估了植入对参与者工作生活的积极或消极影响。研究组中近一半(49.3%,n = 70)为女性,参与者的平均年龄确定为35.8±14.8岁。性别、教育程度、植入侧、工作时间、工作方式(体力、伏案)以及影响工作生活的因素之间无显著差异(P>0.05)。后天性听力损失者的职业满意度和工作成就显著提高更多(P = 0.010)。发现后天性听力损失者植入后的工作场所适应性、成就和生产力更高(P = 0.013)。与成年后植入者相比,儿童期植入者的听力损失对工作表现的负面影响显著更小(P = 0.043)。观察到听力损失对已婚者的工作生活有更大的负面影响(P = 0.006)。人工耳蜗植入极大地提高了工作场所满意度,增强了自信心,并对极重度聋人的未来产生积极影响。

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JAMA Otolaryngol Head Neck Surg. 2020 Jul 1;146(7):630-638. doi: 10.1001/jamaoto.2020.0674.

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