人工耳蜗植入对听力受损患者工作能力的影响：潜在影响因素的前瞻性研究。

Influence of cochlear implantation on the working ability of hearing-impaired patients: A prospective study on potential influencing factors.

作者信息

Lailach Susen, Martin Johanna, Stephan Paula, Kronesser Dominique, Zahnert Thomas, Neudert Marcus

机构信息

Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck surgery, Saxonian Cochlear Implant Centre, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Saxony, Germany.

出版信息

Cochlear Implants Int. 2024 Mar;25(2):109-121. doi: 10.1080/14670100.2024.2332035. Epub 2024 Mar 26.

DOI:10.1080/14670100.2024.2332035

PMID:38532283

Abstract

PURPOSE

This study evaluates the effect of cochlear implantation (CI) on work ability. The influences of quality of life (QOL), age, mental health, and hearing were analyzed.

METHODS

Seventy-nine patients undergoing CI surgery were evaluated preoperatively and 12 months postoperatively. Work ability was evaluated using the Work Ability Index (WAI). QOL was assessed with the Nijmegen Cochlear Implant Questionnaire (NCIQ) and the WHOQOL-BREF. Mental health was assessed with the Patient Health Questionnaire.

RESULTS

The WAI was unaffected by CI (Δ 0.8 ± 6.8, = 0.42). No significant changes in WAI were observed for employees (Δ - 1.1 ± 5.7, = 0.25) and pensioners (Δ -0.4 ± 7.8, = 0.73). Patients without elevated depressiveness, stress, or somatoform symptoms had significantly better WAI.The multiple regression analyses show that WHOQOL-BREF (ß = 0.49, ≤ 0.001), age (ß = -0.34, ≤ 0.001), and depressiveness (ß = 0.33, = 0.04) were significantly associated with WAI. In the employee group, the NCIQ (ß = 0.58, = 0.008) had the strongest association with the WAI.

CONCLUSION

Age, mental health, and QOL are predictive factors for work ability. This should be considered in the consultation and the rehabilitation process.

摘要

目的

本研究评估人工耳蜗植入（CI）对工作能力的影响。分析了生活质量（QOL）、年龄、心理健康和听力的影响。

方法

对79例接受CI手术的患者在术前和术后12个月进行评估。使用工作能力指数（WAI）评估工作能力。用奈梅亨人工耳蜗问卷（NCIQ）和世界卫生组织生活质量简表（WHOQOL-BREF）评估生活质量。用患者健康问卷评估心理健康。

结果

CI对WAI无影响（Δ0.8±6.8，P = 0.42）。员工（Δ -1.1±5.7，P = 0.25）和退休人员（Δ -0.4±7.8，P = 0.73）的WAI无显著变化。无抑郁、压力或躯体形式症状升高的患者WAI明显更好。多元回归分析表明，WHOQOL-BREF（β = 0.49，P≤0.001）、年龄（β = -0.34，P≤0.001）和抑郁（β = 0.33，P = 0.04）与WAI显著相关。在员工组中，NCIQ（β = 0.58，P = 0.008）与WAI的相关性最强。