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职业听觉健康临床研究方案的制定。

Development of a clinical investigation protocol for occupational auditory health.

作者信息

Ferreira Rubens Jonatha Dos Santos, Pichamoni Julia Lujan, Monteiro Camila Nascimento, Mafra Ana Carolina Cintra Nunes, Araújo Ana Loísa de Lima E Silva, da Rosa Marine Raquel Diniz

机构信息

Saúde Populacional, Hospital Sírio-Libanês, São Paulo, SP, Brazil.

Departamento de Fonoaudiologia, Universidade Federal da Paraíba, João Pessoa, PB, Brazil.

出版信息

Rev Bras Med Trab. 2024 Aug 5;22(1):e20231189. doi: 10.47626/1679-4435-2023-1189. eCollection 2024 Jan-Mar.

Abstract

INTRODUCTION

Considering that noise is present in different work environments, occupational health regulations have been created that advocate for the care of employees' auditory system in these environments. Occupational hearing assessment should be performed by audiologists through audiological examinations, otoscopy, as well as an interview to assess possible risk factors for the development of hearing loss. However, up to the present moment, a standardized set of updated questions for this interview has not been defined.

OBJECTIVES

To develop a clinical investigation instrument for occupational auditory health that provides support for clinical decision-making and differential diagnosis.

METHODS

The study was conducted using Design Thinking as a methodological approach in its stages of inspiration (problem identification), ideation (theoretical foundation and protocol design), and prototyping (protocol construction).

EXPERIENCE REPORT

This study was conducted with the objective of providing support for clinical decision-making and differential diagnosis of the auditory aspects of the assisted population. The Protocolo de Investigação Clínica da Saúde Auditiva Ocupacional was developed, consisting of six main sections that address medical history, lifestyle habits, exposure to non-occupational noise, work history, extra-auditory symptoms, and auditory and vestibular signs and symptoms, aimed at investigating workers' auditory health and related aspects.

CONCLUSIONS

The developed instrument can be used for data collection and assist audiologists in the occupational health teams in diagnosis and decision-making processes.

摘要

引言

鉴于不同工作环境中存在噪音,已制定职业健康法规,倡导在这些环境中保护员工的听觉系统。职业听力评估应由听力学家通过听力检查、耳镜检查以及访谈来进行,以评估听力损失发展的可能风险因素。然而,截至目前,尚未定义一套用于此次访谈的标准化更新问题。

目的

开发一种职业听觉健康临床调查工具,为临床决策和鉴别诊断提供支持。

方法

本研究采用设计思维作为方法,在其灵感(问题识别)、构思(理论基础和方案设计)和原型制作(方案构建)阶段进行。

经验报告

本研究旨在为受助人群听觉方面的临床决策和鉴别诊断提供支持。制定了《职业性听觉健康临床调查协议》,包括六个主要部分,涉及病史、生活习惯、非职业性噪音暴露、工作史、耳外症状以及听觉和前庭体征与症状,旨在调查工人的听觉健康及相关方面。

结论

所开发的工具可用于数据收集,并协助职业健康团队中的听力学家进行诊断和决策过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84eb/11333054/1a2011b3d379/rbmt-22-01-e20231189-g01.jpg

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