老年人工耳蜗植入受者的生活质量：一项前瞻性队列研究。
Quality of life following cochlear implants in elderly recipients: a prospective cohort study.
作者信息
Shah Haisam, Xue Yuning, Rehman Hamna, Watson Glen, Hitos Kerry, da Cruz Melville
机构信息
Sydney Medical School, The University of Sydney, Westmead, NSW, Australia.
Department of Otolaryngology, Head and Neck Surgery, Royal Hallamshire Hospital, Sheffield, UK.
出版信息
J Laryngol Otol. 2025 Apr;139(4):282-287. doi: 10.1017/S0022215124001695.
BACKGROUND
Deafness is a leading cause of disability worldwide. This prospective cohort study investigates the impact of cochlear implants on self-reported quality of life in post-lingually deaf adults.
METHODS
The self-administered 36-item World Health Organization Disability Assessment Schedule 2.0 and the Speech, Spatial, and Qualities of Hearing Scale questionnaires were prospectively used to investigate the impact of cochlear implants in 98 post-lingually deaf adults aged more than or equal to 50 years.
RESULTS
Quality of life improved post-cochlear implant in the cumulative scores and scores for all domains of the Speech, Spatial, and Qualities of Hearing Scale ( < 0.05). QoL improved post-cochlear implant in the sub-domains related to cognition and participation in society of the World Health Organization Disability Assessment Schedule 2.0 ( < 0.05), but there was no significant difference in the cumulative score. Subgroup analysis showed improvement in the participation in society domain only and only in males and participants aged younger than 75 years ( < 0.05).
CONCLUSION
Cochlear implant improves quality of life in post-lingually deaf adults.
背景
耳聋是全球致残的主要原因。这项前瞻性队列研究调查了人工耳蜗对语后聋成年人自我报告的生活质量的影响。
方法
前瞻性地使用自行填写的36项世界卫生组织残疾评定量表2.0以及言语、空间和听力质量量表问卷，来调查人工耳蜗对98名年龄大于或等于50岁的语后聋成年人的影响。
结果
人工耳蜗植入后，生活质量在言语、空间和听力质量量表的累积得分及所有领域得分均有所改善（P<0.05）。人工耳蜗植入后，世界卫生组织残疾评定量表2.0中与认知和社会参与相关的子领域的生活质量有所改善（P<0.05），但累积得分无显著差异。亚组分析显示，仅在社会参与领域有改善，且仅在男性和年龄小于75岁的参与者中出现（P<0.05）。
结论
人工耳蜗可改善语后聋成年人的生活质量。
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