Barthel A, Park J J-H, Breinhild-Olsen A, Mazur V, Radüg M, Bohmann S, Kreikemeier S
Hörzentrum Hagen Südwestfalen, Katholisches Krankenhaus Hagen, St.-Josefs-Hospital, Universität Witten/Herdecke, Dreieckstraße 15, 58097, Hagen, Deutschland.
Fachbereich Akustik und Audiologie, Hochschule Aalen, Aalen, Deutschland.
HNO. 2025 Sep 5. doi: 10.1007/s00106-025-01667-4.
Remote care (RC) opens up new possibilities in cochlea implant (CI) aftercare, such as real-time remote fittings, implant and speech processor checks, and hearing checks using smartphone apps. These applications offer CI recipients and clinics numerous options, but successful implementation in everyday life depends on various factors. To date, there have been few studies that have investigated the demand of RC on the part of CI recipients.
The study analyses the demand for RC in CI aftercare from the perspective of CI recipients, regardless of the manufacturer. It demonstrates which aspects are important to the participants in CI aftercare, which arguments they cite for or against the use of RC, and which RC functions they would like to use.
The paper is based on a survey conducted at Hörzentrum Hagen Südwestfalen in December 2024 using a self-developed questionnaire. A total of 86 answers were evaluated.
A total of 64.3% of respondents answered yes or rather yes to the question of whether they would use RC. In all, 82.6% fulfill the basic requirement for RC through regular smartphone use. The lack of personal contact is the strongest argument against the use of RC. However, the majority of respondents see an advantage in saving time.
Overall, the majority of respondents showed an interest in RC. Nevertheless, personal contact with specialized staff is still considered important. Interest in RC also decreases significantly with increasing age (p < 0.05). In the future, RC will be an innovative addition to conventional CI aftercare with on-site appointments, which will be in demand.
远程护理（RC）为人工耳蜗（CI）术后护理开辟了新的可能性，例如实时远程调试、植入体和言语处理器检查以及使用智能手机应用程序进行听力检查。这些应用为CI接受者和诊所提供了众多选择，但在日常生活中的成功实施取决于各种因素。迄今为止，很少有研究调查CI接受者对RC的需求。
本研究从CI接受者的角度分析RC在CI术后护理中的需求，而不考虑制造商。它展示了在CI术后护理中对参与者来说哪些方面很重要，他们支持或反对使用RC的理由是什么，以及他们希望使用哪些RC功能。
本文基于2024年12月在西南法伦哈根听力中心使用自行编制的问卷进行的一项调查。共评估了86份答案。
共有64.3%的受访者对是否会使用RC的问题回答“是”或“比较是”。总体而言，82.6%的人通过经常使用智能手机满足了RC的基本要求。缺乏人际接触是反对使用RC的最有力理由。然而，大多数受访者认为节省时间有优势。
总体而言，大多数受访者对RC表现出兴趣。尽管如此，与专业人员的人际接触仍然被认为很重要。对RC的兴趣也随着年龄的增长而显著下降（p<0.05）。未来，RC将成为传统CI术后现场预约护理的一项创新补充，会有需求。
