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[老年性聋的康复可能性]

[Rehabilitation possibilities in presbycusis].

作者信息

Kapteyn T S

出版信息

Tijdschr Gerontol Geriatr. 1982 Oct;13(5):179-85.

PMID:7147320
Abstract

Although several types of hearing loss in aged people can be distinguished, the word presbyacusis has grown to common use. It is not primarily the decrease of sensitivity for sounds, but rather the decrease of the ability for discrimination and the increase of being troubled by noisy circumstances, that impair understanding of speech. Conversation with aged people have to be practised slowly and in a well pronounced way in favourite circumstances for listening. The hearing impairment in aged people can grow to a problem, especially by the social circumstances, so rehabilitation may not be restricted to the aged themselves. A good insight in the remaining abilities of the hearing is the base for the prescription and the acceptance of a hearing aid. In this the fitting of the earmold and the adjustment of the output level-limiter are the most important factors. The participation in the verbal communication can become more easy and relaxed by a clever usage of the aid's abilities, but the partners in the conversation have to understand the difficulties and to be cooperative.

摘要

虽然老年人的几种听力损失类型可以区分,但“老年性聋”这个词已被广泛使用。损害言语理解能力的,主要不是对声音敏感度的下降,而是辨别能力的下降以及受嘈杂环境困扰程度的增加。与老年人交谈时,必须在适宜聆听的环境中,缓慢且清晰地进行。老年人的听力障碍可能会演变成一个问题,尤其是受社会环境影响,因此康复可能不能仅局限于老年人自身。深入了解听力的剩余能力是开具和接受助听器的基础。在这方面,耳模的适配和输出限幅器的调整是最重要的因素。通过巧妙运用助听器的功能,参与言语交流可以变得更加轻松,但交谈伙伴必须理解这些困难并予以配合。

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