Tolson D
Department of Nursing and Community Health, Glasgow Caledonian University, Scotland.
J Adv Nurs. 1997 Dec;26(6):1150-7.
This review paper selectively examines the problem of age-related hearing loss. Drawing on specialist audiological research, nursing research and patient anecdotes to make a case for nursing intervention. The limitations of national prevalence estimates are highlighted with regard to dependent elderly people, and are challenged as political underestimations of need. Despite the evidence of an exceptionally high level of potential demand only a minority of elderly people who might benefit from amplification possess a hearing aid. Factors to explain the low levels of hearing aid ownership and use are discussed. Through considerable reference to the author's own research the potential for nurses to lead practice developments and initiate service reform in the management of age-related hearing loss is debated.
这篇综述文章有选择性地探讨了与年龄相关的听力损失问题。借鉴专业听力学研究、护理研究以及患者轶事，以论证护理干预的必要性。文中强调了国家对老年依赖人群患病率估计的局限性，并将其视为对需求的政治低估而提出质疑。尽管有证据表明潜在需求极高，但在可能受益于听力放大设备的老年人中，只有少数人拥有助听器。文章讨论了解释助听器拥有率和使用率低的因素。通过大量引用作者自己的研究，探讨了护士在引领与年龄相关听力损失管理的实践发展和启动服务改革方面的潜力。
