首都医科大学附属北京潞河医院 北京 101100
李景丽 硕士 住院医师;研究方向:耳鸣耳聋,头颈肿瘤
王辉,E-mail:whtel2023@126.com
收稿:2023-08-08,
纸质出版:2025-03-15
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李景丽,王辉,尤妍颜.中老年听障人群助听器选配的依从性、满意度及影响因素分析[J].中国听力语言康复科学杂志,2025,23(02):169-174.
LI Jing-li,WANG Hui,YOU Yan-yan.An Analysis of the Compliance and Satisfaction of Matching and Hearing Aids in Middle-aged Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(02):169-174.
李景丽,王辉,尤妍颜.中老年听障人群助听器选配的依从性、满意度及影响因素分析[J].中国听力语言康复科学杂志,2025,23(02):169-174. DOI: 10.3969/j.issn.1672-4933.2025.02.014.
LI Jing-li,WANG Hui,YOU Yan-yan.An Analysis of the Compliance and Satisfaction of Matching and Hearing Aids in Middle-aged Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(02):169-174. DOI: 10.3969/j.issn.1672-4933.2025.02.014.
目的
2
分析中老年听障人群助听器选配的依从性和满意度现状,及其影响因素。
方法
2
选取2020年4月~2022年10月我院103例成功选配助听器的中老年听障患者为研究对象。根据依从性评分将患者分为高依从性组(n=69)、中依从性组(n=20)、低依从性组(n=14),分析中老年听障患者助听器配戴依从性的影响因素,再根据性别、年龄、受教育程度等进行分组,应用日常生活助听满意度量表(the satisfaction with amplification in daily life scale,SADL)分析中老年听障患者的满意度及影响因素。
结果
2
患者SADL问卷积极作用4.12±0.28分,服务价格4.06±0.50分,总均分3.72±0.37分。年龄、学历、听力损失、有无轻度认知功能障碍、月收入、家人态度及配戴时间均会影响患者依从性;学历、听力损失、有无轻度认知功能障碍是中老年听障患者认为助听器选配具有积极作用的影响因素(
P
<0.05)。
结论
2
中老年听障人群助听器选配的依从性和满意度有待提高,影响患者依从性和满意度因素较多,如学历、家人态度、有无认知功能障碍等,需针对相关影响因素进行干预,提高该人群的依从性和满意度。
Objective
2
Analyze the compliance and satisfaction status of hearing aid selection and wearing among middle-aged and elderly deaf individuals
as well as the influencing factors.
Methods
2
103 middle-aged and elderly patients with hearing loss fitted with hearing aids in our hospital from April 2020 to October 2022 were selected as the research subjects. According to the compliance score
the patients were divided into the high compliance group (n=69)
the medium compliance group (n=20)
and the low compliance group (n=14). The influencing factors of hearing aid wearing compliance in the middle-aged and elderly deaf patients were analyzed
and then grouped according to genders
ages
education levels and other factors. The Satisfaction with Amplification in Daily Life Scale (SADL) was used to analyze the satisfaction and influencing factors of those patients.
Results
2
The scores of each dimension of the patients' SADL questionnaire are as follows: the score for positive effects is 4.12±0.28 points
the score for service price is 4.06±0.50 points
etc.
and the total average score is 3.72±0.37 points. Age
education level
hearing loss
mild cognitive impairment
monthly income
family attitude
and wearing time all affect patient compliance; Educational background
hearing loss
and mild cognitive impairment are the influencing factors that middle-aged and elderly hearing-impaired patients consider hearing aid selection to have a positive effect (
P
<
0.05).
Conclusion
2
The compliance and satisfaction with the fitting of hearing aids for middle-aged and elderly people with hearing loss still need to be improved. There are many factors that affect patient compliance and satisfaction
such as education
family attitudes
and the presence of cognitive impairment. Interventions need to be targeted at relevant influencing factors to improve the compliance and satisfaction of this population.
Slade K , Plack CJ , Nuttall HE . The Effects of Age-Related Hearing Loss on the Brain and Cognitive Function [J ] . Trends Neurosci , 2020 , 43 ( 10 ): 810 - 821 .
Marques T , Marques FD , Miguéis A . Age-related hearing loss, depression and auditory amplification: a randomized clinical trial [J ] . Eur Arch Otorhinolaryngol , 2022 , 279 ( 3 ): 1317 - 1321 .
Bennett RJ , Kosovich E , Cohen S , et al . Hearing Aid Review Appointments: Attendance and Effectiveness [J ] . Am J Audiol , 2021 , 30 ( 4 ): 1058 - 1066 .
Jilla AM , Johnson CE , Danhauer JL , et al . Predictors of Hearing Aid Use in the Advanced Digital Era: An Investigation of Benefit, Satisfaction, and Self-Efficacy [J ] . J Am Acad Audiol , 2020 , 31 ( 2 ): 87 - 95 .
Wu HC , Thallmayer T , Deal JA , et al . Prevalence Trends in Hearing Aid Use Among US Adults Aged 50 to 69 Years With Hearing Loss-2011 to 2016 vs 1999 to 2004 [J ] . JAMA Otolaryngol Head Neck Surg , 2021 , 147 ( 9 ): 831 - 832 .
许卫华 , 王奇 , 梁伟雄 . 问卷或量表在病人依从性测量中的应用 [J ] . 中国慢性病预防与控制 , 2007 , 15 ( 4 ): 403 - 405 .
Cox RM , Alexander GC . Measuring Satisfaction with Amplification in Daily Life: the SADL scale [J ] . Ear Hear , 1999 , 20 ( 4 ): 306 - 320 .
Myrberg K , Hydén LC , Samuelsson C . The mini-mental state examination (MMSE) from a language perspective: an analysis of test interaction [J ] . Clin Linguist Phon , 2020 , 34 ( 7 ): 652 - 670 .
于文永 , 郑智英 , 杨捷 , 等 . 老年性听力障碍病人助听器佩戴效果评估及其影响因素分析 [J ] . 护理研究 , 2016 , 30 ( 36 ): 4510 - 4514 .
Plyler PN , Easterday M , Behrens T . The Effects of Extended Input Dynamic Range on Laboratory and Field-Trial Evaluations in Adult Hearing Aid Users [J ] . Journal of the American Academy of Audiology , 2019 , 30 ( 7 ): 634 - 648 .
尹艳 , 李刚 , 郑芸 , 等 . 双侧中或重度感音神经性听力损失成人助听器验配成功率及影响因素 [J ] . 听力学及言语疾病杂志 , 2022 , 30 ( 4 ): 429 - 431 .
姚海波 , 孙中武 . 影响老年听障患者助听器验配满意度的相关因素分析 [J ] . 中国听力语言康复科学杂志 , 2022 , 20 ( 1 ): 43 - 46 .
肖秀华 , 石翠玲 , 王萍 , 等 . 不同文化程度的老年性耳聋患者分层次路径式健康宣教效果 [J ] . 中国老年学杂志 , 2020 , 40 ( 23 ): 5120 - 5122 .
Sanchez VA , Arnold ML , Reed NS , et al . The Hearing Intervention for the Aging and Cognitive Health Evaluation in Elders Randomized Control Trial: Manualization and Feasibility Study [J ] . Ear Hear , 2020 , 41 ( 5 ): 1333 - 1348 .
Kociszewska D , Vlajkovic S . Age-Related Hearing Loss: The Link between Inflammaging, Immunosenescence, and Gut Dysbiosis [J ] . Int J Mol Sci , 2022 , 23 ( 13 ): 7348 .
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