汕头大学医学院小榄临床学院 中山 528400
刘伟清 本科 主治医师;研究方向:耳聋相关疾病
付亚峰,E-mail:yafeng216249@126.com
收稿:2024-10-17,
纸质出版:2025-09-15
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刘伟清,张国华,谢先荣等.中老年突聋患者心理痛苦发生情况及其影响因素[J].中国听力语言康复科学杂志,2025,23(05):553-556.
LIU Wei-qing,ZHANG Guo-hua,XIE Xian-rong,et al.The Occurrence and Influencing Factors of Psychological Pain in Middle-aged and Elderly Patients with Sudden Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):553-556.
刘伟清,张国华,谢先荣等.中老年突聋患者心理痛苦发生情况及其影响因素[J].中国听力语言康复科学杂志,2025,23(05):553-556. DOI: 10.3969/j.issn.1672-4933.2025.05.024.
LIU Wei-qing,ZHANG Guo-hua,XIE Xian-rong,et al.The Occurrence and Influencing Factors of Psychological Pain in Middle-aged and Elderly Patients with Sudden Deafness[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):553-556. DOI: 10.3969/j.issn.1672-4933.2025.05.024.
目的
2
调查分析中老年突聋患者心理痛苦发生情况及其危险因素。
方法
2
纳入我院2022年1月至2024年1月的中老年突聋患者98例,利用心理痛苦温度计(distress thermometer,DT)调查研究对象心理痛苦情况,收集其年龄、受教育水平、听力损失程度等资料进行单因素分析及多因素分析。
结果
2
突聋患者心理痛苦发生率为65.31%(64/98),其中中度、重度、极度痛苦占比分别为41.84%(41/98)、20.41%(20/98)、3.06%(3/98);单因素分析表明,年龄≥65岁、在岗、重度及以上听力损失、重度及以上耳鸣、独居、个人月收入<1500元、双耳聋、合并基础疾病的患者心理痛苦发生率显著高于年龄<65岁、退休、轻中度听力损失、轻中度耳鸣、非独居、个人月收入≥1500元、单耳聋、无基础疾病的患者(
P
<0.05),其余性别、受教育水平等因素无显著差异(
P
>0.05);多因素分析表明,年龄≥65岁、重度听力损失、在岗、重度耳鸣、独居、月收入<1500元、独居、双耳聋、合并基础疾病是中老年突聋患者发生心理痛苦的独立危险因素(OR>1,
P
<0.05)。
结论
2
中老年突聋患者普遍伴有心理痛苦问题,导致其发生心理痛苦的因素较多,常见如年龄增长、独居、月收入较低等,应针对此类有高危因素的患者进行心理干预,改善其心理痛苦情况。
Objective
2
To investigate and analyze the occurrence of psychological pain and its risk factors in middle-aged and elderly patients with sudden deafness.
Method
2
98 middle-aged and elderly patients with sudden deafness admitted to our hospital from January 2022 to January 2024 were included. The psychological distress of the subjects was investigated using the Distress Thermometer (DT). Their ages education levels
hearing loss degrees and other data were collected for univariate and multivariate analysis.
Result
2
The incidence of psychological distress in patients with sudden deafness was 65.31% (64/98)
of which moderate
severe
and extreme distress accounted for 41.84% (41/98)
20.41% (20/98)
and 3.06% (3/98)
respectively. Univariate analysis showed that the incidence of psychological distress was significantly higher in patients aged ≥ 65 years
on the job
with severe or above hearing loss
severe or above tinnitus
living alone
with a monthly personal income of less than 1500 yuan
suffering from double deafness
and having underlying diseases than in patients aged
<
65 years
retired
with mild to moderate hearing loss
mild to moderate tinnitus
not living alone
with a monthly personal income of ≥ 1500 yuan
suffering from single deafness
and having no underlying diseases (
P
<
0.05). There were no significant differences in other factors
such as gender and education level (
P
>
0.05). Multivariate analysis showed that age ≥ 65 years old
severe hearing loss
on the job
severe tinnitus
living alone
monthly income
<
1500 yuan
living alone
double deafness
and comorbid underlying diseases were independent risk factors for psychological distress in middle-aged and elderly patients with sudden deafness (OR
>
1
P
<
0.05).
Conclusion
2
Middle aged and elderly patients with sudden deafness generally have psychological distress problems
and there are many factors that lead to their psychological distress
such as aging
living alone
and low monthly income. Psychological intervention should be targeted at patients with high-risk factors to improve their psychological distress situation.
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