PCC Audiology Sydney 2768
刘国益 博士;研究方向:成人听力康复、助听器、听力咨询、听力诊断 E-mail:admin@pccaudiology.com.au
收稿:2025-09-18,
纸质出版:2025-11-15
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刘国益.以人为本的服务理念在1例非对称性听力损失案例临床康复中的应用[J].中国听力语言康复科学杂志,2025,23(06):569-572.
LIU Guo-yi.Person-Centred Care Concepts in the Rehabilitation of a Case of Asymmetric Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):569-572.
刘国益.以人为本的服务理念在1例非对称性听力损失案例临床康复中的应用[J].中国听力语言康复科学杂志,2025,23(06):569-572. DOI: 10.3969/j.issn.1672-4933.2025.06.003.
LIU Guo-yi.Person-Centred Care Concepts in the Rehabilitation of a Case of Asymmetric Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):569-572. DOI: 10.3969/j.issn.1672-4933.2025.06.003.
目的
2
探索以人为本的服务理念及工具在成人听力康复中的应用,结合1例非对称性听力损失案例进行分析。
方法
2
对1名老年非对称性混合性听力损失客户进行听力学评估,在以人为本的服务(person-centred care, PCC)理念框架下实施干预,包括完整的听力评估、与客户协商设定康复目标、制订个性化干预方案,结合客户导向的听觉改善分级问卷(client-oriented scale of improvement,COSI)等PCC工具以增强客户参与度。
结果
2
在PCC模式下,客户积极参与决策过程,最终形成了单耳助听器干预康复方案,有效平衡了耳部解剖结构、功能差异和经济承受力等因素,改善了客户在电视收听、家庭交流和电话沟通3类核心场景下的听力表现,提高了助听设备使用的依从性和整体满意度。同时,客户在康复过程中逐步获得自我管理和主动调适的能力,体现了PCC在赋能方面的独特价值。
结论
2
PCC理念及工具在成人听力康复中具有重要价值,不仅能改善临床效果,还能提升客户的满意度、参与度及自我管理能力。该模式为PCC在中国的推广和本土化实践提供了启示,未来在康复过程中应更加重视文化因素和客户期望值管理。
Objective
2
To explore the application of Person-Centred Care (PCC) concepts and tools to adult audiological rehabilitation management through the analysis of a case of asymmetric hearing loss.
Methods
2
An elderly client with asymmetric mixed hearing loss underwent a comprehensive audiological evaluation
followed by intervention within the framework of PCC. The rehabilitation process included complete audiological assessment
collaborative goal setting with the client
development of an individualized intervention plan
and the use of PCC tools
such as the Client-Oriented Scale of Improvement (COSI) to enhance client engagement.
Results
2
Under the PCC model
the client actively participated in the decision-making process
resulting in a non-conventional rehabilitation strategy of unilateral hearing aid fitting. This approach effectively balanced anatomical limitations
functional differences
and economic considerations. The intervention improved the client's auditory performance in three core communication scenarios: television listening
family conversations
and telephone use
while also enhancing adherence to hearing device use and overall satisfaction. Moreover
the client gradually developed self-management skills and a sense of empowerment in handling hearing devices and communication strategies
reflecting the unique value of PCC in fostering long-term independence.
Conclusion
2
This case highlights the value of applying PCC principles and tools to adult audiological rehabilitation. Not only improves PCC improves clinical outcomes
but also strengthens client satisfaction
engagement
and self-management capacity. Furthermore
it provides meaningful insights for the promotion and localization of PCC in China
emphasizing the importance of cultural adaptation and expectation management in future rehabilitation practice.
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Convery E , Keidser G , Hickson L , et al . Beyond hearing loss: Self-management in audiological practice [J ] . Hear J , 2016 , 69 ( 3 ): 22 - 24 .
Clark JG , English K . 冯定香, 刘国益, 彭惠融 编译 . 以人为本的听力咨询与康复 [M ] . 重庆 : 重庆出版社 , 2024 .
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