Kwong Yin Seet, Pak Him Mo, Tsz Chung Siu, Iris H-Y Ng, Wai-Tsz Chang
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引用次数: 0
Abstract
Background: Age-related hearing loss has long been linked to various health problems, such as dementia. Although the use of hearing aids (HAs) is one of the most effective ways to manage hearing loss, there is a general reluctance to adopt HAs among older adults. Self-perception of one's hearing loss is one of the major factors influencing HA adoption. The Hearing Handicap Inventory for the Elderly (HHIE), a highly validated questionnaire, represents the perception of hearing loss in everyday life. The aim of this review is to investigate the possible relationship between prefitting HHIE scores and HA adoption.
Method: A comprehensive literature search was conducted on Medline, EMBASE, CINAHL Ultimate, Web of Science, Cochrane Library (CENTRAL and CDSR), and APA PsycINFO. Inclusion and exclusion criteria were developed to select relevant studies. Nine studies were included in the review.
Results: Eight of the nine studies reported a significant association between HA adoption and higher HHIE scores. Five studies found a significant difference in mean HHIE scores between the HA adoption group and the nonadoption group, while six studies found a positive odds ratio between higher HHIE scores and higher rates of HA adoption. Using the combined data reported in the studies, the statistical difference between the mean HHIE scores of the two groups was analyzed. The results showed a significant difference between the HHIE scores of the groups with and without HA adoption.
Conclusions: In general, higher HHIE scores prior to fitting were predictive of a higher rate of subsequent HA adoption. It is possible to use HHIE questionnaires to screen individuals with audiometrically proven hearing loss, and more interventions should be targeted at those who report low HHIE scores, as they have a lower tendency to adopt HAs despite significant hearing problems.
背景：与年龄相关的听力损失长期以来一直与各种健康问题有关，如痴呆症。虽然使用助听器是控制听力损失最有效的方法之一，但老年人普遍不愿采用助听器。自我认知的听力损失是影响接受医管局服务的主要因素之一。老年人听力障碍量表（HHIE）是一份高度有效的问卷，反映了人们对日常生活中听力损失的认知。本综述的目的是调查预拟HHIE评分与HA采用之间的可能关系。方法：在Medline、EMBASE、CINAHL Ultimate、Web of Science、Cochrane Library （CENTRAL and CDSR）、APA PsycINFO等网站进行综合文献检索。制定纳入和排除标准以选择相关研究。该综述纳入了9项研究。结果：9项研究中有8项报告了HA采用与较高的HHIE评分之间的显著关联。五项研究发现，收养儿童健康信息系统组和未收养儿童健康信息系统组的平均健康信息系统得分存在显著差异，而六项研究发现，较高的健康信息系统得分与较高的健康信息系统采用率之间存在正比值比。结合两组研究报告的综合资料，分析两组患者HHIE平均评分的统计学差异。结果显示，采用和未采用HA组的HHIE评分有显著差异。结论：一般来说，在拟合前较高的HHIE评分预示着更高的后续HA采用率。有可能使用HHIE问卷来筛选听力测量证实有听力损失的个体，并且应该针对那些报告HHIE分数较低的人进行更多的干预，因为尽管存在严重的听力问题，但他们采用ha的倾向较低。补充资料：https://doi.org/10.23641/asha.29936834。
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