Healthcare最新文献

{"title":"Regarding the Pain of Others? Contradictions Between Public Discourse and the Lived Experience of Pain.","authors":"José A Cerrillo-Vidal, Mª Isabel García-Rodríguez, Rafael Serrano-Del-Rosal","doi":"10.3390/healthcare12232466","DOIUrl":"https://doi.org/10.3390/healthcare12232466","url":null,"abstract":"<p><strong>Background/objectives: </strong>Pain is a complex and subjective experience influenced by psychological, cultural, and social factors. This study aims to investigate how social perceptions of pain affect the lived experiences and coping mechanisms of individuals suffering from pain. By comparing public discourse with the experiences of sufferers, we explore whether the social legitimacy of pain influences how it is managed.</p><p><strong>Methods: </strong>A multi-phase qualitative study was conducted, comprising eight focus groups with members of the Spanish general population and 19 in-depth interviews with individuals suffering from various types of pain. The focus groups explored social perceptions of pain's legitimacy, while the interviews delved into the sufferers' personal experiences. The data were analyzed using thematic analysis to identify patterns and disparities between public discourse and individual narratives.</p><p><strong>Results: </strong>The focus groups revealed widespread social empathy towards all types of pain. However, interviewees reported significant social pressure to normalize their behavior and downplay their pain. Many felt misunderstood, unsupported, and stigmatized, especially in environments where they held subordinate roles, such as the workplace or healthcare settings. Sufferers often resorted to silence or isolation to avoid judgment.</p><p><strong>Conclusions: </strong>While Spanish society outwardly legitimizes all forms of pain, sufferers experience significant discrepancies between public empathy and actual social support. The findings suggest that raising awareness alone is insufficient, and that structural changes are needed to address the daily burdens that individuals face when coping with pain, particularly in workplace and healthcare environments.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Nurse-Led Telecare Programme in the Postoperative Follow-Up of Bariatric Surgery Patients: A Quasi-Experimental Study.","authors":"María de Los Ángeles Maqueda-Martínez, Manuel Ferrer-Márquez, Manuel García-Redondo, Francisco Rubio-Gil, Ángel Reina-Duarte, José Granero-Molina, Matías Correa-Casado, Anabel Chica-Pérez","doi":"10.3390/healthcare12232448","DOIUrl":"https://doi.org/10.3390/healthcare12232448","url":null,"abstract":"<p><strong>Background/objectives: </strong>Obesity is a growing public health challenge due to its high prevalence and associated comorbidities. Bariatric surgery is the most effective treatment for achieving sustained weight reduction when more conservative treatments have failed. This study evaluates the impact of a nurse-led telecare follow-up programme in the immediate postoperative period for patients who have undergone bariatric surgery.</p><p><strong>Methods: </strong>A quasi-experimental study was carried out in two hospitals in southern Spain. We included 161 patients who met the inclusion criteria: a body mass index (BMI) ≥ 40 kg/m² or a BMI ≥ 35 kg/m² with associated comorbidities, and the failure of non-surgical treatments. Patients were divided into two groups: the intervention group (IG), which received follow-up telephone calls from a specialised nurse during the first 30 days post-surgery, and the control group (CG), which received standard care. The nurse, who was available 24 h a day, answered questions and dealt with queries over the phone or referred patients to the emergency department if necessary. Several variables were recorded, including the number of telephone consultations, reasons for consultation, number of emergency visits, readmissions, and surgical reinterventions.</p><p><strong>Results and conclusions: </strong>The IG showed a significant reduction in ED visits (4.9% vs. 30% in CG), and consultations were mainly related to diet and drainage. The nurse telecare intervention significantly improved postoperative recovery by reducing complications and optimising the safety and quality of postoperative care. These results reinforce the importance of personalised follow-up in improving clinical outcomes in bariatric patients.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Cultural Adaptation and Validation of the Person-Centered Therapeutic Relationship in Physiotherapy Scale to European Portuguese.","authors":"João Moreira, Lúcia Domingues, Margarida Silva, Carmen Caeiro","doi":"10.3390/healthcare12232455","DOIUrl":"https://doi.org/10.3390/healthcare12232455","url":null,"abstract":"<p><strong>Background/objectives: </strong>Implementing a person-centered practice is considered a priority in healthcare, and the development of a solid and positive therapeutic relationship is a fundamental element. This study conducted a cross-cultural adaptation of the Person-Centered Therapeutic Relationship in Physiotherapy Scale to European Portuguese and contributed to its validation through the study of its structural validity and internal consistency.</p><p><strong>Methods: </strong>This study was conducted from October 2021 to July 2023 and included two phases: a methodological study of cross-cultural adaptation (phase 1) and a transversal study to assess the psychometric properties (phase 2). Structural validity was analyzed using exploratory factor analysis and internal consistency was estimated using Cronbach's alpha (α). A <i>p</i>-value < 0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>The Person-Centered Therapeutic Relationship in Physiotherapy Scale was successfully culturally adapted to European Portuguese (phase 1). During phase 2, 203 individuals [mean age: 50.16 ± 13.10 years (range 18-80 years)] with musculoskeletal conditions, mostly female (63.1%), were recruited. The factorial solution explained 74.7% of the total variability and retained three factors, grouping items 9 to 15 in a common factor (professional empowerment and therapeutic communication). Adequate internal consistency was found (Cronbach's α = 0.889).</p><p><strong>Conclusions: </strong>This study culturally adapted an instrument to European Portuguese, which allows the assessment of the person-centered therapeutic relationship in physiotherapy, presenting adequate internal consistency. Future studies should contribute to the remaining validation of the instrument so that it can be available to the Portuguese population.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Stereotypes in Interprofessional Education: A Pilot High-Fidelity Simulation Study Among Postgraduate Nursing and Physician Students in a Spanish University.","authors":"Juan Manuel Cánovas-Pallarés, Sergio Nieto-Caballero, Manuel Baeza-Mirete, Manuel José Párraga-Ramírez, Andrés Rojo-Rojo","doi":"10.3390/healthcare12232449","DOIUrl":"https://doi.org/10.3390/healthcare12232449","url":null,"abstract":"<p><strong>Background/objectives: </strong>Nursing professionals are often subject to social stereotypes that can hinder effective teamwork with other healthcare professionals and limit their professional growth. Interprofessional education (IPE) enhances teamwork skills and promotes a better understanding of other professional groups. This study aimed to identify the presence of stereotypes associated with nursing among postgraduate nursing and student physicians specializing in emergency medicine and to assess the applicability of simulation as an IPE strategy.</p><p><strong>Methods: </strong>A pilot study using high-fidelity simulation activity focusing on interdisciplinary collaboration was designed for students in the master's programs in emergency nursing and emergency medicine at the Catholic University of Murcia. The activity took place in May 2024 and involved 52 participants (24 postgraduate nursing students and 28 postgraduate student physicians). A mixed-method descriptive study was conducted using a 16-item self-administered questionnaire. Data were analyzed using the Shapiro-Wilk test for normality, Fisher's F test, and the Mann-Whitney U test to evaluate the relationship between variables (<i>p</i> < 0.05).</p><p><strong>Results: </strong>A total of 22 questionnaires were collected (16 from nurses postgraduate student and 6 from postgraduate physicians). Positive attitudes toward nursing stereotypes were found in 9 of the 13 items. No statistically significant differences were observed between the groups regarding most stereotypes, except for one. Negative stereotypes about nursing leadership, professional autonomy, and patient relations were more prominent among nursing students.</p><p><strong>Conclusions: </strong>Stereotypical perceptions exist among both postgraduate nursing and postgraduate student physicians, particularly in nursing leadership and autonomy. Most participants expressed satisfaction with the simulation-based IPE activity, indicating its value in improving the understanding of other professionals' roles. IPE should be incorporated into health sciences education.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Reformer Spring Resistance Modifications on Core Muscle Activity During Basic Core Muscle Exercises.","authors":"Hee-Jeong Kim, Jung-Ha Sung, Jae-Kyun Ryu, Hyun-Chul Jung, Junsig Wang","doi":"10.3390/healthcare12232447","DOIUrl":"https://doi.org/10.3390/healthcare12232447","url":null,"abstract":"<p><strong>Background: </strong>Core muscles serve as a central group within the functional kinetic chain, stabilizing the spine during movement. The Reformer is one of the most popular and primary pieces used in Pilates core exercises, requiring effective control of core muscles. The purpose of this study was to investigate the effect of Reformer spring resistance on core muscle activity.</p><p><strong>Method: </strong>18 healthy adult females (age: 29.83 ± 4.22 years, body height: 164.98 ± 4.14 cm, body mass: 53.67 ± 5.32 kg) participated in this study. Surface electromyography was recorded from six muscles: rectus abdominis, internal oblique, erector spinae, multifidus, rectus femoris, and biceps femoris during core exercises. Participants performed three core exercises (hip roll, knee-off, and elephant) under three different Reformer spring conditions (fixed platform, platform connected to springs with moderate resistance, platform connected to springs with low resistance).</p><p><strong>Results: </strong>During the hip roll exercise, mean muscle activity of the rectus abdominis, erector spinae, multifidus, and biceps femoris was significantly increased on the low-resistance spring platform compared to the moderate-resistance platform and fixed platform conditions (<i>p</i> < 0.001). During the knee-off exercise, mean muscle activity of the rectus abdominis, internal oblique, erector spinae, and multifidus significantly increased on the low-resistance platform compared to the fixed platform (<i>p</i> < 0.001). Furthermore, during the elephant exercise, mean muscle activity of the rectus abdominis, internal oblique, and rectus femoris significantly increased on the low-resistance spring platform compared to the fixed platform (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>These findings suggest the unstable platform caused by the Reformer spring modification impacts core muscle activity during basic core exercises. Therefore, when designing core exercise programs using the Reformer, platform instability should be considered a key factor for rehabilitation and core stability.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving from Principles to Practice: A Scoping Review of Value-Based Healthcare (VBHC) Implementation Strategies.","authors":"Egidio de Mattia, Carmen Angioletti, Melissa D'Agostino, Filippo Paoletti, Antonio Giulio de Belvis","doi":"10.3390/healthcare12232457","DOIUrl":"https://doi.org/10.3390/healthcare12232457","url":null,"abstract":"<p><strong>Background/objectives: </strong>The principles of value-based healthcare (VBHC) have received widespread endorsement, leading healthcare organizations worldwide to shift their strategies towards them. However, despite growing recognition and acceptance, the actual implementation of value-based approaches varies widely. This research aims to identify studies that address the implementation of VBHC at different levels (healthcare policymakers, hospital administrators, and healthcare providers), focusing on each level's relative strategies.</p><p><strong>Methods: </strong>To this end, a scoping review was conducted in accordance with the PRISMA extension for the scoping reviews checklist. The electronic databases of Web of Science, PubMed, MEDLINE, and Scopus were searched to identify relevant publications in English from January 2006 to 31 July 2023.</p><p><strong>Results: </strong>We identified 30 eligible studies. Findings are organized into four main macro strategic levels, each comprising specific dimensions and operational approaches. Fourteen articles analyzed the role of government commitment in VBHC implementation, while six articles focused on regional integrated care systems. The role of hospitals was described in sixteen records.</p><p><strong>Conclusions: </strong>Our study suggests that a comprehensive approach is necessary for the successful implementation of VBHC. Hospitals emerge as pivotal in this shift, requiring organizational and attitudinal changes among healthcare professionals. However, a complete transition towards VBHC that ensures seamless patient management throughout the entire care delivery value chain necessitates government involvement in terms of state legislation, reimbursement methods, and hospital networking.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolving Role of the Oncology Nurse in the United States of America-A Survey Exploring Their Perspective.","authors":"Nina N Grenon, Karen S Waldrop, Natasha Pinheiro, Brittni Prosdocimo","doi":"10.3390/healthcare12232453","DOIUrl":"https://doi.org/10.3390/healthcare12232453","url":null,"abstract":"<p><strong>Background: </strong>The role of the oncology nurse has evolved since the COVID-19 pandemic to continuously meet patient needs, resulting in an increased virtual presence. However, there is little information about whether these roles have continued since the pandemic and how it is affecting nurses.</p><p><strong>Methods: </strong>The aim of this study, conducted via an electronic survey questionnaire, was to examine the perspective of oncology nurses in the United States of America regarding how their role has changed, the adaptation to telehealth, challenges, and needs.</p><p><strong>Results: </strong>Over 5 months, 197 respondents from 17 different states completed the survey. They were all registered nurses working in oncology with different roles, such as being nurse practitioners (23%), nurse navigators (20%), infusion nurses (23%), and working in outpatient settings (93%). The findings of the survey highlight the multifaceted responsibilities of nurses in providing care across the cancer care continuum, emphasizing patient-centered care, communication, education, and empowerment, in addition to expected duties such as the administration of anticancer therapy, monitoring of side effects, and symptom management. A total of 82.6% of United States of America oncology nurses feel their workload has increased. The role of nurses in oncology is continuously evolving and the impact of the COVID-19 pandemic, in certain areas such as telehealth, is here to stay.</p><p><strong>Conclusions: </strong>The results of the study allow a better understanding of the emergent roles of oncology nursing. The importance of self-care initiatives and education are emphasized as critical to support nurses in their complex, busy, and emotionally charged work environment and to help retain existing nurses and attract new individuals into the profession. The study ultimately seeks to inform policy and drive professional development in oncology nursing in the United States of America.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age, Technology, and the Digital Divide: Are They Directly Related to Mental Health Problems?","authors":"Marina Barreda Gutiérrez, David Cantarero-Prieto, Marta Pascual Sáez","doi":"10.3390/healthcare12232454","DOIUrl":"https://doi.org/10.3390/healthcare12232454","url":null,"abstract":"<p><p>In current times, we coexist with technology, using it every day. However, in older people, the use and employability of technology on a day-to-day basis is often more complicated or even null due to a lack of knowledge.</p><p><strong>Background/objectives: </strong>The youngest generation were born surrounded by technology, which has given them superior capabilities when it comes to handling technology compared to elderly people. In short, older people have grown up without technology and only later in life have they crossed paths with it. Therefore, these circumstances can produce what is known as a \"digital divide\", an unequal distribution in the access, use, or impact of information and communication technologies among social groups. Thus, the aim of this study is to examine whether there is a digital divide among European older adults and to show its effect on the mental health of individuals. In this way, we analyze how technological characteristics (digital divide) cause worsen mental health. Additionally, we examine whether, over time, the digital divide has had a greater impact on the mental health of older adults.</p><p><strong>Methods: </strong>For this purpose, recently published data from the Survey on Health, Aging, and Retirement in Europe are used.</p><p><strong>Results: </strong>Our analysis has revealed that the digital divide, driven by age, negatively affects the mental health of older adults in Europe. Thus, we have analyzed how technological characteristics related to the digital divide lead to poorer mental health among this population. Additionally, we have examined whether the digital divide has increasingly impacted older adults' mental health over time.</p><p><strong>Conclusions: </strong>These findings highlight the need to address the digital divide as a public health issue, promoting greater digital inclusion to improve the psychological well-being of older adults.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of HOMA-IR Versus TyG Index with Diabetes in Individuals Without Underweight or Obesity.","authors":"Bokun Kim, Gwon-Min Kim, Up Huh, Juhyun Lee, Eunji Kim","doi":"10.3390/healthcare12232458","DOIUrl":"https://doi.org/10.3390/healthcare12232458","url":null,"abstract":"<p><p><b>Background:</b> There are higher numbers of Asian individuals with metabolically obese, normal weight (MONW) who are susceptible to diabetes than other ethnic groups. The homeostatic model assessment for insulin resistance (HOMA-IR) has been used for years to evaluate IR; however, the triglyceride-glucose (TyG) index has been highlighted as a reliable and cost-effective insulin resistance indicator. Thus, this study explored the association of the HOMA-IR versus the TyG index with diabetes in individuals without underweight or obesity. <b>Methods:</b> This cross-sectional study included 10,471 Korean individuals whose body mass index was ≥18.5 and <25.0 kg/m². Depending on metabolic syndrome criteria, subjects with no conditions, one or two conditions, and three or more conditions were assigned to the metabolically healthy and normal weight (MHNW), pre-MONW, and MONW groups, respectively. Diabetes was diagnosed based on HbA1C and medication information. <b>Results:</b> The HOMA-IR and TyG index discriminated between each group, showing an increasing trend from the MHNW group to the MONW group. However, this trend was more robust for the TyG index. The cut-off values in the TyG index and HOMA-IR were >8.9 and >1.6 in males and >8.7 and >1.6 in females, respectively. The TyG index's area under the curve was higher than that of the HOMA-IR in both sexes. MONWs distinguished by the cut-off values of the TyG index and HOMA-IR were 2.370 and 1.726 for males and 2.249 and 1.710 for females times more likely to develop diabetes. <b>Conclusions:</b> The TyG index showed a stronger association with diabetes in Korean individuals without underweight or obesity than the HOMA-IR.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Hearing Loss Severity on Hearing Aid Benefit Among Adult Users.","authors":"Marlena Ziemska-Gorczyca, Karolina Dżaman, Ireneusz Kantor","doi":"10.3390/healthcare12232450","DOIUrl":"https://doi.org/10.3390/healthcare12232450","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss (HL) among older adults is a major global health concern. Hearing aids (HAs) offer an effective solution to manage HL and enhance the quality of life. However, the adoption and the consistent use of HAs remain low, making non-use a significant barrier to successful audiological rehabilitation. The aim of the study was to assess the benefit of HAs among patients with different degrees of HL and to determine the profiles of patients who have the least benefit from HAs.</p><p><strong>Methods: </strong>the HA benefits were assessed by using the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire. Participants were assigned to the study groups based on the pure-tone audiometry. This paper presents the results obtained by using HAs in various listening environments among 167 patients.</p><p><strong>Results: </strong>The majority of individuals benefited from HAs in a noisy environment while a reverberant environment provided the lowest benefit. It was observed that the degree of HL had a statistically significant impact on the benefits of HAs in terms of the communication ease, the reverberation, the background noise, and the global score. A moderately positive correlation was observed between the unaided APHAB and the HL degree. The subjects' APHAB scores ranged from the 50th to the 65th percentile. Additionally, women had a significantly better improvement than men.</p><p><strong>Conclusions: </strong>HAs improved communication in everyday life situations among 91.6% of HA users. The degree of HL influences APHAB scores. Patients with a severe degree of HL achieved the greatest APHAB scores while male patients with mild HL received the lowest benefits of HAs. Both HL and the age, gender, and HA type are factors that also play important roles. The APHAB questionnaire is a reliable screening test for patients with hearing difficulties.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}