人工耳蜗植入对听障患者工作能力的影响：关于潜在影响因素的前瞻性研究。

IF 1.4 Q2 OTORHINOLARYNGOLOGY

COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2024-03-01 Epub Date: 2024-03-26 DOI:10.1080/14670100.2024.2332035

Susen Lailach, Johanna Martin, Paula Stephan, Dominique Kronesser, Thomas Zahnert, Marcus Neudert

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引用次数: 0

摘要

目的：本研究评估了人工耳蜗植入（CI）对工作能力的影响。分析了生活质量（QOL）、年龄、心理健康和听力的影响因素：对 79 名接受人工耳蜗手术的患者进行了术前和术后 12 个月的评估。工作能力采用工作能力指数（WAI）进行评估。使用奈梅亨人工耳蜗植入问卷（NCIQ）和世界卫生组织 QOL-BREF 评估 QOL。心理健康通过患者健康问卷进行评估：WAI 不受 CI 影响（Δ 0.8 ± 6.8，p = 0.42）。雇员（Δ - 1.1 ± 5.7，p = 0.25）和养老金领取者（Δ -0.4 ± 7.8，p = 0.73）的 WAI 没有明显变化。多元回归分析表明，WHOQOL-BREF（ß = 0.49，p ≤ 0.001）、年龄（ß = -0.34，p ≤ 0.001）和抑郁（ß = 0.33，p = 0.04）与 WAI 显著相关。在雇员组中，NCIQ（ß = 0.58，p = 0.008）与 WAI 的相关性最强：结论：年龄、心理健康和 QOL 是工作能力的预测因素。结论：年龄、心理健康和 QOL 是工作能力的预测因素，在咨询和康复过程中应加以考虑。

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Influence of cochlear implantation on the working ability of hearing-impaired patients: A prospective study on potential influencing factors.

Purpose: This study evaluates the effect of cochlear implantation (CI) on work ability. The influences of quality of life (QOL), age, mental health, and hearing were analyzed.

Methods: Seventy-nine patients undergoing CI surgery were evaluated preoperatively and 12 months postoperatively. Work ability was evaluated using the Work Ability Index (WAI). QOL was assessed with the Nijmegen Cochlear Implant Questionnaire (NCIQ) and the WHOQOL-BREF. Mental health was assessed with the Patient Health Questionnaire.

Results: The WAI was unaffected by CI (Δ 0.8 ± 6.8, p = 0.42). No significant changes in WAI were observed for employees (Δ - 1.1 ± 5.7, p = 0.25) and pensioners (Δ -0.4 ± 7.8, p = 0.73). Patients without elevated depressiveness, stress, or somatoform symptoms had significantly better WAI.The multiple regression analyses show that WHOQOL-BREF (ß = 0.49, p ≤ 0.001), age (ß = -0.34, p ≤ 0.001), and depressiveness (ß = 0.33, p = 0.04) were significantly associated with WAI. In the employee group, the NCIQ (ß = 0.58, p = 0.008) had the strongest association with the WAI.

Conclusion: Age, mental health, and QOL are predictive factors for work ability. This should be considered in the consultation and the rehabilitation process.

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来源期刊

COCHLEAR IMPLANTS INTERNATIONAL Medicine-Otorhinolaryngology

CiteScore

3.10

自引率

0.00%

发文量

期刊介绍： Cochlear Implants International was founded as an interdisciplinary, peer-reviewed journal in response to the growing number of publications in the field of cochlear implants. It was designed to meet a need to include scientific contributions from all the disciplines that are represented in cochlear implant teams: audiology, medicine and surgery, speech therapy and speech pathology, psychology, hearing therapy, radiology, pathology, engineering and acoustics, teaching, and communication. The aim was to found a truly interdisciplinary journal, representing the full breadth of the field of cochlear implantation.