{"title":"听力康复计划对老花眼管理的影响：随机对照试验的系统回顾和荟萃分析。","authors":"Zhanhang Zheng, Shuhong Qin, Ruilin Li, Wenjuan Wang, Chenxingzi Wu","doi":"10.3389/fragi.2024.1299964","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the field of audiology, numerous studies have sought to understand and improve hearing rehabilitation programs for older adults afflicted with presbycusis. Despite this, the field lacks uniform standards pertaining to the intervention methods, frequency, and duration of such programs. These discrepancies have led to varying test results and inconsistent findings across multiple studies.</p><p><strong>Objective: </strong>This meta-analysis aimed to evaluate the efficacy of hearing rehabilitation programs in enhancing the utilization of hearing aids among older adults with presbycusis.</p><p><strong>Methods: </strong>We conducted a comprehensive exploration of PubMed, Embase, Cochrane Library, and Web of Science to identify randomized controlled trials assessing the role of hearing rehabilitation programs for patients with age-related hearing loss. The search period spanned from the inception of each database to September 12, 2024. Outcomes were synthesized using RevMan 5.4 software.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria, involving 598 patients (290 in the intervention group and 308 in the control group). It was observed that hearing rehabilitation programs significantly diminished self-perceived hearing impairment [MD = -5.80, 95% CI = (-8.16, -3.44), <i>p</i> < 0.00001] and negative emotional states [MD = -1.66, 95% CI = (-3.02, -0.29), <i>p</i> = 0.02], while enhancing hearing aid utilization [MD = 0.22, 95% CI = (0.08, 0.36), <i>p</i> = 0.002]. Nonetheless, these programs did not significantly augment patients' satisfaction with their hearing aids [MD = 0.09, 95% CI = (-0.17, 0.26), <i>p</i> = 0.66].</p><p><strong>Conclusion: </strong>Hearing rehabilitation programs significantly improve hearing aid outcomes, reduce self-perceived hearing impairment, and alleviate negative emotional states in patients. However, the current body of evidence is insufficient to conclusively indicate that these programs enhance patient satisfaction with daily hearing aid usage.</p>","PeriodicalId":73061,"journal":{"name":"Frontiers in aging","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532099/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of hearing rehabilitation programs on presbycusis management: a systematic review and meta-analysis of randomized controlled trials.\",\"authors\":\"Zhanhang Zheng, Shuhong Qin, Ruilin Li, Wenjuan Wang, Chenxingzi Wu\",\"doi\":\"10.3389/fragi.2024.1299964\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In the field of audiology, numerous studies have sought to understand and improve hearing rehabilitation programs for older adults afflicted with presbycusis. Despite this, the field lacks uniform standards pertaining to the intervention methods, frequency, and duration of such programs. These discrepancies have led to varying test results and inconsistent findings across multiple studies.</p><p><strong>Objective: </strong>This meta-analysis aimed to evaluate the efficacy of hearing rehabilitation programs in enhancing the utilization of hearing aids among older adults with presbycusis.</p><p><strong>Methods: </strong>We conducted a comprehensive exploration of PubMed, Embase, Cochrane Library, and Web of Science to identify randomized controlled trials assessing the role of hearing rehabilitation programs for patients with age-related hearing loss. The search period spanned from the inception of each database to September 12, 2024. Outcomes were synthesized using RevMan 5.4 software.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria, involving 598 patients (290 in the intervention group and 308 in the control group). It was observed that hearing rehabilitation programs significantly diminished self-perceived hearing impairment [MD = -5.80, 95% CI = (-8.16, -3.44), <i>p</i> < 0.00001] and negative emotional states [MD = -1.66, 95% CI = (-3.02, -0.29), <i>p</i> = 0.02], while enhancing hearing aid utilization [MD = 0.22, 95% CI = (0.08, 0.36), <i>p</i> = 0.002]. Nonetheless, these programs did not significantly augment patients' satisfaction with their hearing aids [MD = 0.09, 95% CI = (-0.17, 0.26), <i>p</i> = 0.66].</p><p><strong>Conclusion: </strong>Hearing rehabilitation programs significantly improve hearing aid outcomes, reduce self-perceived hearing impairment, and alleviate negative emotional states in patients. However, the current body of evidence is insufficient to conclusively indicate that these programs enhance patient satisfaction with daily hearing aid usage.</p>\",\"PeriodicalId\":73061,\"journal\":{\"name\":\"Frontiers in aging\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-10-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532099/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in aging\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/fragi.2024.1299964\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in aging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fragi.2024.1299964","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：在听力学领域，许多研究都试图了解和改进针对患有老花眼的老年人的听力康复计划。尽管如此，该领域对此类项目的干预方法、频率和持续时间缺乏统一标准。这些差异导致了测试结果的不同以及多项研究结果的不一致：本荟萃分析旨在评估听力康复项目在提高患有老花眼的老年人使用助听器方面的效果：我们对 PubMed、Embase、Cochrane Library 和 Web of Science 进行了全面搜索，以确定评估听力康复项目对老年性听力损失患者的作用的随机对照试验。搜索时间跨度为每个数据库建立之初至 2024 年 9 月 12 日。研究结果使用 RevMan 5.4 软件进行合成：八项研究符合纳入标准，涉及 598 名患者（干预组 290 人，对照组 308 人）。研究发现，听力康复项目能显著减轻自我感觉的听力损伤[MD = -5.80，95% CI = (-8.16, -3.44)，p < 0.00001]和负面情绪[MD = -1.66, 95% CI = (-3.02, -0.29)，p = 0.02]，同时提高助听器的使用率[MD = 0.22, 95% CI = (0.08, 0.36)，p = 0.002]。然而，这些项目并未显著提高患者对助听器的满意度[MD = 0.09, 95% CI = (-0.17, 0.26), p = 0.66]：听力康复计划能明显改善助听器的效果，减少患者的自我感觉听力损伤，并缓解患者的负面情绪。然而，目前的证据还不足以确证这些项目能提高患者对日常助听器使用的满意度。
Impact of hearing rehabilitation programs on presbycusis management: a systematic review and meta-analysis of randomized controlled trials.
Background: In the field of audiology, numerous studies have sought to understand and improve hearing rehabilitation programs for older adults afflicted with presbycusis. Despite this, the field lacks uniform standards pertaining to the intervention methods, frequency, and duration of such programs. These discrepancies have led to varying test results and inconsistent findings across multiple studies.
Objective: This meta-analysis aimed to evaluate the efficacy of hearing rehabilitation programs in enhancing the utilization of hearing aids among older adults with presbycusis.
Methods: We conducted a comprehensive exploration of PubMed, Embase, Cochrane Library, and Web of Science to identify randomized controlled trials assessing the role of hearing rehabilitation programs for patients with age-related hearing loss. The search period spanned from the inception of each database to September 12, 2024. Outcomes were synthesized using RevMan 5.4 software.
Results: Eight studies met the inclusion criteria, involving 598 patients (290 in the intervention group and 308 in the control group). It was observed that hearing rehabilitation programs significantly diminished self-perceived hearing impairment [MD = -5.80, 95% CI = (-8.16, -3.44), p < 0.00001] and negative emotional states [MD = -1.66, 95% CI = (-3.02, -0.29), p = 0.02], while enhancing hearing aid utilization [MD = 0.22, 95% CI = (0.08, 0.36), p = 0.002]. Nonetheless, these programs did not significantly augment patients' satisfaction with their hearing aids [MD = 0.09, 95% CI = (-0.17, 0.26), p = 0.66].
Conclusion: Hearing rehabilitation programs significantly improve hearing aid outcomes, reduce self-perceived hearing impairment, and alleviate negative emotional states in patients. However, the current body of evidence is insufficient to conclusively indicate that these programs enhance patient satisfaction with daily hearing aid usage.
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