Identifying hearing impairment and the associated impact on the quality of life among the elderly residing in retirement homes in Pretoria, South Africa.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2021-03-01 DOI:10.4102/sajcd.v68i1.788
Samantha M Govender, Marguerite De Jongh
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引用次数: 3

Abstract

Background: Age-Related Hearing Loss (ARHL) is the most widespread sensory disorder in the elderly. Poor audiological support within retirement homes is one of the fundamental issues impacting the Quality of Life (QoL).

Objectives: The objectives of this study were to: (1) Identify the presence of hearing impairment through a hearing screening test battery in a sample of elderly participants residing in three retirement homes. (2) Determine the psychological, communication-related and social impact of the hearing impairment on the QoL in a sample of elderly participants residing in retirement homes.

Method: A prospective cross-sectional research design with quantitative methods of data analysis was used to obtain data from 70 elderly participants (mean age = 79 years, 79% were female). Ten of them used hearing aids. Hearing screening was conducted using otoscopy, tympanometry and air conduction screening (500 Hz-4 kHz). The World Health Organization Quality of Life (WHOQoL) questionnaire was adapted and utilised for the present study.

Results: Findings revealed that 77% of the sample obtained a refer result from the hearing screening protocol indicating a high presence of hearing impairment. Twenty-nine per cent (n = 16) of the participants felt depressed, worried and anxious because of their hearing loss and 20% of participants felt unaccepted by their significant others as a result of their hearing impairment. Hearing difficulties were significantly associated with a reduced QoL (p = 0.045). Eight of the 10 participants who wore hearing aids reported an overall improvement in QoL since receiving and utilising their hearing aids and 20% (n = 2) of hearing aid users reported challenges with maintaining their hearing aids.

Conclusion: The findings of this study emphasised the need for an increased role for audiological services provided by audiologists within retirement homes, thereby contributing to an improved QoL.

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识别听力障碍及其对南非比勒陀利亚养老院老年人生活质量的相关影响。
背景:年龄相关性听力损失(Age-Related Hearing Loss, ARHL)是老年人最普遍的感觉障碍。养老院里听力支持不足是影响生活质量的根本问题之一。目的:本研究的目的是:(1)通过对居住在三家养老院的老年人进行听力筛查测试,确定他们是否存在听力障碍。(2)确定听力障碍对养老老人生活质量的心理、沟通和社会影响。方法:采用前瞻性横断面研究设计,采用定量资料分析方法,获取70例老年参与者(平均年龄79岁,女性79%)的资料。其中10人使用助听器。听力筛查采用耳镜、鼓室测量和空气传导筛查(500 Hz-4 kHz)。本研究采用了世界卫生组织生活质量(WHOQoL)问卷。结果:调查结果显示,77%的样本获得了听力筛查方案的参考结果,表明听力障碍的高度存在。29% (n = 16)的参与者因为听力损失而感到沮丧、担心和焦虑,20%的参与者因为听力受损而感到不被重要的人所接受。听力困难与生活质量降低显著相关(p = 0.045)。10名佩戴助听器的参与者中有8人报告说,自从接受和使用助听器以来,他们的生活质量总体上有所改善,20% (n = 2)的助听器使用者报告说,他们在维护助听器方面遇到了挑战。结论:本研究的结果强调了听力学家在养老院中提供听力学服务的必要性,从而有助于改善生活质量。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
期刊最新文献
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