人工耳蜗使用者自述的与语音有关的生活质量

P. Bottalico, Abel Plachno, Charles J. Nudelman
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摘要

研究目的本研究旨在确定人工耳蜗 (CI) 用户是否因嗓音问题而导致生活质量下降。本研究通过调查评估了 43 名人工耳蜗用户对其嗓音的感知以及嗓音对其生活质量的影响。调查方法43 名 CI 用户回答了关于其人口统计学、CI 详情、听力健康快速测试 (HHQT)、嗓音相关生活质量 (V-RQOL) 和嗓音障碍指数-10 (VHI-10) 的调查。采用单变量线性回归分析法对调查回复进行了分析。结果显示很少有 CI 用户的评分低于正常嗓音生活质量的临界值。CI 用户的 V-RQOL 平均分为 93.4 分(满分 100 分),只有四人的 VHI-10 异常。V-RQOL 分数较低与参与者拥有副学士学位以及参与者因听力损失而较少拜访朋友、家人和邻居有关。VHI-10 分数与性别、教育水平、听力损失导致的社交困难、噪音暴露和耳鸣有关。研究的局限性。人数少是本研究的主要局限性。独创性。本研究是最早研究人工耳蜗使用者与嗓音相关的生活质量的研究之一。结论。总体而言,受访者认为与语音相关的困难并不多。但是,如果受访者在噪音中听力有困难,并且由于听力损失而回避社交场合,那么他们就更有可能感受到与嗓音相关的困难。
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Self-Reported Voice-Related Quality of Life in Cochlear Implant Users
Objective. The aim of this study was to identify if cochlear implant (CI) users are perceiving a decrease in life quality due to voice problems. This study evaluated 43 CI user’s perception of their voice and how it affects their quality of life through a survey. Approach. Forty-three CI users responded to a survey regarding their demographics, details about their CI, the Hearing Health Quick Test (HHQT), the Voice Related Quality of Life (V-RQOL), and the Voice Handicap Index-10 (VHI-10). The survey responses were analyzed using univariate linear regression analysis. Results. Few of the CI users scored below the cut off for normal voice related quality of life. CI users averaged 93.4 out of 100 on the V-RQOL and only four scored abnormally for the VHI-10. Lower scores on the V-RQOL were correlated with the participants having an associate degree and with participants visiting friends, family, and neighbors less often due to hearing loss. The VHI-10 scores were correlated with gender, education levels, difficulty in social situations due to hearing loss, noise exposure, and tinnitus. Limitations of the study. The small n was the primary limitation of this study. Originality. This study was one of the first to examine the voice-related quality of life in CI users. Conclusions. Overall, respondents did not perceive much voice-related difficulty. However, they were more likely to perceive voice-related difficulty if they experienced difficulty hearing in noise and avoided social situations due to hearing loss.
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