老年人听力损失的治疗:听觉结果和对生活质量的影响

R. Manrique-Huarte, Diego Calavia, Alicia Huarte Irujo, Laura Girón, M. Manrique-Rodríguez
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引用次数: 55

摘要

本研究的目的是确定耳蜗植入和助听器对诊断为听力损失的老年人的益处,并评估这些治疗后的抑郁、焦虑和生活质量指数。回顾性队列研究包括117例年龄大于65岁,诊断为中度至重度听力损失的患者,并将其分为两组(治疗组和未治疗组)。在两组之间进行了一系列测试,包括听觉测试(在65分贝声压下安静的纯音平均、双音节单词)和一系列与生活质量相关的问题的结果。人工耳蜗组双音节词的听觉结果为58.21%,助听器组为82.8%。与深度听力损失对照组相比,人工耳蜗组在焦虑、抑郁、健康状况和生活质量方面均有积极影响。我们的结论是,中重度听力损失的老年人使用助听器或人工耳蜗不仅可以改善听力功能,而且在焦虑、抑郁、健康状况和生活质量方面也有积极的影响。
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Treatment for Hearing Loss among the Elderly: Auditory Outcomes and Impact on Quality of Life
The study aim was to determine the benefit of cochlear implantation and hearing aids in older adults diagnosed with hearing loss and to evaluate the index of depression, anxiety and quality of life after such treatments. A retrospective cohort comprised 117 patients older than 65 years and diagnosed with moderate to profound hearing loss who were included and classified into 2 groups (treated vs. non-treated). A battery of tests including auditory (pure-tone average, disyllabic words in quiet at 65 dB SPL) and findings from a series of questions relevant to quality of life were compared between both groups. Auditory outcomes for disyllabic words were 58.21% for the cochlear implant-treated group and 82.8% for the hearing aid-treated group. There was a positive effect on anxiety, depression, health status and quality of life in the cochlear implant group versus the profound hearing loss control group. We conclude that older adults with moderate to profound hearing loss gain benefit from hearing aids or cochlear implants not only in terms of improved hearing function, but also in terms of positive effects on anxiety, depression, health status and quality of life.
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