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社区老年人群听力损失对心理和认知的影响研究

A Study on the Impact of Hearing Loss on Psychology and Cognition of the Elderly in Community

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目的 了解社区老年人听力损失的状况及听力损失对社区老年人心理与认知的影响,为开展有针对性的健康促进提供依据.方法 采用纯音测听方法,对社区老人听力损失进行筛查;同时,采用 7项广泛性焦虑障碍量表(GAD-7)、简版老年抑郁量表(GDS-15)与蒙特利尔认知评估量表(MoCA)对听力损失的老年人与听力正常老年人的心理与认知状况进行测量.结果 社区老年人听力损失筛查的阳性率为29.49%,其中,男性筛查阳性率高于女性,年龄越大听力损失筛查的阳性率越高;听力损失者的焦虑与抑郁筛查阳性率均高于听力正常者;男性听力损失者MoCA认知总评分为(25.0±0.7),低于听力正常者的;女性听力损失者MoCA筛查总评分为(25.2±0.7),低于听力正常者的.结论 社区老年人听力损失筛查阳性率高,并且听力损失会给老年人的心理和认知造成负面影响.
Objective To understand the situation of hearing loss and the psychological and cognitive effects of hearing loss on the community elderly,so as to provide the evidence for targeted health promotion.Methods Using pure tone audiometry to screen the hearing loss of the elderly in the community,at the same time,the Generalized Anxiety Disorde-7(GAD-7),the Geriatric Depression Scale-15(GDS-15)and the Montreal Cognitive Assessment(MoCA)were used to measure and analyze the negative psychological and cognitive status of the elderly with hearing loss and the elderly with normal hearing.Results The positive rate of hearing loss screening among the elderly in the community was 29.49%;the positive rate of male screening was higher than that of female;the positive rate of hearing loss screening increased with age.The positive rates of anxiety and depression screening in people with hearing loss were higher than those in people with normal hearing.The total cognitive score of MoCA in male hearing loss was 25.0±0.7,which was lower than that of 28.4±0.6 in normal hearing;the total MoCA screening score of women with hearing loss was 25.2±0.7,which was lower than that of 28.9±0.8 in normal hearing patients.Conclusion The positive rate of hearing loss screening among the elderly in the community is high,and the hearing loss can have a the negative impact on the psychology and cognitive of the elderly in the community.

ElderlyHearing lossNegative psychologyCognition

何建珉、周颖

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上海交通大学医学院附属第九人民医院黄浦分院,上海,200011

上海黄浦区精神卫生中心,上海,200003

老年人 听力损失 负性心理 认知

上海市黄浦区卫生健康委员会上海市黄浦区科技攻关项目

HLM202209

2024

健康教育与健康促进
上海市健康促进中心

健康教育与健康促进

ISSN:1673-6192
年,卷(期):2024.19(3)