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老年性耳聋患者助听器佩戴效果的影响因素

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目的 观察老年性耳聋患者助听器的佩戴效果,并分析影响助听器佩戴效果的相关因素.方法 回顾性分析2021 年 5 月至 2023 年 5 月琼海市中医院收治的 102 例因老年性耳聋佩戴助听器患者的临床资料,患者入院后均行助听器效果国际性调查问卷(IOI-HA)评估,比较不同临床特征患者IOI-HA总分的差异.采用SPSS 22.0 统计软件进行数据分析.根据数据类型,分别采用t检验或方差分析进行组间比较.采用多因素logistic回归分析影响老年性耳聋患者助听器佩戴效果的相关因素.结果 102 例老年性耳聋患者IOI-HA总分为(24.18±7.84)分.文化程度、助听器佩戴时长、耳聋严重程度及助听器佩戴耳侧不同的患者IOI-HA总分比较,差异均有统计学意义(P<0.05).多因素logistic回归分析显示,初中文化程度(OR=3.245,95%CI 1.337~7.876)、单耳佩戴助听器(OR= 2.195,95%CI 1.032~4.669)、助听器佩戴时长<4 个月(OR= 4.513,95%CI 1.395~14.600)及轻度聋(OR=2.447,95%CI 1.208~4.957)为影响老年性耳聋患者助听器佩戴效果的相关因素.结论 老年性耳聋患者助听器佩戴效果受文化程度、助听器佩戴耳侧、助听器佩戴时长及耳聋严重程度的影响,临床治疗时应当予以相应关注.
Factors influencing effectiveness of hearing aids in senile deaf patients
Objective To observe the effectiveness of hearing aids in the senile deaf patients and to analyze the influencing factors.Methods Clinical data of 102 senile deaf patients wearing hearing aids admitted to Qionghai Hospital of Traditional Chinese Medicine from May 2021 to May 2023 were retrospectively analyzed.The international outcome inventory for hearing aids(IOI-HA)was evaluated after admission,and patients with different clinical characteristics were compared for the total IOI-HA score.SPSS statistics 22.0 was used for data analysis.Depending on the data type,t test or ANOVA were used for inter-group comparison.Influencing factors on effectiveness of hearing aids in the elderly patients with age-related hearing loss were identified using multivariate logistic regression analysis.Results The total IOI-HA score of 102 elderly patients with hearing loss was(24.18±7.84)points.There were significant differences in total scores of IOI-HA between patients in the aspects of education level,duration of hearing aids wearing,deafness severity and wearing side(P<0.05).Multivariate logistic regression analysis showed that an education level at junior high school(OR =3.245,95%CI 1.337-7.876),wearing one hearing aid(OR=2.195,95%CI 1.032-4.669),duration of hearing aid wearing<4 months(OR=4.513,95%CI 1.395-14.600),and mild deafness(OR= 2.447,95%CI 1.208-4.957)were the influencing factors on effectiveness of hearing aids in the patients with senile deafness.Conclusion The effectiveness of hearing aids in the senile deaf patients is affected by multiple factors,such as education level,wearing side,duration of hearing aids wearing and severity of deafness,which should be paid attention to in clinical treatment.

ageddeafnesshearing aids

莫小丁、许振彬

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琼海市中医院耳鼻喉科,海南 琼海 571400

老年人 耳聋 助听器

海南省卫生健康行业科研项目

20A200108

2024

中华老年多器官疾病杂志
中国人民解放军总医院老年心血管病研究所

中华老年多器官疾病杂志

CSTPCD
影响因子:0.728
ISSN:1671-5403
年,卷(期):2024.23(4)
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