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轻度认知障碍对老年聋患者助听器效果的影响 被引量:4

The influence of mild cognitive impairment on efficacy of hearing aids in patients with presbycusis
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摘要 目的研究轻度认知功能障碍对老年性聋患者佩戴助听器满意度及受益度的影响。方法依据研究入选标准选取于南京军区福州总医院听力检查中心验配并佩戴助听器6个月以上的老年性耳聋患者92例作为研究对象。根据蒙特利尔认知评价量表得分将研究对象分为两组,即认知功能正常组和轻度认知功能障碍组。使用助听器每日生活使用满意度调查表(SADL)、助听器效果国际性调查问卷(IOI-HA)进行问卷调查。结果认知功能正常组患者SADL总均分、积极作用、服务与价格两部分得分及IOI-HA总分值均高于轻度认知功能障碍组,且差异有统计学意义(P<0.05);但在SADL负面影响、个人形象两部分得分上,认知功能正常组患者低于轻度认知功能障碍组,两者无明显差异(P>0.05)。Pearson相关性分析结果显示:SADL总均分、IOI-HA总分值与MoCA总分均成正相关(r=0.670,0.785,P=0.000)。结论相比于认知功能正常的老年性聋患者,轻度认知功能障碍患者对佩戴助听器的受益度和满意度是降低的,并且两者呈正相关,即老年聋患者的认知功能水平越低,其对佩戴助听器的受益度和满意度越小。 Objective To evaluate the influence of mild cognitive impairment (MCI) on the satisfaction and benefits of hearing aids usage in patients with presbycusis. Methods Data from 92 subjects who had been fitted with hearing aids for more than six months at the audiology test center of Fuzhou General Hospital of PLA were collected. The subjects were divided into two groups (MCI and control) depending on their MoCA scores. All subjects received SADL and IOI-HA evaluation. Results Scores of SADL, positive effect, service and price and IOI-HA were significantly higher in the group of normal cognitive function than in the group of MCI (p〈0.05), although no significant difference was detected with the scores of negative effect and personal image (P〉0.05). Positive correlations were observed between SADL and MoCA scores (r= 0.670,P=0.000), and between IOI-HA and MoCA (r= 0.785,P=0.000) scores. Conclusion Compared with patients of normal cognitive function, the satisfaction and benefits with hearing aids in patients with MCI are reduced. Satisfaction and benefits with hearing aids are correlated with cognitive function.
出处 《中华耳科学杂志》 CSCD 北大核心 2016年第1期94-98,共5页 Chinese Journal of Otology
关键词 老年性聋 助听器 满意度和受益度 轻度认知功能障碍 presbycusis hearing aids the satisfaction and benefit mild cognitive impairment
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参考文献18

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二级参考文献49

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