关键词: Hearing loss cognitive functions daily life impairment. quality of life

Mesh : Humans Hearing Aids Female Male Aged Prospective Studies Hearing Loss / physiopathology Patient Compliance Aged, 80 and over Auditory Threshold / physiology Middle Aged Cognition / physiology

来  源:   DOI:10.1177/03000605241232549   PDF(Pubmed)

Abstract:
OBJECTIVE: To investigate which factors influence the adherence to hearing aid (HA) use in elderly patients with moderate-to-severe hearing loss.
METHODS: This observational, prospective, single-centre study enrolled patients with moderate-to-severe hearing loss. They were evaluated before and 1 year after having either one or two HAs fitted.
RESULTS: A total of 86 patients were enrolled in the study and of these 69.8% (60 of 86; USER group) continued to use their HA at 1 year after fitting; six patients had not continued their use (NON-USERS). The USER group was younger than the NON-USER group, but the difference was not significant. The USER group had a significantly better unaided auditory threshold at baseline than the NON-USER group. HA use resulted in improvements in speech audiometry and auditory threshold. There was also a maintenance of cognitive function in the USER group.
CONCLUSIONS: Use of HA for 1 year resulted in improved auditory performance and an absence of a deterioration of cognitive function.Trial registration: This research was retrospectively registered under no. NCT04333043 at ClinicalTrials.gov (http://www.clinicaltrials.gov/) on the 26 March 2020. This research has been registered with the Ethics Committee of the Area Vasta Emilia Nord under number 104, date of approval 17/07/2017.
摘要:
目的:探讨影响中重度听力损失老年患者使用助听器依从性的因素。
方法:这种观察,prospective,单中心研究纳入中度至重度听力损失患者.在安装一个或两个HA之前和一年后对它们进行了评估。
结果:共有86名患者被纳入研究,其中69.8%(86人中的60名;用户组)在拟合后1年继续使用他们的HA;6名患者没有继续使用他们的HA(非用户)。用户组比非用户组年轻,但差异不显著。USER组在基线时的独立听觉阈值明显优于NON-USER组。HA的使用导致语音测听和听觉阈值的改善。用户组也有认知功能的维持。
结论:使用HA1年可改善听觉表现,并无认知功能恶化。试验注册:这项研究是回顾性注册的。NCT04333043在ClinicalTrials.gov(http://www.clinicaltrials.gov/)于2020年3月26日。本研究已在VastaEmiliaNord地区伦理委员会注册,编号104,批准日期2017年7月17日。
公众号