PDF(Pubmed)
Abstract：
OBJECTIVE: To explore the experiences, current approaches, opinions and awareness of healthcare professionals (HCPs) caring for adults with traumatic brain injury (TBI) regarding the audio-vestibular consequences.
METHODS: Cross-sectional online survey study.
METHODS: HCPs with experience of caring for adults with TBI, who were not ENT (ear nose throat) specialists or audiologists.
METHODS: The study was conducted from May 2022 to December 2022. The online survey consisted of 16 closed and open-text questions in English and Turkish about clinical experience, current approaches and awareness of audio-vestibular consequences following TBI. Frequencies of responses to closed questions and associations between variables were analysed using SPSS V.28. Open-text responses were summarised in Microsoft Excel.
RESULTS: Seventy HCPs participated from 17 professions and 14 countries, with the majority from the UK (42.9%). HCPs stated that \'some\' to \'all\' of their patients had auditory problems such as \'inability to understand speech-in-noise\' (66%), \'tinnitus\' (64%), \'hyperacusis\' (57%) and balance problems such as \'dizziness\' (79%) and \'vertigo\' (67%). Usually, HCPs asked about the balance status of patients at appointments and when they observed dizziness and/or balance disorder they used screening tests, most commonly finger-to-nose (53%). For auditory impairments, HCPs preferred referring patients with TBI to audiology/ENT services. However, 6% of HCPs felt that audio-vestibular conditions could be ignored on referral because patients with TBI struggled with many impairments. Additionally, 44% would suggest hearing aids to patients with TBI with hearing loss \'if they would like to use\' rather than \'definitely\'.
CONCLUSIONS: Many audio-vestibular impairments are observed by HCPs caring for patients with TBI. The assessment and intervention opinions and awareness of HCPs for these impairments vary. However, non-expert HCPs may not be aware of negative consequences of untreated audio-vestibular impairments following TBI. Therefore, developing a simple framework for screening and indications of audio-vestibular impairments for referral may be helpful for non-audiological specialists regularly seeing these patients.
METHODS: Cross-sectional online survey study.
METHODS: HCPs with experience of caring for adults with TBI, who were not ENT (ear nose throat) specialists or audiologists.
METHODS: The study was conducted from May 2022 to December 2022. The online survey consisted of 16 closed and open-text questions in English and Turkish about clinical experience, current approaches and awareness of audio-vestibular consequences following TBI. Frequencies of responses to closed questions and associations between variables were analysed using SPSS V.28. Open-text responses were summarised in Microsoft Excel.
RESULTS: Seventy HCPs participated from 17 professions and 14 countries, with the majority from the UK (42.9%). HCPs stated that \'some\' to \'all\' of their patients had auditory problems such as \'inability to understand speech-in-noise\' (66%), \'tinnitus\' (64%), \'hyperacusis\' (57%) and balance problems such as \'dizziness\' (79%) and \'vertigo\' (67%). Usually, HCPs asked about the balance status of patients at appointments and when they observed dizziness and/or balance disorder they used screening tests, most commonly finger-to-nose (53%). For auditory impairments, HCPs preferred referring patients with TBI to audiology/ENT services. However, 6% of HCPs felt that audio-vestibular conditions could be ignored on referral because patients with TBI struggled with many impairments. Additionally, 44% would suggest hearing aids to patients with TBI with hearing loss \'if they would like to use\' rather than \'definitely\'.
CONCLUSIONS: Many audio-vestibular impairments are observed by HCPs caring for patients with TBI. The assessment and intervention opinions and awareness of HCPs for these impairments vary. However, non-expert HCPs may not be aware of negative consequences of untreated audio-vestibular impairments following TBI. Therefore, developing a simple framework for screening and indications of audio-vestibular impairments for referral may be helpful for non-audiological specialists regularly seeing these patients.
摘要：
目的：探索经验，目前的方法，医疗保健专业人员（HCP）照顾成人创伤性脑损伤（TBI）有关音频前庭后果的意见和认识。
方法：横断面在线调查研究。
方法：有照顾成人TBI经验的HCP，他们不是耳鼻喉（耳鼻喉）专家或听力学家。
方法：该研究于2022年5月至2022年12月进行。在线调查包括16个关于临床经验的英语和土耳其语封闭和开放文本问题，TBI后音频前庭后果的当前方法和认识。使用SPSSV.28分析了对封闭问题的回答频率和变量之间的关联。在MicrosoftExcel中汇总了开放文本响应。
结果：来自17个行业和14个国家的70个HCP参加了会议，大部分来自英国（42.9%）。HCP表示，“某些”到“所有”患者都有听觉问题，例如“无法理解噪声中的语音”（66％），\'耳鸣\'（64％），“高音”（57％）和平衡问题，例如“头晕”（79％）和“眩晕”（67％）。通常,HCP询问患者在预约时的平衡状态，以及当他们观察到头晕和/或平衡障碍时，他们使用筛查测试，最常见的是手指到鼻子（53％）。对于听觉障碍，HCP首选TBI患者转诊听力学/耳鼻喉科服务。然而,6％的HCP认为转诊时可以忽略音频前庭疾病，因为TBI患者患有许多障碍。此外,44％的人会向患有听力损失的TBI患者建议助听器“如果他们愿意使用”而不是“肯定”。
结论：照顾TBI患者的HCP观察到许多音频前庭损伤。HCPs对这些损伤的评估和干预意见和认识各不相同。然而,非专家HCP可能没有意识到TBI后未经治疗的音频前庭损伤的负面后果。因此,制定一个简单的筛查框架和转诊的音频-前庭损伤适应症可能有助于非听力学专家定期就诊这些患者.
方法：横断面在线调查研究。
方法：有照顾成人TBI经验的HCP，他们不是耳鼻喉（耳鼻喉）专家或听力学家。
方法：该研究于2022年5月至2022年12月进行。在线调查包括16个关于临床经验的英语和土耳其语封闭和开放文本问题，TBI后音频前庭后果的当前方法和认识。使用SPSSV.28分析了对封闭问题的回答频率和变量之间的关联。在MicrosoftExcel中汇总了开放文本响应。
结果：来自17个行业和14个国家的70个HCP参加了会议，大部分来自英国（42.9%）。HCP表示，“某些”到“所有”患者都有听觉问题，例如“无法理解噪声中的语音”（66％），\'耳鸣\'（64％），“高音”（57％）和平衡问题，例如“头晕”（79％）和“眩晕”（67％）。通常,HCP询问患者在预约时的平衡状态，以及当他们观察到头晕和/或平衡障碍时，他们使用筛查测试，最常见的是手指到鼻子（53％）。对于听觉障碍，HCP首选TBI患者转诊听力学/耳鼻喉科服务。然而,6％的HCP认为转诊时可以忽略音频前庭疾病，因为TBI患者患有许多障碍。此外,44％的人会向患有听力损失的TBI患者建议助听器“如果他们愿意使用”而不是“肯定”。
结论：照顾TBI患者的HCP观察到许多音频前庭损伤。HCPs对这些损伤的评估和干预意见和认识各不相同。然而,非专家HCP可能没有意识到TBI后未经治疗的音频前庭损伤的负面后果。因此,制定一个简单的筛查框架和转诊的音频-前庭损伤适应症可能有助于非听力学专家定期就诊这些患者.
