老年性耳聋的生存质量调查  

Effects on Quality of Life in the Elderly with Age-related Hearing Loss

作　　者：张燕[1] 高志光[1] 王辉[1] 许丽华[1] 金莉[1] 赵金花[1] 

机构地区：[1]黑龙江省医院耳鼻咽喉科,黑龙江哈尔滨150036

出　　处：《黑龙江医学》2011年第5期382-384,共3页Heilongjiang Medical Journal

摘　　要：目的本文研究老年性耳聋对老年人生存质量的影响,并且以评价问卷方法研究老年性耳聋对生存质量影响中的意义。方法本文选择80例50岁及以上有听力下降老年人接受了问卷调查,调查中我们使用专用于健康调查的36项调查表(36-item Short-Form Health Survey,SF-36)和老人听力障碍调查表(the Hearing Handicap Inventory for the Elderly Screening Version,HHIE-S)进行研究。结果耳聋的严重程度与SF-36表的问卷得分无关,可是通过HHIE-S问卷的病人听力损伤程度与问卷得分及情感和适应社会方面的得分呈负相关(P<0.001)。结论 SF-36表作为生存质量的一般性问卷,对老年性耳聋的质量的研究缺乏一定的特异性,而HHIE-S是一实用特异性较好的问卷方式,可以随诊,对听力障碍引起的生存质量情况进行动态观察。Objective To investigate the impact of age-related hearing loss on the life quality of elderly individuals,and to assess the usefulness of life quality questionnaires as screening tools for significant hearing loss.Methods 80 patients aged 50 years or more with untreated hearing impairment were recruited.The Short Form 36（SF-36） and the Hearing Handicap Inventory for the Elderly Screening Version for the Elderly Screening Version questionnaire were administered.Results There was no significant association between severity of hearing impairment and SF-36 Health Survey scores.A dose-graded correlation was observed between the severity of hearing loss on audiometry and the self-reported hearing impairment score from the HHIE-S（P0.001）.Similar significant positive correlations were noted between the severity of audiometrically determined hearing loss and the emotional and social subscores.Conclusion The Short Form 36 Health Survey,a generic measure,lacked specificity and sensitivity in detecting clinically significant hearing loss.However,significant hearing impairment was reflected in the HHIE-S,suggesting that this is a good,disease-specific screening tool.This questionnaire can also be used for follow up,to assess QoL（Quality of Life） improvement post-intervention.

关 键 词：抽样调查 听力丧失 老年人 生存质量 

分 类 号：R330.21[医药卫生—人体生理学]