老年性聋患者焦虑、抑郁和压力情绪分析  

Anxiety,Depression and Stress in Presbycusis

作　　者：刘洋[1] 宋祝萱 鲍羿岐 崔娜[1] 朱学伟[1] LIU Yang;SONG Zhuxuan;BAO Yiqi;CUI Na;ZHU Xuewei(Department of Otorhinolaryngology Head and Neck Surgery,China-Japan Union Hospital of Jilin University,Changchun 130000,China;不详)

机构地区：[1]吉林大学中日联谊医院耳鼻咽喉头颈外科,长春130000 [2]吉林大学中日联谊医院麻醉科,长春130000

出　　处：《中华耳科学杂志》2025年第1期28-32,共5页Chinese Journal of Otology

基　　金：吉林省科普创作协会专项项目(Zkjc6012121354769104133)。

摘　　要：目的评估老年性聋(presbycusis,PC)患者焦虑、抑郁及压力状态,探讨对称性听力下降对老年患者压力、焦虑及抑郁的影响。方法回顾性纳入2021年9月至2022年12月吉林大学中日联谊医院耳鼻咽喉头颈外科门诊收治的PC患者30例(观察组),纳入同期就诊听力正常的老年人群30例(对照组)。应用抑郁-焦虑-压力量表-21项版本(depression anxiety stress scale-21,DASS-21)及汉密尔顿抑郁量表-17项版本(hamilton depression scale-17,HDRS-17)评估比较观察组和对照组焦虑、抑郁及压力状态。分析PC患者言语识别率(speech recognition scores,SRS)与抑郁、焦虑、压力的相关性。结果观察组DASS-21结果抑郁、焦虑、压力例数高于对照组,差异有统计学意义(P<0.05)。观察组HDRS-17结果抑郁例数高于对照组,差异有统计学意义(P<0.05)。无耳鸣PC组抑郁、焦虑、压力例数高于对照组,差异有统计学意义(P<0.05)。观察组SRS与抑郁、焦虑、压力呈负相关,差异有统计学意义(P<0.05);听力曲线类型与抑郁、焦虑、压力无相关,差异无统计学意义(P>0.05)。结论PC患者存在焦虑,抑郁、压力状态。在PC患者中焦虑,抑郁及压力发生率高于听力正常老年人群。应对听力下降的老年患者进行早期干预,加强有效沟通,改善PC患者的情绪状态。Objective To report anxiety,depression,and stress in elderly patients with sensorineural hearing loss,and the influence by bilateral hearing loss on the stress,anxiety and depression.Methods This was a retrospective study involving 30 patients with sensorineural hearing loss(study group)who were treated at the Department of Otolaryngology-Head and Neck Surgery,Sino-Japanese Friendship Hospital of Jilin University,from September 2021 to December 2022,and 30 elderly individuals with normal hearing(control group)who were seen during the same period.The Depression Anxiety Stress Scale-21(DASS-21)and Hamilton Depression Scale-17(HDRS-17)were used to assess depression,anxiety and stress levels,and compared between the study and control groups.The correlations between speech recognition scores(SRS)and depression,anxiety,and stress were analyzed in the study group.Results More patients in the study group showed depression,anxiety,stress than the control group of DASS-21(P<0.05).More patients in the study group showed depression than in the control group of HDRS-17(P<0.05).More patients in patients without tinnitus showed depression,anxiety,stress than the control group(P<0.05).Depression,anxiety and stress were negatively correlated with SRS scores(P<0.05)in the observed group,but not with the pattern of hearing loss(P>0.05).Conclusion Elderly patients with sensorineural hearing loss are more prone to have anxiety,depression and stress than elderly individuals with normal hearing.Early intervention should be provided for these patients,with effective communication to improve their emotional wellbeing.

关 键 词：老年性聋 焦虑 抑郁 压力 情绪 

分 类 号：R47[医药卫生—护理学]