中老年听障人群助听器选配的依从性、满意度及影响因素分析  

An Analysis of the Compliance and Satisfaction of Matching and Hearing Aids in Middle-aged Deafness

作　　者：李景丽 王辉[1] 尤妍颜 LI Jing-li;WANG Hui;YOU Yan-yan

机构地区：[1]首都医科大学附属北京潞河医院,北京101100

出　　处：《中国听力语言康复科学杂志》2025年第2期169-174,共6页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的 分析中老年听障人群助听器选配的依从性和满意度现状,及其影响因素。方法 选取2020年4月~2022年10月我院103例成功选配助听器的中老年听障患者为研究对象。根据依从性评分将患者分为高依从性组(n=69)、中依从性组(n=20)、低依从性组(n=14),分析中老年听障患者助听器配戴依从性的影响因素,再根据性别、年龄、受教育程度等进行分组,应用日常生活助听满意度量表(the satisfaction with amplification in daily life scale,SADL)分析中老年听障患者的满意度及影响因素。结果 患者SADL问卷积极作用4.12±0.28分,服务价格4.06±0.50分,总均分3.72±0.37分。年龄、学历、听力损失、有无轻度认知功能障碍、月收入、家人态度及配戴时间均会影响患者依从性;学历、听力损失、有无轻度认知功能障碍是中老年听障患者认为助听器选配具有积极作用的影响因素(P<0.05)。结论 中老年听障人群助听器选配的依从性和满意度有待提高,影响患者依从性和满意度因素较多,如学历、家人态度、有无认知功能障碍等,需针对相关影响因素进行干预,提高该人群的依从性和满意度。Objective Analyze the compliance and satisfaction status of hearing aid selection and wearing among middle-aged and elderly deaf individuals,as well as the influencing factors.Methods 103 middle-aged and elderly patients with hearing loss fitted with hearing aids in our hospital from April 2020 to October 2022 were selected as the research subjects.According to the compliance score,the patients were divided into the high compliance group(n=69),the medium compliance group(n=20),and the low compliance group(n=14).The influencing factors of hearing aid wearing compliance in the middle-aged and elderly deaf patients were analyzed,and then grouped according to genders,ages,education levels and other factors.The Satisfaction with Amplification in Daily Life Scale(SADL)was used to analyze the satisfaction and influencing factors of those patients.Results The scores of each dimension of the patients'SADL questionnaire are as follows:the score for positive effects is 4.12±0.28 points,the score for service price is 4.06±0.50 points,etc.,and the total average score is 3.72±0.37 points.Age,education level,hearing loss,mild cognitive impairment,monthly income,family attitude,and wearing time all affect patient compliance;Educational background,hearing loss,and mild cognitive impairment are the influencing factors that middle-aged and elderly hearing-impaired patients consider hearing aid selection to have a positive effect(P<0.05).Conclusion The compliance and satisfaction with the fitting of hearing aids for middle-aged and elderly people with hearing loss still need to be improved.There are many factors that affect patient compliance and satisfaction,such as education,family attitudes,and the presence of cognitive impairment.Interventions need to be targeted at relevant influencing factors to improve the compliance and satisfaction of this population.

关 键 词：中老年 助听器选配 依从性 满意度 

分 类 号：G762[文化科学—特殊教育学]