QUALITY-OF-LIFE CHANGES AND HEARING IMPAIRMENT - A RANDOMIZED TRIAL
QUALITY-OF-LIFE CHANGES AND HEARING IMPAIRMENT - A RANDOMIZED TRIAL
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DOI：
10.7326/0003-4819-113-3-188
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发表时间：
1990-08-01
影响因子：
39.2
通讯作者：
DENINO, LA
中科院分区：
文献类型：
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作者：
MULROW, CD;AGUILAR, C;DENINO, LA
目的：评估助听器是否能提高听力损失老年人的生活质量。
地点：一家退伍军人事务局医院的初级保健诊所。
患者：从对771名连续就诊患者的筛查调查中确定的194名听力受损的老年退伍军人。最初的194名患者中，188名（97%）完成了试验。
干预措施：受试者被随机分配接受助听器（n = 95）或进入等待名单（n = 99）。
主要终点：在基线、6周和4个月时进行了一系列针对特定疾病和通用的生活质量测量。
测量和主要结果：两组受试者在年龄、种族、教育程度、婚姻状况、职业和合并疾病方面相似。在基线时，82%的受试者报告听力损伤对生活质量有不良影响，24%的人患有抑郁症。在随访中，与被分配到等待名单的受试者相比，接受助听器的受试者在社交和情感功能（34.0；95%置信区间，27.3 - 40.8；P < 0.0001）、沟通功能（24.2；置信区间，17.2 - 31.2；P < 0.0001）、认知功能（0.28；置信区间，0.08 - 0.48；P = 0.008）和抑郁（0.80；置信区间，0.09 - 1.51；P = 0.03）方面的评分有显著改善。有6名受试者退出（每组3名），无交叉情况，联合干预无显著变化。助听器组自我报告的平均每日助听器使用时间为8小时。
结论：听力损失与对老年人生活质量的重要不良影响有关，这些影响可通过助听器逆转。
Objective: To assess whether hearing aids improve the quality of life of elderly persons with hearing loss. Setting: Primary care clinics at a Bureau of Veterans Affairs hospital. Patients: One hundred and ninety-four elderly veterans who were identified as being hearing impaired from a screening survey involving 771 consecutive clinic patients. Of the original 194, 188 (97%) completed the trial. Intervention: Subjects were randomly assigned to either receive a hearing aid (n = 95) or join a waiting list (n = 99). Main Endpoints: A comprehensive battery of disease-specific and generic quality-of-life measures were administered at baseline, 6 weeks, and 4 months. Measurements and Main Results: Persons assigned to the two groups were similar in age, ethnicity, education, marital status, occupation, and comorbid diseases. At baseline, 82% of subjects reported adverse effects on quality of life due to hearing impairment, and 24% were depressed. At follow-up, a significant change in score improvements for social and emotional functions (34.0; 95% CI, 27.3 to 40.8; P < 0.0001), communication function (24.2; CI, 17.2 to 31.2; P < 0.0001), cognitive function (0.28; CI, 0.08 to 0.48; P = 0.008), and depression (0.80; CI, 0.09 to 1.51; P = 0.03) was seen in subjects who received hearing aids compared with those assigned to the waiting list. Six drop-outs (three per group), no crossovers, and no significant changes in cointerventions were seen. Average, self-reported, daily aid use in the hearing aid group was 8 hours. Conclusion: Hearing loss is associated with important adverse effects on the quality of life of elderly persons, effects which are reversible with hearing aids.