Cochlear implant rehabilitation in older adults: literature review and proposal of a conceptual framework.
Cochlear implant rehabilitation in older adults: literature review and proposal of a conceptual framework.
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DOI：
10.1111/j.1532-5415.2012.04150.x
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发表时间：
2012-10
影响因子：
6.3
通讯作者：
Francis HW
中科院分区：
文献类型：
--
作者：
Clark JH;Yeagle J;Arbaje AI;Lin FR;Niparko JK;Francis HW
听力损失是衰老的普遍后果，也给老年人带来了特殊的挑战。特别是当与其他与年龄相关的疾病叠加时，老年性耳聋（与年龄相关的听力损失）使老年人面临社会孤立以及相关心理和一般健康后遗症的风险。言语交流的认知需求不断增加，以及社会和身体联系感的减弱，可能进一步导致脆弱感和健康状况不佳，随着老年性耳聋的进展而恶化。听力损失的这一级联下游影响对健康相关生活质量 (HRQL) 的自我评估以及由此产生的相关成本估计具有影响。越来越多的证据表明，尽管使用传统助听器 (HA)，但人工耳蜗 (CI) 对单词理解能力较差的老年人具有潜在作用。在我们对文献的回顾中，我们发现了聋哑和听力障碍老年人群沟通能力恢复的有力证据，关于现实世界中的沟通表现和 HRQL 的公开工作很少，并且关于 CI 康复如何与不断变化的心理社会和功能状态相互作用的知识存在重大差距。因此，我们提出了一个比目前更广泛的概念框架，以说明 CI 康复在治疗老年人重度至极重度听力损失中的作用。我们认为，在未来的研究中需要使用这样的模型来指导多学科研究解决老年人听力损失的独特挑战，并为创新开辟新的机会。
Hearing loss is a prevalent consequence of aging and also poses special challenges for older adults. Particularly when superimposed on other age-related conditions, presbycusis (age-related hearing loss) places the older adult at risk for social isolation and associated psychological and general health sequelae. The increasing cognitive demand of verbal communication, as well as the diminished sense of social and physical connectedness, can furthermore contribute to a feeling of vulnerability and poor health that worsens with advancing presbycusis. This cascade of downstream effects of hearing loss has implications for the self-assessment of health related quality of life (HRQL) and resulting estimates of associated costs. There is accumulating evidence of a potential role for cochlear implants (CI) in older adults with poor word understanding despite conventional hearing aid (HA) usage. In our review of the literature we identify strong evidence for the restoration of communication capacity in the deaf and hard of hearing geriatric population, little published work on communication performance in the real world and HRQL, and significant gaps of knowledge regarding how CI rehabilitation interacts with changing psychosocial and functional status. We therefore propose a broader conceptual framework than is currently available for the role of CI rehabilitation in the management of severe-to-profound hearing loss in older adults. We posit that the use of such a model in future investigations is needed to guide multidisciplinary investigations into the unique challenges of hearing loss in older adults as well as open new opportunities for innovation.
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DOI：
10.1177/070674370905400804
发表时间：
2009-08-01
影响因子：
4
作者：
Corna, Laurie M.;Wade, Terrance J.;Cairney, John
通讯作者：
Cairney, John
影响因子：
2.1
作者：
Carlson, Matthew L.;Breen, Joseph T.;Olund, Amy P.
通讯作者：
Olund, Amy P.
影响因子：
1.4
作者：
Haensel, J;Ilgner, J;Westhofen, M
通讯作者：
Westhofen, M
影响因子：
2.5
作者：
Baker, MW
通讯作者：
Baker, MW
影响因子：
3.7
作者：
Chan, Vanessa;Tong, Michael;van Hasselt, Andrew
通讯作者：
van Hasselt, Andrew