HEARING IMPAIRMENT AS A DETERMINANT OF FUNCTION IN THE ELDERLY
HEARING IMPAIRMENT AS A DETERMINANT OF FUNCTION IN THE ELDERLY
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DOI：
10.1111/j.1532-5415.1989.tb05870.x
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发表时间：
1989-02-01
影响因子：
6.3
通讯作者：
NELSON, E
中科院分区：
文献类型：
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作者：
BESS, FH;LICHTENSTEIN, MJ;NELSON, E
这项基于临床实践的研究探讨了研究问题：老年患者的听力损失和功能障碍之间是否存在关系？我们分析了听力障碍对153例在初级保健实践中筛查的65岁以上患者的影响。使用疾病影响概况（SIP）来测量功能和心理社会障碍，这是一种评估疾病相关功能障碍的标准化指标。听力水平采用纯音测听。多元线性回归用于调整患者病例组合差异和其他临床变量。调整后，发现听力损失增加10 dB会导致物理SIP评分增加2.8分（95%置信区间= 1.8-3.8），心理SIP评分增加2.0分（95%置信区间= 0.8-3.2），总体SIP评分增加1.3分（95%置信区间= 0.1-2.5）。听力差与SIP评分较高和功能障碍增加相关。因此，听力障碍是老年人功能的重要决定因素。
This clinical, practice-based study explores the research question: Is there a relationship between hearing loss and functional disturbance in elderly patients? We analyzed the impact of hearing impairment on 153 patients over 65 years of age screened in primary care practice. Functional and psychosocial impairment were measured using the Sickness Impact Profile (SIP), a standardized measure for assessing sickness related dysfunction. Hearing level was determined with pure tone audiometry. Multiple linear regression was used to adjust for patient case-mix differences and other clinical variables. After adjustment, a 10 dB increase in hearing loss was found to result in a 2.8 point increase in Physical SIP scores (95% confidence interval = 1.8-3.8), a 2.0 point increase in psychosocial SIP scores (95% confidence interval = 0.8-3.2) and a 1.3 point increase in overall SIP scores (95% confidence interval = 0.1-2.5). Poor hearing was associated with higher SIP scores and increased dysfunction. Thus, hearing impairment is an important determinant of function in the elderly.