Does quality of life depend on speech recognition performance for adult cochlear implant users?
Does quality of life depend on speech recognition performance for adult cochlear implant users?
复制标题
DOI：
10.1002/lary.25525
复制
发表时间：
2016-03-01
期刊：
影响因子：
2.6
通讯作者：
Moberly, Aaron C.
中科院分区：
文献类型：
--
作者：
Capretta, Natalie R.;Moberly, Aaron C.
目的/假设目前接受人工耳蜗植入（CI）的成年人的术后临床结果测量包括测试语音识别，主要是在安静的条件下。然而，强烈怀疑这些指标的结果可能无法充分反映使用植入物的患者的生活质量（QOL）。本研究旨在评估CI用户的生活质量是否取决于语音识别性能。研究设计23名语言后发育的成年CI患者进行了评估。（中央聋人研究所安静条件下单词和AzBio句子识别）并完成三项生活质量测量：Nijmegen耳蜗植入问卷;成人听力障碍量表或老年人听力障碍量表以及言语、空间和听力质量量表都是评估各种生活质量因素的工具。寻求语音识别和生活质量评分之间的相关性。人口统计学，听力学史，语言和认知技能也进行了检查，作为潜在的预测QOL.ResultsOnly少数QOL评分显着相关的术后句子或单词识别在安静，和相关性主要孤立于语音相关的子量表的QOL措施。术前和术后无辅助听力良好者生活质量较好。社会经济状况，耳聋的持续时间，年龄在植入，CI使用的持续时间，阅读能力，词汇量大小，和认知状态并没有一贯预测QOL scores.ConclusionFor成人，postlingually熟练CI用户，临床语音识别措施在安静不广泛与QOL相关。结果表明，需要额外的结果措施的好处和局限性的人工耳蜗植入。
Objectives/HypothesisCurrent postoperative clinical outcome measures for adults receiving cochlear implants (CIs) consist of testing speech recognition, primarily under quiet conditions. However, it is strongly suspected that results on these measures may not adequately reflect patients' quality of life (QOL) using their implants. This study aimed to evaluate whether QOL for CI users depends on speech recognition performance.Study DesignTwenty-three postlingually deafened adults with CIs were assessed.MethodsParticipants were tested for speech recognition (Central Institute for the Deaf word and AzBio sentence recognition in quiet) and completed three QOL measuresthe Nijmegen Cochlear Implant Questionnaire; either the Hearing Handicap Inventory for Adults or the Hearing Handicap Inventory for the Elderly; and the Speech, Spatial and Qualities of Hearing Scale questionnairesto assess a variety of QOL factors. Correlations were sought between speech recognition and QOL scores. Demographics, audiologic history, language, and cognitive skills were also examined as potential predictors of QOL.ResultsOnly a few QOL scores significantly correlated with postoperative sentence or word recognition in quiet, and correlations were primarily isolated to speech-related subscales on QOL measures. Poorer pre- and postoperative unaided hearing predicted better QOL. Socioeconomic status, duration of deafness, age at implantation, duration of CI use, reading ability, vocabulary size, and cognitive status did not consistently predict QOL scores.ConclusionFor adult, postlingually deafened CI users, clinical speech recognition measures in quiet do not correlate broadly with QOL. Results suggest the need for additional outcome measures of the benefits and limitations of cochlear implantation.