Bone-anchored hearing aid: quality of life assess by glasgow benefit inventory
Bone-anchored hearing aid: quality of life assess by glasgow benefit inventory
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骨锚式助听器：通过格拉斯哥福利清单评估生活质量
DOI：
10.1046/j.1365-2273.2000.00422-5.x
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Johnson
中科院分区：
文献类型：
--
作者：
Arunachalan;Kilby;Meikle;Davison;Johnson
简介：骨锚式助听器（BAHA）使用Branemark描述的骨整合系统。这是一种成熟的治疗模式，许多研究显示了听力学益处，但没有一项研究评估了接受这种手术干预的患者的生活质量受益。本研究使用经验证的格拉斯哥获益量表（GBI）来量化生活质量的变化。GBI是一种以患者为导向的特定问卷，旨在观察ORL干预后的健康状况变化。1 GBI给出了总体评分，但也给出了一般、社会和身体益处的分项评分。方法：60例连续BAHA患者入组本研究。男女比例为1：26，平均年龄为45岁。最常见的适应症是继发于乳突疾病/手术的听力损失，其次是先天性闭锁和慢性耳分泌物。较好的耳朵的平均骨传导为19 dB，跨语音频率的平均传导损失为58 dB。只有符合经典模型的患者才被纳入研究。结果：响应率> 70%，这是高的，增加了结果的权重。总体受益评分为+ 40，与中耳手术相当，但略低于脉络膜植入术的受益。社会效益为+27，身体评分仅为+10。这种模式反映了其他耳部干预措施的报告。结论：本文首次证明，根据GBI测量，BAHA手术干预可显著改善生活质量。
INTRODUCTION: The bone-anchored hearing aid (BAHA) uses the system of osseointegration described by Branemark. It is a well-established mode of treatment and many studies show the audiological benefit, but none have assessed the benefit to the quality of life of patients who underwent this surgical intervention. This study uses the validated Glasgow Benefit Inventory (GBI) to quantify the changes in quality of life. The GBI is a specific patient-orientated questionnaire designed to look at the changes in health status secondary to an ORL intervention.1 The GBI gives an overll scorek, but also subscores of general, social and physical benefits. METHOD: Sixty consecutive BAHA patients were enrolled in the study. The male: female ratio was 1 : 26, with a mean age of 45 years. The most common indication was hearing loss secondary to mastoid disease/surgery followed by congenital atresia and chronically discharging ear. The mean bone conduction of the better ear was 19 dB and the mean conductive loss across the speech frequencies was 58 dB. Only patients who were fitted with the classic model were included in the study. RESULTS: The response rate was > 70%, which is high and adds weight to the results. The general benefit score was + 40 which is comparable to middle ear surgery, but just below benefit from chochlear implantation. The social benefit was + 27 with only + 10 for the physical score. This pattern mirrors that reported for other ear interventions. CONCLUSION: This paper is the first to demonstrate that there is significant quality of life benefit from BAHA surgical intervention as measured by the GBI.