Hearing help-seeking and rehabilitation: Perspectives of adults with hearing impairment

Hearing help-seeking and rehabilitation: Perspectives of adults with hearing impairment
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DOI:
10.3109/14992027.2011.606284
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发表时间:
2012-02-01
影响因子:
2.7
通讯作者:
Kramer, Sophia E.
Kramer, Sophia E.
中科院分区:
医学3区
文献类型:
--
作者:
Laplante-Levesque, Ariane;Knudsen, Line V.;Kramer, Sophia E.

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目的:探讨成人听障患者在听力求助和康复方面的观点。设计:完成个人半结构式访谈。研究样本:共有来自四个国家(澳大利亚、丹麦、英国和美国)的34名听力障碍成年人参加。参与者有一系列关于听力求助和康复的经验,从从未寻求过帮助到对助听器使用者感到满意。结果:定性内容分析确定了4个主要类别(“感知我的听力障碍”、“寻求助听器”、“使用我的助听器”和“观点和知识”),下一个层次是25个类别。这篇文章报道了最密集的类别:描述了它们,用采访语录举例说明,并进行了讨论。结论:人们在日常生活中很大程度上描述了听力求助和康复。患有听力障碍的成年人很少将听力寻求帮助和康复的临床遭遇描述为一个相互关联的过程。他们将与临床医生的互动描绘为孤立的事件,而不是与共同目标相关的按时间顺序排列的步骤。文中还讨论了这些发现的临床意义。
Objective: This study investigated the perspectives of adults with hearing impairment on hearing help-seeking and rehabilitation. Design: Individual semi-structured interviews were completed. Study sample: In total, 34 adults with hearing impairment in four countries (Australia, Denmark, UK, and USA) participated. Participants had a range of experience with hearing help-seeking and rehabilitation, from never having sought help to being satisfied hearing-aid users. Results: Qualitative content analysis identified four main categories ('perceiving my hearing impairment', 'seeking hearing help', 'using my hearing aids', and 'perspectives and knowledge') and, at the next level, 25 categories. This article reports on the densest categories: they are described, exemplified with interview quotes, and discussed. Conclusions: People largely described hearing help-seeking and rehabilitation in the context of their daily lives. Adults with hearing impairment rarely described clinical encounters towards hearing help-seeking and rehabilitation as a connected process. They portrayed interactions with clinicians as isolated events rather than chronologically-ordered steps relating to a common goal. Clinical implications of the findings are discussed.