Outcomes and quality of life in conductive hearing loss

Outcomes and quality of life in conductive hearing loss
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DOI:
10.1067/mhn.2000.110364
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发表时间:
2000-11-01
影响因子:
3.4
通讯作者:
Bautista, MH
Bautista, MH
中科院分区:
医学2区
文献类型:
--
作者:
Stewart, MG;Coker, NJ;Bautista, MH

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目的:目的是测量传导性听力损失(CHL)治疗前后的生活质量(QOL)和听力特异性功能状态。研究设计和设置:一项前瞻性、纵向、基于结果的研究在一个学术医疗中心进行。听力测定研究表明,在所有治疗的患者的听力阈值显着改善。CHL治疗后平均总体QOL评分无显著改善,尽管较基线改善空间很小。听力专用仪器在治疗后确实表现出情绪和社会/情景听力状态的显着改善。与助听器治疗的患者有较差的基线生活质量和听力状态比手术治疗的患者,往往表现出生活质量下降,只有部分改善听力特异性功能状态后treatment.CONCLUSIONS:治疗CHL导致听力特异性功能状态的改善,虽然变化是难以检测与全球生活质量仪器。
OBJECTIVE: The goal was to measure quality of life (QOL) and hearing-specific functional status before and after treatment of conductive hearing loss (CHL).STUDY DESIGN AND SETTING: A prospective, longitudinal, outcomes-based study was performed at an academic medical center.RESULTS: Mean baseline QOL scores in CHL patients were comparable with those of the general population. Audiometric studies indicated significant improvements in hearing threshold in all treated patients. There was no significant improvement in mean global QOL scores after treatment of CHL, although there was little room for improvement over baseline. The hearing-specific instrument did demonstrate significant improvements in emotional and social/situational hearing status after treatment. Patients treated with hearing aids had poorer baseline QOL and hearing status than patients treated with surgery and tended to show declines in QOL and only partial improvement in hearing-specific functional status after treatment.CONCLUSIONS: Treatment of CHL resulted in improvements in hearing-specific functional status, although changes were difficult to detect with a global QOL instrument.