Volume 21 Issue 1
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WANG Chang-yang, CI Jun, GUAN Hua. Relationship between hearing aid discontinuance and auditory and social factors in patients with senile deafness[J]. Chinese Journal of General Practice, 2023, 21(1): 37-40. doi: 10.16766/j.cnki.issn.1674-4152.002806
Citation: WANG Chang-yang, CI Jun, GUAN Hua. Relationship between hearing aid discontinuance and auditory and social factors in patients with senile deafness[J]. Chinese Journal of General Practice, 2023, 21(1): 37-40. doi: 10.16766/j.cnki.issn.1674-4152.002806
shu

Relationship between hearing aid discontinuance and auditory and social factors in patients with senile deafness

doi: 10.16766/j.cnki.issn.1674-4152.002806

  • Department of Otorhinolaryngology, Zhejiang Integrated Traditional Chinese and Western Medicine Hospital, Hangzhou, Zhejiang 310000, China

Funds:

 2020KY740

  • Received Date: 2022-02-11
    Available Online: 2023-04-07
    Abstract
  •   Objective  This study aimed to improve the utilisation rate of hearing aids, the disuse and normal use of hearing aids in patients with senile deafness were compared to analyse its correlation with auditory and social factors.  Methods  From January 2018 to January 2020, 186 cases of patients with senile deafness equipped with hearing aids in the Department of Otolaryngology of Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine were analysed. According to the discontinuation of hearing aids after 1 year, the patients were divided into discontinuation group and normal group. The clinical data of hearing and social factors were compared between the two groups. Multivariate Logistic regression was used to analyse the related factors of hearing aid discontinuance in patients with senile deafness.  Results  Amongst the patients included in the study, 69 with hearing aid discontinuance were classified as the discontinuance group, and the remaining 117 patients with continuous normal use of hearing aids were classified as the normal group. In addition, the hearing aid discontinuation rate was 37.10%. The proportion of hearing aids costing < 15 000 yuan, the Hearing Impairment in Elderly Inventory Screening version (HHIE-S) score and the mean of pure tone hearing threshold in the discontinuance group were higher than those in the normal group (all P < 0.05). The speech recognition rate, times of daily socialisation, proportion of retirees and times of annual traveling in the discontinuance group were lower than those in the normal group (all P < 0.05). Multivariate logistic linear regression analysis showed that the increase of HHIE-S score (OR=1.625), the increase of hearing aids price < 15 000 yuan (OR=3.112) and the increase of pure tone threshold (OR=1.166) were independent risk factors influencing hearing aid withdrawal in patients with senile deafness. Increased speech recognition rate (OR=0.820) and increased daily social interaction (OR=0.277) were the protective factors influencing hearing aid withdrawal in patients with senile deafness. As seen in the contour plot, with the number of daily social interactions increases and the language recognition rate increases, the risk of hearing aid deactivation gradually decreases.  Conclusion  Daily social contact frequency and language recognition rate are the most important factors affecting hearing aid withdrawal in patients with senile deafness. Early monitoring helps to adjust the treatment plan in time and improve the application rate of hearing aid.

     

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    • References(15)
  • [1]
    王健艳, 谭静芊, 杨洛盈, 等. 老年性聋部分致病机制和干预的研究进展[J]. 中华耳科学杂志, 2021, 19(1): 151-156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHER202101028.htm

    WANG J Y, TAN J Q, YANG L Y, et al. Research progress in pathogenesis and intervention of senile deafness[J]. Chin J Ear Sci, 2021, 19(1): 151-156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHER202101028.htm
    [2]
    HE Z H, LI M, ZOU S Y, et al. Protection and prevention of age-related hearing loss[J]. Adv Exp Med Biol, 2019, 1103: 59-71.
    [3]
    SHEN Y L, YE B, CHEN P H, et al. Cognitive decline, dementia, Alzheimer' s disease and presbycusis: examination of the possible molecular mechanism[J]. Front Neurosci, 2018, 12(4): 394.
    [4]
    GARCÍA-ALCÁNTARA F, MURILLO-CUESTA S, PULIDO S, et al. The expression of oxidative stress response genes is modulated by a combination of resveratrol and N-acetylcysteine to ameliorate ototoxicity in the rat cochlea[J]. Hear Res, 2018, 358: 10-21. doi: 10.1016/j.heares.2017.12.004
    [5]
    FETONI A R, ZORZI V, PACIELLO F, et al. Cx26 partial loss causes accelerated presbycusis by redox imbalance and dysregulation of Nfr2 pathway[J]. Redox Biol, 2018, 19(3): 301-317.
    [6]
    黄选兆, 汪吉宝, 孔维佳. 实用耳鼻咽喉头颈外科学[M]. 2版. 北京: 人民卫生出版社, 2013: 996.

    HUANG X Z, WANG J B, KONG W J. Practical Otolaryngology head and Neck Surgery[M]. 2nd Ed. Beijing: People' s Medical Publishing House, 2013: 996.
    [7]
    张华, 王硕, 陈静, 等. 普通话言语测听材料[J]. 中国听力语言康复科学杂志, 2008(6): 16-18. doi: 10.3969/j.issn.1672-4933.2008.06.003

    ZHANG H, WANG S, CHEN J, et al. Mandarin speech audiometry materials[J]. Chinese Journal of Hearing and Speech Rehabilitation, 2008(6): 16-18. doi: 10.3969/j.issn.1672-4933.2008.06.003
    [8]
    FUENTES-LÓPEZ E, FUENTE A, VALDIVIA G, et al. Effects of auditory and socio-demographic variables on discontinuation of hearing aid use among older adults with hearing loss fitted in the Chilean public health sector[J]. BMC Geriatrics, 2019, 19(1): 245. doi: 10.1186/s12877-019-1260-6
    [9]
    JAYAKODY D M P, FRIEDLAND P L, MARTINS R N, et al. Impact of aging on the auditory system and related cognitive functions: a narrative review[J]. Front Neurosci, 2018, 12(3): 125.
    [10]
    薄芳, 火子榕, 周杰玉, 等. 认知干预联合功能训练操对突发性耳聋患者负性情绪及生命质量的影响[J]. 中华全科医学, 2020, 18(3): 505-508, 512. doi: 10.16766/j.cnki.issn.1674-4152.001284

    BO F, HUO Z R, ZHOU J Y, et al. Effects of cognitive intervention combined with functional training on negative emotion and quality of life in patients with sudden deafness[J]. Chinese journal of general practice, 2020, 18(3): 505-508, 512. doi: 10.16766/j.cnki.issn.1674-4152.001284
    [11]
    PUGA A M, PAJARES M A, VARELA-MOREIRAS G, et al. Interplay between nutrition and hearing loss: state of art[J]. Nutrients, 2019, 11(1): 35.
    [12]
    黄治物, 杨璐. 老年性聋的早期发现、诊断和预防[J]. 中华耳科学杂志, 2018, 16(3): 382-388. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHER201803024.htm

    HUANG Z W, YANG L. Early detection, diagnosis and prevention of senile deafness[J]. Chinese Journal of Ear Science, 2018, 16(3): 382-388. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHER201803024.htm
    [13]
    任燕, 汪琪璇, 盛海斌, 等. 老年性聋患者助听器验配效果及其影响因素[J]. 听力学及言语疾病杂志, 2020, 28(3): 312-316. https://www.cnki.com.cn/Article/CJFDTOTAL-TLXJ202003016.htm

    REN Y, WANG Q X, SHENG H B, et al. Effect and influencing factors of hearing aid in senile deafness patients[J]. Journal of audiology and speech diseases, 2020, 28(3): 312-316. https://www.cnki.com.cn/Article/CJFDTOTAL-TLXJ202003016.htm
    [14]
    于文永, 郑智英, 杨捷, 等. 老年性听力障碍病人助听器佩戴效果评估及其影响因素分析[J]. 护理研究, 2016, 30(36): 4510-4514. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201636010.htm

    YU W Y, ZHENG Z Y, YANG J, et al. Evaluation of the efficacy of hearing AIDS in patients with senile hearing impairment[J]. Nursing research, 2016, 30(36): 4510-4514. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201636010.htm
    [15]
    RUTHERFORD B R, BREWSTER K, GOLUB J S, et al. Sensation and psychiatry: linking age-related hearing loss to late-life depression and cognitive decline[J]. Am J Psychiatry, 2018, 175(3): 215-224.
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