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首页> 外文期刊>Clinical Interventions in Aging >Hearing aid fitting in older persons with hearing impairment: the influence of cognitive function, age, and hearing loss on hearing aid benefit
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Hearing aid fitting in older persons with hearing impairment: the influence of cognitive function, age, and hearing loss on hearing aid benefit

机译：在听力障碍的老年人中贴合助听器：认知功能，年龄和听力损失对助听援助益处的影响

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Purpose: To examine the association of cognitive function, age, and hearing loss with clinically assessed hearing aid benefit in older hearing-impaired persons.Methods: Hearing aid benefit was assessed using objective measures regarding speech recognition in quiet and noisy environments as well as a subjective measure reflecting everyday situations captured using a standardized questionnaire. A broad range of general cognitive functions such as attention, memory, and intelligence were determined using different neuropsychological tests. Linear regression analyses were conducted with the outcome of the neuropsychological tests as well as age and hearing loss as independent variables and the benefit measures as dependent variables. Thirty experienced older hearing aid users with typical age-related hearing impairment participated.Results: Most of the benefit measures revealed that the participants obtained significant improvement with their hearing aids. Regression models showed a significant relationship between a fluid intelligence measure and objective hearing aid benefit. When individual hearing thresholds were considered as an additional independent variable, hearing loss was the only significant contributor to the benefit models. Lower cognitive capacity – as determined by the fluid intelligence measure – was significantly associated with greater hearing loss. Subjective benefit could not be predicted by any of the variables considered.Conclusion: The present study does not give evidence that hearing aid benefit is critically associated with cognitive function in experienced hearing aid users. However, it was found that lower fluid intelligence scores were related to higher hearing thresholds. Since greater hearing loss was associated with a greater objective benefit, these results strongly support the advice of using hearing aids regardless of age and cognitive function to counter hearing loss and the adverse effects of age-related hearing impairment. Still, individual cognitive capacity might be relevant for hearing aid benefit during an initial phase of hearing aid provision if acclimatization has not yet taken place.
机译：目的：审查认知函数，年龄和听力损失与旧式听力受损人员的临床评估助听援助益处。方法：使用关于安静和嘈杂的环境中的语音识别的客观措施来评估助听援助救济，以及一个主观措施反映使用标准化问卷捕获的日常情况。使用不同的神经心理学测试确定了广泛的一般认知功能，如注意，记忆和智能。用神经心理测试的结果以及作为独立变量的年龄和听力损失进行线性回归分析，以及作为依赖变量的益处措施。三十经验丰富的旧助听器用户具有典型的年龄相关的听力障碍参与。结果：大多数福利措施都透露，参与者与他们的助听器获得了重大改善。回归模型显示出流体智能措施和客观助听援助效益之间的重要关系。当个别听力阈值被视为额外的独立变量时，听力损失是福利模型的唯一重要贡献者。通过流体智能措施确定的较低的认知能力 - 与更大的听力损失显着相关。通过考虑的任何变量无法预测主观益处。结论：本研究并未证明助听援助益处与经验丰富的助听器用户中的认知功能有关。然而，发现较低的流体智能评分与更高的听力阈值有关。由于更大的听力损失与更大的客观效益有关，因此这些结果强烈支持使用助听器的建议，而不管年龄和认知功能，以反对听力损失以及年龄相关的听力障碍的不利影响。尽管如此，如果申请申请尚未发生，则个人认知能力可能与助听援助效益有关。

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