聴覚障害,補聴器の使用,および認知症患者における神経精神症状:NACCの調査結果
Ahjeetha Shankar1, Emmanuel E Garcia Morales2, Jeannie-Marie Leoutsakos3
1Johns Hopkins University School of Medicine (AS), Baltimore, MD.
まとめ
聴覚障害は認知症では一般的ですが,神経精神症状 (NPS) と関連していません. しかし 認知症患者の補聴器の使用は NPSの数と重症度を大幅に低下させ 聴覚ケアが重要な介入であることを示唆しています
科学分野:
- ゲロントロジー
- 神経科学
- 聴覚学
背景:
- 聴覚障害は認知症 (PLWD) を患っている人の90%以上に影響します.
- 聴覚障害を含む感覚障害は,神経精神症状 (NPS) の増加と関連しています.
- 補聴器の使用は,NPSに対する保護効果を提供することがあります.
研究 の 目的:
- PLWDにおける機能性聴覚障害とNPSとの関連を調査する.
- 補聴器の使用が聴覚障害のあるPLWDにおけるNPSの数と重症度に与える影響を調べる.
主な方法:
- ナショナル・アルツハイマー・コーディネーション・センターの ユニフォーム・データセットの横断分析
- 関連性を推定するために使用される負の二項回帰は,人口統計学的および臨床的要因を調整します.
- 補聴器の使用における選択バイアスを解決するために採用された近隣のマッチング.
主要な成果:
- 10,054人の参加者のうち,24%が聴覚障害を報告し,聴覚障害はNPSと有意に関連していなかった.
- 聴覚障害のあるPLWD患者の54. 8%が補聴器を使用した.
- 補聴器の使用は,マッチングと調整後のNPSの減少と減少と関連していました.
結論:
- 補聴器の使用は,PLWDにおけるNPSの管理のための非薬学的介入の不足である可能性があります.
- 聴覚ケアは NPSの非薬学的な管理のための有望な戦略として浮上しています
- 認知症の治療における聴覚の介入のさらなる探求は正当化されています.
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