自助疗效和关节问题对老年人放弃助听器的相互作用效应
Eduardo Fuentes-López1, Manuel Luna-Monsalve2, Catherine Silva-Letelier1
1Departamento de Fonoaudiología, Escuela de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
International journal of audiology
|October 16, 2024
概括
自我有效性显著影响老年人听力助听器放弃风险,特别是当关节问题存在时. 解决这些问题可以改善助听器的使用.
科学领域:
- 听力学 听力学是指听力学.
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
背景情况:
- 听力助听器被遗弃是老年人面临的一个重大问题,影响生活质量.
- 自我效能,相信自己有能力取得成功,可能会在助听器的采用和持续使用中发挥作用.
- 关节和视觉问题等并发症可能会影响助听器的可用性和接受性.
研究的目的:
- 调查自我效能和身体限制 (关节和视觉问题) 之间的相互作用,对老年人听力助听器放弃的风险.
- 为了确定是否自我效能缓和了身体问题和助听器放弃之间的关系.
主要方法:
- 在智利接受助听器的355名老年人的回顾性队列研究.
- 使用S-MARS-HA问卷测量的自我有效性.
- 通过自我报告评估关节和视觉问题;用于分析相互作用的生存回归模型.
主要成果:
- 发现自我有效性和关节问题 (p < 0.05) 之间存在显著的相互作用,影响助听器放弃风险.
- 在患有关节问题的人群中,更高的自我效能与减少放弃相关 (HR = 0.81).
- 在没有关节问题的人群中,自我有效性对放弃的保护作用更强 (HR = 0.52). 没有观察到与视力问题的显著相互作用.
结论:
- 自我有效性和关节问题之间的相互作用是助听器放弃的关键因素.
- 针对关节问题限制和提高助听器自我有效性的干预措施可能会降低放弃率.
- 未来的研究应该探索支持老年人使用助听器的策略.
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