痴呆症患者的听力损失,助听器使用和神经精神症状:NACC的发现
Ahjeetha Shankar1, Emmanuel E Garcia Morales2, Jeannie-Marie Leoutsakos3
1Johns Hopkins University School of Medicine (AS), Baltimore, MD.
概括
听力损失在痴呆症中很常见,但与更多的神经精神症状 (NPS) 无关. 然而,痴呆症患者使用助听器显著减少了NPS的数量和严重程度,这表明听力护理是关键干预措施.
科学领域:
- 老年学
- 神经学
- 听力学
背景情况:
- 听力损失影响90%以上的痴呆症患者.
- 感觉障碍,包括听力损失,与神经精神症状 (NPS) 的增加有关.
- 助听器的使用可能会对NPS产生保护作用.
研究的目的:
- 调查功能性听力损失和PLWD中的NPS之间的关联.
- 检查助听器使用对有听力损失的PLWD患者的NPS数量和严重性的影响.
主要方法:
- 来自国家阿尔茨海默氏症协调中心统一数据集的截面分析.
- 用于估计关联的负二项回归,调整为人口和临床因素.
- 最接近邻居的匹配用于解决助听器使用的选择偏差.
主要成果:
- 在10,054名参与者中,24%的人报告听力损失;听力损失与NPS无显著关联.
- 在有听力损失的PLWD患者中,54. 8%的人使用助听器.
- 在匹配和调整后,助听器使用与较少和较少严重的NPS相关.
结论:
- 助听器的使用可能是管理PLWD的非药物干预.
- 听力护理是非药物治疗NPS的一个有前途的策略.
- 在痴呆症护理中进一步探索听力干预是有必要的.
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