非耳疾就诊患者的听力筛查意愿与筛查结果分析

发布时间：2018-06-06 00:45

本文选题：听力筛查 + 主观意愿　；参考：《重庆医学》2017年08期

【摘要】：目的调查非耳疾就诊患者的听力筛查意愿及分析筛查结果,提高医护人员与患者对听力健康的重视程度,尽可能避免可控因素致听力损害。方法记录参与调查患者的临床资料,对其中愿意行听力筛查者行纯音听阈测定并分析结果;对拒绝行听力筛查者完成问卷以明确其拒绝原因。结果 280例参与调查的患者中,72例愿意行听力筛查,208例拒绝听力筛查;拒绝筛查的主要原因为自觉听力正常、自觉听力与本次就诊疾病无关;年龄大于或等于60岁、家属或身边重要人士有听力疾患者较对照组更愿意接受听力筛查(均P0.05);约40.00%长期服药患者存在听力障碍,较对照组更多(P0.05);自觉听力状况与纯音听阈测定结果之间差异有统计学意义(P0.05)。结论听力障碍在非耳疾就诊患者中有极高的患病率,高龄、长期服药等患者应特别重视听力健康状况;自觉听力正常者仍应警惕潜在的听力障碍。
[Abstract]:Objective to investigate the hearing screening willingness of patients with non-ear diseases and analyze the results of screening so as to improve the attention of medical staff and patients to hearing health so as to avoid hearing impairment caused by controllable factors as far as possible. Methods the clinical data of the patients were recorded, the pure tone hearing threshold of those who were willing to perform hearing screening was measured and the results were analyzed, and the reasons of rejection were determined by completing a questionnaire for those who refused to perform hearing screening. Results among 280 patients who participated in the investigation, 72 cases were willing to undergo hearing screening and 208 cases refused hearing screening. The main reason of refusal was that the conscious hearing was normal, conscious hearing was not related to the disease, and the age was over 60 years old or equal to 60 years old. Patients with hearing disorders were more willing to receive hearing screening than those in the control group (all P 0.05), and about 40.00% of patients with long-term medication had hearing impairment. Compared with the control group, there were more P0.05s, and there was significant difference between the conscious hearing status and the pure tone audiometry. Conclusion there is a high prevalence rate of hearing impairment in patients with non-ear diseases. Patients with advanced age and taking medicine for a long time should pay special attention to the state of hearing health, and those who are aware of normal hearing should still be on guard against potential hearing disorders.
【作者单位】：重庆医科大学附属第二医院耳鼻咽喉头颈外科;
【基金】：重庆市教委科学技术研究项目(KJ1600219)
【分类号】：R764.04

【相似文献】