听力障碍筛查量表用于老年人群听力筛查分析

发布时间：2018-07-02 22:52

本文选题：老年性聋 + 老年听力障碍筛查量表　；参考：《听力学及言语疾病杂志》2014年03期

【摘要】：目的探讨中文版老年听力障碍筛查量表(the hearing handicap inventory for the elderly-screening version,HHIE-S)用于老年人群听力筛查的可行性及实用性。方法随机选取840例年龄大于60周岁的老年人,先自行填写HHIE-S量表,然后在工作人员指导下再次填写,对比指导前后HHIE-S量表的得分,计算指导后量表的信度Cronbach'sα值,判断量表的可行性;所有填表者均进行0.5、1.0、2.0、4.0kHz纯音听阈测试,计算平均纯音听阈(PTA)值,比较筛查目标听力损失分别设定为PTA25dB HL、PTA40dB HL、PTA60dB HL时,HHIE-S得分8分与10分及指导前后所填量表的灵敏度、特异度、阳性预测值、假阳性率及假阴性率,并根据ROC曲线及曲线下面积值(AUC),判断三种目标听力损失时量表的实用性。结果 840例老年人指导前后HHIE-S量表平均得分分别为7.6±10.6和10.8±16.7分(P0.01),指导后量表的Cronbach'sα值为0.85;以HHIE-S8分作为听力障碍判断标准时较HHIE-S10分灵敏度高,假阴性率低(P0.05);指导后且以HHIE-S8分时PTA25dB HL、PTA40dB HL及PTA60dB HL三种听力损失条件下ROC曲线下面积值分别为0.70±0.03、0.84±0.01及0.88±0.02。结论适当指导后,HHIE-S量表用于老年人听力筛查得分8分即可认为存在听力障碍,目标听力损失为PTA40dB HL时,HHIE-S量表的实用性强,汉化版HHIE-S量表可作为老年人群听力障碍有效的筛查方式。
[Abstract]:Objective to explore the feasibility and practicability of Chinese version of (the hearing handicap inventory for the elderly-screening version HHIE-S for hearing screening in the elderly. Methods 840 elderly people over 60 years old were randomly selected to fill out the HHIE-S scale first, then to fill it out again under the guidance of the staff. The scores of the HHIE-S scale before and after the guidance were compared, and the Cronbachs 伪 value of the post-instruction scale was calculated. In order to determine the feasibility of the scale, all the participants were tested with 0.5V 1.0 / 2.0kHz pure tone audiometry to calculate the mean pure tone hearing threshold (PTA), and the mean pure tone hearing threshold (PTA) was calculated, and the mean pure tone hearing threshold (PTA) was calculated. The sensitivity, specificity, positive predictive value, false positive rate and false negative rate of HHIE-S score of HHIE-S before and after guidance were compared when the target hearing loss was set to PTA25dB HLTA40dB HLTA40dB / PTA60dB HL respectively, and the sensitivity, specificity, positive predictive value, false positive rate and false negative rate of the scale before and after guidance were compared. According to the ROC curve and the area under curve (AUC), the practicability of the three target hearing loss scales was evaluated. Results the average scores of HHIE-S before and after instruction were 7.6 卤10.6 and 10.8 卤16.7 (P0.01) respectively, and the Cronbachs 伪 was 0.85. The sensitivity of HHIE-S8 was higher than that of HHIE-S10. The false negative rate was low (P0.05), and the area under the ROC curve was 0.70 卤0.03 卤0.84 卤0.01 and 0.88 卤0.02 respectively under the three hearing loss conditions: PTA25dB HLT PTA40dB HL and PTA60dB HL at HHIE-S8. Conclusion the HHIE-S scale can be regarded as having hearing impairment when it is used for hearing screening in the elderly after proper guidance. The HHIE-S scale is very practical when the target hearing loss is PTA40dB HL. HHIE-S scale can be used as an effective screening method for hearing impairment in the elderly.
【作者单位】：上海交通大学医学院附属新华医院耳鼻咽喉头颈外科;上海交通大学医学院耳科学研究所;
【基金】：十二五国家科技支撑计划项目(2012BAI12)
【分类号】：R764.43

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