单句询问与中文版老年听力障碍筛查量表在社区50岁以上人群听力筛查中的应用

Comparison of the Performance between the Mandarin Version of HHIE-S and Single Question in the Hearing Screening in Old Adults

王越;莫玲燕;郑中伟;齐钰;李亚刚;李秀昌;杨杰;

1:吉林大学第四医院耳聋研究基地

2:北京和睦家医院耳鼻咽喉科

3:长春中医药大学药学院数理教研室

摘要
目的探讨中文版老年听力障碍筛查量表(Chinese version of hearing handicap inventory for the elderly-screening,中文版HHIE-S)和单句询问应用于社区50岁以上人群听力筛查的意义。方法使用中文版HHIE-S量表及单句询问"您现在觉得听力有问题吗?"两种方法对某社区570例5085岁中、老年人进行听力筛查,以0.5、1、2、4kHz平均纯音听阈(pure-tone audiometry,PTA)作为金标准,分别在PTA>25、>40、>60dB HL三种不同听力损失分级条件下,计算单句询问及中文版HHIE-S量表的敏感性、特异性、阳性预测值及阴性预测值,比较两种方法对不同程度听力损失者的检出能力。结果570例中,PTA>25dB HL 478例,占83.86%,中文版HHIE-S量表>8分者315例,占55.46%,单句询问阳性者299例,占52.46%。在三个不同听力损失分级条件下中文版HHIE-S量表>8分的敏感性分别为61%、85%、96%,特异性分别为72%、58%、47%,单句询问阳性组的敏感性为58%、81%、100%,特异性为75%、61%、50%,两种听力筛查方法经统计分析比较差异无统计学意义(P>0.05)。结论中文版HHIE-S量表与单句询问方法对中重度听力损失中、老年人的筛查都有较高的敏感性,可根据研究目的用于临床及基层大样本中、老年人群的听力筛查。
关键词
中文版老年听力障碍筛查量表;单句询问;听力筛查
基金项目(Foundation):
吉林省卫计委科技项目(2013Z057)资助
作者
王越;莫玲燕;郑中伟;齐钰;李亚刚;李秀昌;杨杰;
参考文献

1 Cruickshanks KJ,Wiley TL,Tweed TS.Prevalence of hearing loss in older adults in Beaver Dam,Wisconsin.The epidemiology of hearing loss study[J].American Journal of Epidemiology,1998,148:879.

2 Li-Korotky HS.Age-related hearing loss:quality of care for quality of life[J].The Gerontologist,2012,52:265.

3 Gates GA,Mills JH.Presbycusis[J].Lancet,2005,366:1111.

4 于丽玫,孙喜斌,魏志云,等.全国老年听力残疾人群现状调查研究[J].中国听力语言康复科学杂志,2008(3):63.

5 Bagai A,Thavendiranathan P,Dsky AS.Does this patient have hearing impairment[J].JAMA,2006,295:416.

6 Smits C,Houtgast T.Results from the Dutch speech-innoise screening test by telephone[J].Ear Hear,2005,26:89.

7 Mcbride WS,Mulrow CD,Aguilar C,et al.Methods for screening for hearing loss in older adults[J].The American Journal of Medical Sciences,1994,307:40.

8 Ventry IM,Weinstein BE.The hearing handicap inventory for the elderly:a new tool[J].Ear and Hearing,1982,3:128.

9 Gates GA,Murphy M,Rees TS,et al.Screening for handicapping hearing loss in the elderly[J].The Journal of Family Practice,2003,52:56.

10 American Speech-Language-Hearing Association.Guidelines for audiologic screening.Available from www.asha.org/poliay.Doi:10.1044/policy.GL1977-00199.1997.

11 胡娴亭,黄治物,陈建勇,等.听力障碍筛查量表用于老年人群听力筛查分析[J].听力学及言语疾病杂志,2014,22:230.

12 汪国庆,李朝军,官文君,等.筛选型老年听力障碍量表的研译及其信度和效度评价.[J].听力学及言语疾病杂志,2014,22:568.

13 Wiley TL,Cruickshanks KJ,Nondahl DM,et al.Self-reported hearing handicap and audiometric measures in older adults[J].J Am Acad Audiol,2000,11:67.

14 Sindhusake D,Mitchell P,Smith W,et al.Validation of selfreported hearing loss.The blue mountains hearing study[J].International Epidemiological Association,2001,30:1371.

15 Dalton DS,Cruickshanks KJ,Klein BEK,et al.Impact of hearing loss on quality of life in older adults[J].The Gerontologist,2003,43:661.

16 卜行宽,刘鋋.世界卫生组织预防聋和听力减退工作情况介绍[J].中华耳鼻咽喉科杂志,2000,35:237.

17 Deepthi R,Kasthuri A.Validation of the use of self-reported hearing loss and the hearing handicap inventory for elderly among rural Indian elderly population[J].Archives of Gerontology and Geriatrics,2012,55:762.

18 Tomioka K,Ikeda H,Hanaie K,et al.The hearing handicap inventory for elderly-screening(HHIE-S)versus a single question:reliability,validity,and relations with quality of life measures in the elderly community,Japan[J].Qual Life Res,2013,22:1151.

19 Lichtenstein MJ,Bess FH,Logan SA.Diagnostic performance of the hearing handicap inventory for the elderly(Screening version)against differing definitions of hearing loss[J].Ear and Hearing,1988,9:208.

20 Jupiter T,Palagonia C.The hearing handicap inventory for the elderly screening version adapted for use with elder Chinese American individuals[J].American Journal of Audiology,2001,10:99.

21 Salonen J,Johansson R,Karjalainen S,et al.Relationship between self-reported hearing and measured hearing impairment in an elderly population in Finland[J].International Journal of Audiology,2011,50:297.

22 Nondahl DM,Cruickshanks KJ,Wiley TL,et al.Accuracy of self-reported hearing loss[J].Audiology,1998,37:295.

23 Jupiter T,Distasio D.An evaluation of the HHIE-S as a screening tool for the elderly homebound population[J].Journal of the Academy of Rehabilitative Audiology,1998,31:11.

24 Smeltzer CD.Primary care screening and evaluation of hearing loss[J].Nurse Practitioner,1993,18:50.