中文版老年听力障碍筛查量表临床应用评价

The Evaluation of the Practice of the HHIE-S Scale for Hearing Screening in the Elderly Population

陈建勇;胡娴婷;裴斐;李蕴;梅玲;任燕;朱伟栋;吴皓;黄治物;

1:上海交通大学医学院附属新华医院耳鼻咽喉头颈外科

2:上海交通大学耳科学研究所

3:上海浦东医院

4:复旦大学附属浦东医院

摘要
目的研究中文版老年听力障碍筛查量表(Chinese version hearing handicap inventory for the elderly screening,CHHIE-S)在老年人听力筛查中的应用价值,评价其敏感性和特异性。方法对840例老年人进行纯音听阈测试筛查及CHHIE-S量表调查,根据量表得分,分析量表的信度指标,计算量表的内部一致性信度Cronbach'sα值,判断量表的整体可行性;计算0.5、1.0、2.0、4.0kHz平均纯音听阈(PTA)值,将筛查目标听力损失设定为PTA>25、PTA>40、PTA>60dB HL三种水平;参照美国言语听力协会听力筛查指南标准,将CHHIE-S量表得分大于8分定义为存在听力障碍,探讨CHHIE-S量表对不同目标听力损失老年人听力筛查的敏感性和特异性。结果 CHHIE-S量表的内部一致性信度好,Cronbach'sα值为0.85;CHHIE-S量表对目标听力损失为PTA>25、PTA>40及PTA>60dB HL老年人听力筛查的敏感性分别为45.8%、74.6%和96.7%,特异性分别为97.7%、83.0%和41.4%;CHHIE-S量表得分>8分与目标听力损失为PTA>25、PTA>40及PTA>60dB HL老年人听力损失程度的相关性具有统计学意义,相关系数分别为0.186、0.392和0.370(均为P<0.05)。结论 CHHIE-S量表具有较好的内部一致性信度;以CHHIE-S量表得分>8分作为PTA>40dB HL目标听力损失的听力筛查标准,具有良好的敏感性和特异性,可用于临床上老年人群听力筛查。
关键词
听力损失;老年听力障碍筛查量表;信度;敏感性;特异性
基金项目(Foundation):
卫生行业科研专项基金项目(201202005)
作者
陈建勇;胡娴婷;裴斐;李蕴;梅玲;任燕;朱伟栋;吴皓;黄治物;
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