年龄相关性听力损失患者人工耳蜗植入后心理健康状况分析

Mental health of patients with age related hearing loss after cochlear implantation

刘怡陶;李永新;

1:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

2:耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

摘要
目的探讨年龄相关性听力损失患者人工耳蜗植入术后心理健康状况及生活质量。方法采用90项症状清单(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、艾森克人格问卷(EPQ)、生活满意度指数A(LSI-A)对13例年龄相关性听力损失患者在CI术前及开机后6个月进行评估。结果 13例患者在开机半年后SCL-90问卷的人际关系敏感、焦虑、敌对、恐怖、躯体化、强迫症状、精神病性、偏执的得分均明显低于术前(P<0.05);术后6个月SAS得分(36.77±7.18分)较术前(40.92±8.47分)降低,差异有统计学意义(P<0.05);SDS得分(38.08±9.42分),较术前(45.46±11.78分)降低,差异有统计学意义(P<0.05)。术后EPQ的内外倾向、神经质、精神质、掩饰性四个量表得分与术前差异无统计学意义(P>0.05)。术后LSI-A得分平均10分(9~15分)较术前(平均7分,5.5~14分)明显提高,差异有统计学意义(P<0.05)。结论人工耳蜗植入有利于改善年龄相关性听力损失患者的心理健康状况并提高生活质量,在进行听觉言语康复的同时,还应关注其心理和社会交往状况,以帮助其回归主流社会。
关键词
人工耳蜗植入;心理健康;年龄相关性听力损失
基金项目(Foundation):
北京市科委“首都市民健康项目培育”项目(Z171100000417050)
作者
刘怡陶;李永新;
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