CAJ | 학술논문

目的：通过对大样本量助听器使用者开展中文版助听器效果国际性问卷（international outcome in-ventory for hearing aids ，IOI-HA）调查，为中文版助听器成效评估建立模板。方法应用IOI-HA对1724例助听器使用者进行助听器效果调查，受试者根据其助听器日常使用情况对该问卷中7个问题进行选答，每个问题5个选项相应1～5分，将受试者分为非助听状态下自我报告听力损失为无、轻度、中度组和中度、重度以上组。分别统计有效问卷题平均得分，对不同主观听力损失程度的助听器使用者建立中文版IO I -H A评估模版。结果1724例受试者中，1247例同意接受调查，应答率72．3％，其中1203份有效问卷计入统计。分析显示中文版IOI-H A总分范围为9～35分，平均为26．30分，各条目平均得分呈偏态分布，分布范围为3．52～4．19分。各条目得分显示：主观听力损失为无、轻度、中度组（756例）日常使用时间、助听器对使用者的帮助、助听后的聆听困难、满意度、助听后听力损失对工作生活的影响、助听后听力损失对他人的干扰以及助听器对生活质量改善等7个问题的各自平均得分分别为4．14、3．67、3．76、3．58、3．56、3．93和3．69分；听力损失为中重度、重度及以上组（447例）上述各问题平均得分分别为4．19、3．63、3．64、3．65、3．52、3．89和3．79分。结论中文版IO I-H A自我效果评估模板的建立，为我国助听器成效研究、临床选配提供了一种简便易行的工具，同时为国际间助听器效果比较提供了有效素材。
목적：통과대대양본량조은기사용자개전중문판조은기효과국제성문권（international outcome in-ventory for hearing aids ，IOI-HA）조사，위중문판조은기성효평고건립모판。방법응용IOI-HA대1724례조은기사용자진행조은기효과조사，수시자근거기조은기일상사용정황대해문권중7개문제진행선답，매개문제5개선항상응1～5분，장수시자분위비조은상태하자아보고은력손실위무、경도、중도조화중도、중도이상조。분별통계유효문권제평균득분，대불동주관은력손실정도적조은기사용자건립중문판IO I -H A평고모판。결과1724례수시자중，1247례동의접수조사，응답솔72．3％，기중1203빈유효문권계입통계。분석현시중문판IOI-H A총분범위위9～35분，평균위26．30분，각조목평균득분정편태분포，분포범위위3．52～4．19분。각조목득분현시：주관은력손실위무、경도、중도조（756례）일상사용시간、조은기대사용자적방조、조은후적령은곤난、만의도、조은후은력손실대공작생활적영향、조은후은력손실대타인적간우이급조은기대생활질량개선등7개문제적각자평균득분분별위4．14、3．67、3．76、3．58、3．56、3．93화3．69분；은력손실위중중도、중도급이상조（447례）상술각문제평균득분분별위4．19、3．63、3．64、3．65、3．52、3．89화3．79분。결론중문판IO I-H A자아효과평고모판적건립，위아국조은기성효연구、림상선배제공료일충간편역행적공구，동시위국제간조은기효과비교제공료유효소재。
Objective The objective of the present study was to establish a template for the self assessment of hearing aids outcomes according to the evaluation of a large group of hearing aid users .Methods In total ,1 724 subjects participated in the study .The Chinese version of International Outcome Inventory for Hearing Aids (IOI-HA) was used as the evaluation tool .IOI -HA is a seven -item questionnaire ,each item is designed to assess a specific outcome domain .Each item was designed with a five -point rating scale ,a higher rating indicates better outcome .According to the subjects'self reported hearing difficulty when they were not wearing hearing aids (unaid-ed) ,the subjects were divided into two groups :self reported hearing difficulty to be no ,mild ,moderate group ,and self reported hearing difficulty to be moderately severe or severe group ,respectively .Templates for each group were established according to the analysis of the item ratings .Results One thousand two hundred and forty -seven sub-jects accept the investigation ,with a response rate of 72 .3% ,and 1203 completed responses were included in the fi-nal analysis .The Chinese version of IOI-HA scores showed a skewed distribution ,with a mean score ranging from 3 .52 to 4 .19 .The total IOI-HA scores ranged from 9 to 35 ,and the mean total score was 26 .30 .Results showed that for the self reported hearing difficulty (unaided) to be none ,mild or moderate group ,the mean scores for the i-tem of daily use ,benefit ,residual activity limitation ,satisfaction ,residual participation restrictions ,impact on others ,and quality of life were 4 .14 ,3 .67 ,3 .76 ,3 .58 ,3 .56 ,3 .93 and 3 .69 ,respectively .The corresponding mean scores for the self reported hearing difficulty (unaided) to be moderately severe or severe group were 4 .19 ,3 .63 ,3 .64 ,3 . 65 ,3 .52 ,3 .89 ,and 3 .79 ,respectively .A template for the Chinese IOI -HA was established according to the above data .Conclusion The template for the Chinese version of IOI -HA could be served as an effective tool to measure the general effectiveness of the hearing aid outcomes and hearing aid fitting in China ,which would also facilitate the international outcome comparison cross culture .