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      Satisfação auditiva de pacientes protetizados pelo Sistema Único de Saúde e benefício fornecido pelos dispositivos Translated title: Auditory satisfaction of patients fitted with hearing aids in the Brazilian Public Health Service and benefits offered by the hearing aids

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          Abstract

          O desempenho com a prótese auditiva, relatado pelo usuário, propõe um direcionamento quanto às medidas cabíveis a serem tomadas. OBJETIVO: Avaliar o benefício e o grau de satisfação de adultos e idosos protetizados em um serviço credenciado ao Sistema Único da Saúde. MÉTODO: Estudo transversal de caráter descritivo, do qual participaram 34 indivíduos com perda auditiva bilateral, novos usuários de próteses auditivas, com idade superior a 18 anos. Para avaliar o benefício, foram utilizados os questionários Hearing Handicap Inventory for Adult (adultos) e Hearing Handicap Inventory for the Elderly Screening Version (idosos). Para avaliar a satisfação, foi utilizado o Satisfaction with Amplification in Daily Life. Os dois primeiros foram aplicados no dia da adaptação, enquanto o terceiro foi aplicado somente um mês após a adaptação. RESULTADOS: Foi verificada redução significativa nas dificuldades causadas pela privação auditiva após a adaptação das próteses. Os escores obtidos no Satisfaction with Amplification in Daily Life indicaram um alto nível de satisfação. Tais resultados não apresentaram diferença estatisticamente significante entre os gêneros e os grupos (adultos/idosos). CONCLUSÃO: Constatou-se que os sujeitos avaliados estão tendo benefício com o uso dos aparelhos auditivos e mostram-se muito satisfeitos com os resultados.

          Translated abstract

          OBJECTIVE: To assess the benefits and degree of satisfaction of adult and elderly patients fitted with hearing aids in a service accredited by the Brazilian Public Health Service. METHOD: This descriptive cross-sectional study included 34 individuals with bilateral hearing loss aged 18 and above who had never been offered hearing aids. Scales "Hearing Handicap Inventory for Adults" and "Hearing Handicap Inventory for the Elderly Screening Version" were used to assess the benefits yielded by the hearing aids. Scale "Satisfaction with Amplification in Daily Life" was used to gauge patient satisfaction. The first two were applied on the day the patients were fitted with hearing aids and one month later, whereas the third was applied only one month after the patients had been fitted with the hearing aids. RESULTS: After the subjects were offered hearing aids, significant reductions were seen in the difficulties they experienced as a consequence of hearing loss. The scores in the Satisfaction with Amplification in Daily Life scale indicated a high degree of satisfaction among patients. These results were not statistically different when gender and age (adult/elderly) subgroups were compared. CONCLUSION: The subjects included in the study have benefitted from being fitted with hearing aids and have been very happy with the outcome of the treatment.

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          The hearing handicap inventory for the elderly: a new tool.

          This report describes the development and standardization of the Hearing Handicap Inventory for the Elderly (HHIE). This self-assessment tool is designed to assess the effects of hearing impairment on the emotional and social adjustment of elderly people. The inventory is comprised of two subscales: a 13-item subscale explores the emotional consequences of hearing impairment; a 12-item subscale explores both social and situational effects. The inventory was administered to 100 elderly subjects (mean age = 75 years) with hearing threshold levels in the better ear ranging from normal to severe. The reliability of the HHIE was evaluated by assessing its internal consistency through the computation of Chronbach's alpha. Alpha values ranged from 0.88 (social/situational subscale) to 0.95 for the entire inventory. Split-half reliabilities were equally high. The validity of the HHIE was not directly evaluated. Certain aspects of the data, however, support the construct validity of the instrument, while analysis of the questions themselves appears to attest to its content validity. Possible uses of the inventory were described and suggestions were made regarding future research on the instrument. The reliability and validity of the HHIE as well as its brevity, simplicity, and ease of administration and interpretation all recommend its use in assessing hearing handicap in the elderly.
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            The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature

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              • Record: found
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              The Hearing Handicap Inventory for Adults: psychometric adequacy and audiometric correlates.

              The Hearing Handicap Inventory for the Elderly (HHIE) was modified for use with younger hearing-impaired adults (less than 65 years of age). Similar to the HHIE, the Hearing Handicap Inventory for Adults (HHIA), is a 25-item self-assessment scale composed of two subscales (emotional and social/situational). Replacement questions from the HHIE which form the HHIA focus on the occupational effects of hearing loss. For 67 hearing-impaired adults, the HHIA demonstrated high internal consistency reliability and a low standard error of measurement. Audiometric correlates of the HHIA revealed weak, yet statistically significant relationships with pure-tone sensitivity and supra-threshold word recognition ability. These findings support the use of self-report handicap measures with adults in that audiometric measures alone are insufficient in describing a patient's reaction to their hearing loss.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                bjorl
                Brazilian Journal of Otorhinolaryngology
                Braz. j. otorhinolaryngol.
                Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial (São Paulo )
                1808-8686
                October 2013
                : 79
                : 5
                : 538-545
                Affiliations
                [1 ] Bacharel (Fonoaudióloga)
                [2 ] Faculdade São Lucas Brazil
                [3 ] Faculdade São Lucas Brazil
                [4 ] Limiar Centro Auditivo Brazil
                [5 ] Universidade de Brasília Brazil
                Article
                S1808-86942013000500538
                10.5935/1808-8694.20130098
                0dd04253-531e-4e5e-8be3-ed685a47405b

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1808-8694&lng=en
                Categories
                OTORHINOLARYNGOLOGY

                Otolaryngology
                hearing aids,hearing loss,patient satisfaction,auxiliares de audição,perda auditiva,satisfação do paciente

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