Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
İşitme Kayıplı Bireylerin Sosyal ve Emosyonel Yönden Değerlendirilmesi: Kesitsel Araştırma
Evaluation of Individuals with Hearing Loss in Terms of Social and Emotional Aspects: Cross-Sectional Research
Halil Berkay SALDIRIMa, Yuşa BAŞOĞLUa, Elif Cansel KUŞa, Mustafa Bülent ŞERBETÇİOĞLUa
aİstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü, Odyoloji Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):500-7
doi: 10.5336/healthsci.2021-85938
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada; işitme cihazı (İC), koklear implant (Kİ) kullanıcısı olan ve İC/Kİ endikasyonu olup, İC/Kİ kullanıcısı olmayan işitme kayıplı erişkinlere işitme kaybının yol açtığı sosyal ve emosyonel etkileniminin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Saf ses odyometri testi sonucuna göre orta, orta-ileri, ileri ve çok ileri derecede sensörinöral tip işitme kaybı tanısı almış 18-65 yaş aralığında 60 İC kullanıcısı (Grup I), 60 Kİ kullanıcısı (Grup II) olan ve orta, orta-ileri, ileri derecede işitme kayıplı olup İC/Kİ kullanıcısı olmayan (Grup III) 60 kişiye 'Yetişkinler İçin İşitme Engeli Ölçeği (İEÖ-E)' uygulandı. Ölçeğin emosyonel ve sosyal alt başlıklarından elde edilen verilerin istatistiksel analizi için SPSS versiyon 25.0 (SPSS inc., Chicago, IL, ABD) programından Kruskal-Wallis, Mann-Whitney U ve Pearson korelasyon analiz test yöntemlerine başvuruldu. Bulgular: Ölçeğin, sosyal ve emosyonel Cronbach katsayısı sırasıyla α=0,88 ve α=0,92 olarak elde edilirken, genel Cronbach katsayısı α=0,95 olarak bulundu. Hem Grup I hem de Grup II, Grup İEÖ-E puanları Grup III'e göre düşük bulundu (p=0,000). Grup I ve Grup II kullanıcıları birbirleriyle karşılaştırıldığında, İEÖ-E sosyal etkilenim puanlarında anlamlı fark elde edilirken (p=0,032), emosyonel etkilenim ve toplam puanları arasında istatistiksel olarak anlamlı bir fark elde edilemedi (p=0,105). Sonuç: Bu çalışmanın sonucunda, İC/Kİ işitme kaybı endikasyonu olmasına rağmen herhangi bir işitme protezi İC/Kİ kullanmayan bireylerin İC/Kİ kullanan bireylere nazaran sosyal ve emosyonel yönden daha iyi oldukları ortaya çıkmıştır. Ayrıca işitme kayıplı bireylerin gereksinimine göre cihazlandırılmasının (İC ve/veya Kİ) yaşam kalitesini iyileştirebileceğini göstermiştir.

Anahtar Kelimeler: İşitme kaybı; işitme cihazı; koklear implant; yaşam kalitesi
ABSTRACT
 Objective: Aim of this study was to evaluate the social and emotional effects of hearing aid (HA), cochlear implant (CI) users and adults with HA/CI indications without amplification HA/CI. Material and Methods: The inventory was applied to individuals aged 18-65 years who were diagnosed with moderate, moderate-to-profound, severe and very severe sensorineural hearing loss via pure tone audiometry. There were 60 participants with HA (Group I), 60 participants with CI (Group II) and 60 participants with diagnosed with moderate, moderate-to-severe, severe hearing loss but without amplification (HA/CI) (Group III). Kruskal-Wallis test, Mann-Whitney U test and Pearson correlation tests were used. Results: Cronbach's coefficients of the social and emotional scale were found as α=0.88 and α=0.92, respectively. The overall Cronbach's coefficient was found as α=0.95. The HHIA scores of Group I and Group II were found to be lower than Group III (p=0.000). There was a significant difference in the scores of group I and group II in terms of HHIA social subscale (p=0.032). Hovewer, there was no statistically significant difference between the HHIA general scores compared to the HA group and the CI group (p=0.105). Conclusion: It has been revealed that HA and CI users are socially and emotionally better than participants who do not use any hearing aid, even though they have HA/CI indications. Furthermore, our study has shown that providing hearing aids according to the needs of individuals with hearing loss (HA and/or CI) can improve their quality of life.

Keywords: Hearing loss; hearing aid; cochlear implant; life quality
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