Quality of life and social determinants in individual hearing AIDS users
Qualidade de vida e determinantes sociais em usuários de aparelho de amplificação sonora individual
Urssula Aparecida Santos Leal Ribeiro; Valquíria Conceição Souza; Stela Maris Aguiar Lemos
Abstract
Purpose: To verify the association between quality of life, socioenvironmental aspects and general health status of users of an Auditory Health Care Service. Methods: Cross-sectional observational study with simple random sample. A semi-structured interview was conducted with 114 adults and elderly, aged 19-92, Individual Hearing Aids (IHA) users in an auditory health service. Participants answered questions regarding characterization, sociodemographic data and quality of life. To study the aspects of care, a search was carried out in the medical records. Mann Whitney, Chi-square and Fisher Exact tests were performed for association. The analyses were performed in the STATA software considering a 5% significance level. For the multivariate analysis, the full model was started with all significant variables at 20%. A logistic regression model was used to repeat the variables with p <5%. Results: The majority of the participants was female, aged over 60 years and had their first consultation with the speech-language therapist. As for WHOQOL-bref, more than half of the sample reported good quality of life and health satisfaction. Regarding the complaints associated with the majority of those who did not present dizziness, ear fullness and depression reported good quality of life. It was observed an association with statistical significance between health satisfaction, higher mean age and lower schooling. In the multivariate analysis, the effective use of hearing aids and no history of dizziness were associated with good quality of life. For the health variable it was found that not having dizziness increased the chances of being satisfied with health while each year the more schooling the chance to be satisfied reduced. Conclusion: The use of IHA is related to a good perception of the quality of life and health status of individuals with hearing loss.
Keywords
Resumo
Objetivo: Verificar a associação entre qualidade de vida, aspectos socioambientais e estado geral de saúde de usuários de um Serviço de Atenção à Saúde Auditiva. Método: Estudo observacional analítico do tipo transversal, com amostra aleatória simples. Realizou-se entrevista semiestruturada com 114 adultos e idosos, entre 19-92 anos, usuários de AASI atendidos em um serviço de saúde auditiva. Os participantes responderam questões referentes à caracterização, dados sociodemográficos e qualidade de vida. Para estudo dos aspectos assistenciais, realizou-se busca nos prontuários. Foram realizados os testes Mann Whitney, Quiquadrado e Exato de Fisher para associação. As análises foram realizadas no software STATA considerando 5% de significância. Para a análise multivariada, iniciou-se o modelo cheio com todas as variáveis significativas a 20%. Considerou-se modelo de regressão logística, sendo repetido até restarem as variáveis com p<5%. Resultados: A maioria dos participantes era do gênero feminino, com idade superior a 60 anos e realizou a primeira consulta com o fonoaudiólogo. Quanto ao WHOQOL-bref, mais da metade da amostra relatou boa qualidade de vida e satisfação com a saúde. Em relação às queixas associadas, a maioria dos que não apresentavam tontura, plenitude auricular e depressão referiu boa qualidade de vida. Observou-se associação com significância estatística entre a satisfação com a saúde, maior média de idade e menor escolaridade. Na análise multivariada, o uso efetivo do AASI e não apresentar histórico de tontura associaram-se à boa qualidade de vida. Para a variável saúde, verificou-se que não apresentar tontura aumentou as chances de estar satisfeito com a saúde, enquanto que a cada ano a mais de escolaridade a chance de estar satisfeito reduziu. Conclusão: O uso do AASI está relacionado a uma boa percepção da qualidade de vida e do estado de saúde de indivíduos que apresentam perda auditiva.
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Referências
1. IBGE: Instituto Brasileiro de Geografia e Estatística. Censo demográfico [Internet]. 2010 [citado 27 Mar 2017]. Available from: ttp://www.censo2010. ibge.gov.br/sinopse/index.php?dados=26&uf=31
2. Guia ACOM, Oliveira RO No, Escarce AG, Lemos SM. Hearing health care network: the perspective of the user. Distúrb Comun. 2016;28:473-82.
3. Gouveia GC, Souza WV, Luna CF, Souza-Junior PRB, Szwarcwald CL. Health care users’ satisfaction in Brazil, 2003. Cad Saude Publica. 2005;21(Suppl):109-18. http://dx.doi.org/10.1590/S0102-311X2005000700012. PMid:16463002.
4. Jardim IS, Iwahashi JH, Paula VCD. Study of the audiological profile of individuals attended in a brazilian diagnostic service. Arq Int Otorrinolaringol. 2010;17:125-30.
5. Viacelli SNA, Costa-Ferreira MID. Profile of hearing aid users with a view to amplification, cognition and auditory processing. Rev CEFAC. 2011;15:1125-36. http://dx.doi.org/10.1590/S1516-18462012005000098.
6. Grossi LMR, Sharlach RC. Satisfaction and participation restrictions in hearing aids’ users: a study with elderly. Rev Equilíbrio Corporal Saude. 2011;3:3-15.
7. Moda I, Mantello EB, Reis ACMB, Isaac ML, Oliveira AA, Hyppolito MA. Evaluation of hearing aid user satisfaction. Rev CEFAC. 2013;15:778-85. http://dx.doi.org/10.1590/S1516-18462013000400006.
8. Dimatos OC, Ikino CMY, Philippi PA, Dimatos SC, Birck MS, Freitas PF. Profile of patients of the auditory health of the state of Santa Catarina served at HU-UFSC. Arq Int Otorrinolaringol. 2011;15:59-66. http://dx.doi. org/10.1590/S1809-48722011000100009.
9. The WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the Word Health Organization. Soc Sci Med. 1995;41(10):1403-9. http://dx.doi.org/10.1016/0277- 9536(95)00112-K. PMid:8560308.
10. ABEP: Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil [Internet]. 2015 [citado 2014 Jan 01]. Available at: http://www.abep.org/criterio-brasil
11. Silman S, Silverman CA. Basic audiologic testing. In: Silman S, Silverman CA. Auditory diagnosis: principles and applications. San Diego: Singular Publishing Group; 1997. p. 44-52.
12. Lloyd LL, Kaplan H. Audiometric Interpretation: a manual basic audiometry. Universirty Park Press: Baltimore; 1978. p. 16-7.
13. Federal Council and Regional Speech and Hearing Councils. Manual of procedures in tonal audiometry, logoaudiometry and acoustic immitance measures [Internet]. 2013 [citado 2015 Dez 05]. Available from: http://www. fonoaudiologia.org.br/publicacoes/Manual%20de%20Audiologia%20.pdf
14. Béria JU, Raymann BCW, Gigante LP, Figueiredo ACL, Jotz G, Roithman R, et al. Hearing impairment and socioeconomic factors: a population-based survey of an urban locality in southern Brazil. Rev Panam Salud Publica. 2007;21(6):381-7. http://dx.doi.org/10.1590/S1020-49892007000500006. PMid:17761050.
15. Courtenay WH. Constructions of masculinity and their influence on mens well-being: a theory of gender and health. Soc Sci Med. 2000;50(10):1385- 401. PMid:10741575.
16. Jardim DS, Maciel FJ, Lemos SM. Epidemiological profile of a hearingimpaired population. Rev CEFAC. 2016;18(3):746-57. http://dx.doi. org/10.1590/1982-021620161833115.
17. Francelin MA, Motti TFG, Morita I. Social implications of acquired hearing impairment in adults. Saude Soc. 2010;19(1):180-92. http://dx.doi. org/10.1590/S0104-12902010000100015.
18. Barbosa MR, Medeiros DS, Ribeiro GM, Rossi-Barbosa LAR, Caldeira AP. Satisfaction with hearing aids among users of hearing health services. Audiol Commun Res. 2013;18(4):260-7. http://dx.doi.org/10.1590/S2317- 64312013000400006.
19. Maciel FJ, Januário GC, Henriques CMA, Esteves CC, Silva MA, Carvalho SAS, et al. Hearing Health indicators in the State of Minas Gerais – a study by macroregion. Audiol Commun Res. 2013;18(4):275-84. http://dx.doi. org/10.1590/S2317-64312013000400008.
20. Jokura PR, Melo TM, Bevilacqua MC. Evasion of patients in hearing health services: research on the reason and outcomes after adaptation of hearing aids. Rev CEFAC. 2013;15(5):1181-8. http://dx.doi.org/10.1590/ S1516-18462013005000022.
21. Schillo R, Lopes SMB. Hearing health network characterization in a specific region of Santa Catarina state. Rev CEFAC. 2015;17(4):1222-31. http://dx.doi.org/10.1590/1982-0216201517421214.
22. Teixeira AR, Almeida LG, Jotz GP, Barba MC. Quality of life of adults and elderly people after hearing aids adaptation. Rev Soc Bras Fonoaudiol. 2008;13(4):357-61. http://dx.doi.org/10.1590/S1516-80342008000400010.
23. Modeli MFCG, Souza PJS. Quality of life in elderly adults before and after hearing aid. Braz J Otorhinolaryngol. 2012;78(3):49-56. PMid:22714847.
24. Kateifidis N, Sarafis P, Malliarou M, Tsounis A, Bamidis P, Niakas D. Quality of life and satisfaction among patients who use hearing aids. Glob J Health Sci. 2017;9(6):177-83. http://dx.doi.org/10.5539/gjhs.v9n6p177.
25. Manrique-Huarte R, Calavia D, Irujo AH, Girón L, Manrique-Rodríguez M. Treatment for hearing loss among the elderly: auditory outcomes and impact on quality of life. Audiol Neurootol. 2016;21(Suppl 1):29-35. http:// dx.doi.org/10.1159/000448352. PMid:27806353.
26. Garcia TM, Jacob RTS, Mondelli MFCG. Speech perception and quality of life on open-fit hearing aid users. J Appl Oral Sci. 2016;24(3):264-70. http://dx.doi.org/10.1590/1678-775720150321. PMid:27383708.
27. Niemensivu R, Manchaiah V, Roine RP, Kentala E, Sintonen H. Healthrelated quality of life in adults with hearing impairment before and after hearing-aid rehabilitation in Finland. Int J Audiol. 2015;54(12):967-75. http://dx.doi.org/10.3109/14992027.2015.1077400. PMid:26398548.
28. Magrini AM, Monensoh-Sants TM. Check the influence of hearing aid use on cognitive screening in the elderly. Distúrb Comun. 2017;29(1):122-32. http://dx.doi.org/10.23925/2176-2724.2017v29i1p122-132.
29. Soares SN, Gonçalves MAS, Teixeira CG, Romualdo PC, Santos JN. Influence of vestibular rehabilitation on the quality of life of individuals with labyrinth disease. Rev CEFAC. 2014;16(3):732-8. http://dx.doi. org/10.1590/1982-0216201418211.
30. Pavão ALB, Werneck GL, Campos MR. Self-rated health and the association with social and demographic factors, health behavior, and morbidity: a national health survey. Cad Saude Publica. 2013;29(4):723- 34. PMid:23568302.
Submetido em:
21/08/2018
Aceito em:
30/08/2018
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