Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2023-2821pt
Audiology - Communication Research
Original Article

Análise da restrição de participação e da audiometria de altas frequências em adultos e idosos com perda auditiva leve

Analysis of participation restriction and high-frequency audiometry in adults and elderly people with mild hearing loss

Lurdiana Guimarães Dias; Heloisa de Miranda Cantuaria Alves; Eliane Aparecida Techi Castiquini; Marisa Paranhos Netto; Maria Fernanda Capoani Garcia Mondelli

Downloads: 0
Views: 55

Resumo

Objetivo: comparar as respostas de adultos e idosos com perda auditiva de grau leve no inventário de restrição de participação e relacionar o grau de restrição com a perda auditiva em altas frequências, bem como avaliar se há diferença entre as respostas de homens e mulheres em relação à restrição de participação.

Métodos: a amostra foi composta por 38 adultos e idosos, com média de 67 anos de idade, de ambos os gêneros, matriculados em um serviço de saúde auditiva. Foi realizada audiometria de altas frequências e foram aplicados os questionários Hearing Handicap Inventory for Adults ou Hearing Handicap Inventory for Elderly. Os estudos estatísticos aplicados foram o teste de Mann-Whitney, análise de variância unidirecional e teste Qui-Quadrado.

Resultados: foram encontradas diferenças significativas entre os grupos de idosos e adultos em relação ao grau de restrição de participação, mas não foram encontradas correlações entre a audiometria de altas frequências e o grau de restrição de participação. Ainda, foi possível observar que as mulheres apresentaram maior grau de restrição de participação que os homens.

Conclusão: adultos apresentam maiores índices de percepção de restrição de participação quando comparados com idosos e há diferença entre a percepção do handicap conforme o gênero, porém, os resultados dos questionários não estão relacionados com a perda auditiva em altas frequências na população estudada.

Palavras-chave

Audiometria; Questionários; Idoso; Adulto; Audição

Abstract

Purpose: to compare the responses of adults and elderly people with mild hearing loss in the participation restriction inventory and relate the degree of restriction with hearing loss at high frequencies, as well as to evaluate whether there is a difference between the responses of men and women in relation to participation restrictions.

Methods: the sample of 38 participants was made up of adults and elderly people with an average of 67 years of age, of both sexes, enrolled in a hearing health service. High Frequency Audiometry was performed and the Hearing Handicap Inventory for Adults or Hearing Handicap Inventory for Elderly questionnaires were administered. The statistical study applied to the data was the Mann-Whitney test, oneway analysis of variance and Chi-Square.

Results: significant differences were found between the elderly and adult groups in relation to the degree of participation restriction, but no correlations were found between high frequency audiometry and the degree of participation restriction. It was also possible to observe that women have a greater degree of participation restriction than men.

Conclusion: adults have higher rates of perception of participation restrictions when compared to the elderly and there is a difference between the perception of handicap according to gender, but the results of the questionnaires are not related to hearing loss in high frequencies in this population.

Keywords

Audiometry; Questionnaires; Elderly; Adult; Hearing

References

1 Glick H, Sharma A. Cross-modal plasticity in developmental and age-related hearing loss: clinical implications. Hear Res. 2017;343:191-201. http://doi.org/10.1016/j.heares.2016.08.012. PMid:27613397.

2 Sereda M, Hoare DJ, Nicholson R, Smith S, Hall DA. Consensus on hearing aid candidature and fitting for mild hearing loss, with and without tinnitus. Ear Hear. 2015;36(4):417-29. http://doi.org/10.1097/AUD.0000000000000140. PMid:25587668.

3 Newman CW, Weinstein BE. The Hearing Handicap Inventory for the Elderly as a Measure. Ear Hear. 1988;9(2):81-5. http://doi.org/10.1097/00003446-198804000-00006. PMid:3366309.

4 Newman CW, Weinstein BE, Jacobson GP, Hug GA. The Hearing Handicap Inventory for Adults: psychometric adequacy and audiometric correlates. Ear Hear. 1990;11(6):430-3. http://doi.org/10.1097/00003446-199012000-00004. PMid:2073976.

5 Mrázková E, Kovalová M, Čada Z, Gottfriedová N, Rychlý T, Škerková M. High-frequency audiometry in women with and without exposure to workplace noise. Int J Environ Res Public Health. 2021;18(12):6463. http://doi.org/10.3390/ijerph18126463. PMid:34203734.

6 Hunter LL, Monson BB, Moore DR, Dhar S, Wright BA, Munro KJ, et al. Extended high frequency hearing and speech perception implications in adults and children. Hear Res. 2020;397:107922. http://doi.org/10.1016/j.heares.2020.107922. PMid:32111404.

7 Škerková M, Kovalová M, Mrázková E. High-frequency audiometry for early detection of hearing loss: a narrative review. Int J Environ Res Public Health. 2021;18(9):4702. http://doi.org/10.3390/ijerph18094702. PMid:33925120.

8 Costa BR, Carrijo LET. Protocolos para o processo de seleção e adaptação de dispositivos eletrônicos para a audição em idosos [Trabalho de conclusão de curso]. Goiania: Pontíficia Universidade Católica; 2022.

9 Souza VC, Lemos SMA. Restrição à participação de adultos e idosos: associação com fatores auditivos e socioambientais. CoDAS. 2021;33(6):e20200212. http://doi.org/10.1590/2317-1782/20202020212.

10 WHO: World Health Organization. Prevention of blindness and deafness [Internet]. Switzerland: WHO; 2020 [citado em 2023 Ago 5]. Disponível em: https://www.emro.who.int/entity/blindness/index.html

11 Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol. 1970;92(4):311-24. http://doi.org/10.1001/archotol.1970.04310040005002. PMid:5455571.

12 Rodríguez Valiente A, Trinidad A, García Berrocal JR, Górriz C, Ramírez Camacho R. Extended high-frequency (9–20 kHz) audiometry reference thresholds in 645 healthy subjects. Int J Audiol. 2014;53(8):531-45. http://doi.org/10.3109/14992027.2014.893375. PMid:24749665.

13 Nuesse T, Schlueter A, Lemke U, Holube I. Self-reported hearing handicap in adults aged 55 to 81 years is modulated by hearing abilities, frailty, mental health, and willingness to use hearing aids. Int J Audiol. 2021;60(sup2):71-9. http://doi.org/10.1080/14992027.2020.1858237. PMid:33459099.

14 dos Santos IB, de Morais EA, Lacerda A, Guarinello AC. Fatores que interferem na participação social de idosos com perda auditiva. Res Soc Dev. 2022;11(12):e510111234860. http://doi.org/10.33448/rsd-v11i12.34860.

15 Aziz A, Md Daud MK, Nik Othman NA, Abd Rahman N. Early detection of high-frequency presbycusis among normal hearing individuals. Otol Neurotol. 2020;41(8):e989-92. http://doi.org/10.1097/MAO.0000000000002725.

16 Luz VB, Ghiringhelli R, Martinelli MC. Restrições de participação e estado mental: estudo em novos usuários de próteses auditivas. Audiol Commun Res. 2018;23(0). http://doi.org/10.1590/2317-6431-2017-1884.

17 Força MT, Cal RVR, Santos SR, Pereira LC, Boas GPV, de Almeida Zell RG, et al. Comparative analysis of the perception of hearing loss with the result of audiometry in adult and elderly patients from the Bettina Ferro de Souza/PA Hospital. Braz J Hea Rev. 2020;3(6):17457-73. http://doi.org/10.34119/bjhrv3n6-162.
 


Submitted date:
08/05/2023

Accepted date:
03/06/2024

69979ddba953956ceb3e9176 acr Articles
Links & Downloads

Audiol. Commun. Res.

Share this page
Page Sections