单侧听力损失与牙科护理：患者挑战与提供者应对的问卷调查
Unilateral Hearing Loss and Dental Care: A Questionnaire Survey of Patient Challenges and Provider Responses.
文献信息
| PMID | 42768909 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Jumpei Murakami |
| 作者单位 | Department of Special Needs Dentistry, Graduate School of Dentistry, The University of Osaka, Suita, Osaka, Japan. |
| 期刊 | Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry |
| SCI 分区 | Q3 |
| IF | 1.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 单侧听力损失（UHL）是指一侧耳存在显著听力障碍，而另一侧耳听力正常或接近正常。UHL患者常在嘈杂环境中难以听清，例如牙科诊所。本研究旨在探讨UHL患者在牙科护理提供过程中的具体需求，例如从听力较好的一侧说话以及减少背景噪音。
方法： 通过日本关注UHL患者的社区组织Kikoiro的官方网站进行了一项网络调查。参与者为UHL患者，定义为一只耳听力正常，另一只耳听力损失在25 dB HL至完全耳聋之间。双侧听力损失者及家属或代理人被排除。调查的目的、目标人群和重要信息在网站上明确说明。使用SurveyMonkey应用程序创建的调查问卷链接被发布，以自愿方式收集回复。
结果： 共有378名UHL患者参与了调查。许多人报告在嘈杂的牙科环境中沟通困难。提到的必要调整包括清晰缓慢的言语、减少背景噪音、视觉提示以及从听力较好的一侧进行沟通，同时视觉辅助工具和治疗前后的书面解释也被认为有帮助。结果表明，在为该人群提供牙科护理时，特定的沟通和环境调整非常重要。
结论： 在牙科诊所环境中，考虑患者的听力能力至关重要，尤其是对于UHL患者。改善沟通环境不仅有利于受影响的患者，也有助于实现更具包容性的牙科护理。
英文摘要
AIM: Unilateral hearing loss (UHL) refers to significant hearing impairment in one ear, with normal or near-normal hearing in the other. Individuals with UHL often have difficulty hearing in noisy environments, such as dental offices. This study was undertaken to examine the specific needs of individuals with UHL related to the dental care delivery process, such as speaking from the hearing side and reducing background noise.
METHODS: A web-based survey was conducted through the official website of Kikoiro, a Japanese community organization focused on individuals with UHL. Participants were individuals with UHL, defined as normal hearing in one ear and hearing loss of 25 dB HL to complete deafness in the other ear. Those with bilateral hearing loss and family members or proxies were excluded. The purpose, target population, and important information regarding the survey were clearly stated on the website. A link to the survey form, created using the SurveyMonkey application, was posted, with responses collected in a voluntary manner.
RESULTS: A total of 378 individuals with UHL participated in the survey. Many reported difficulties communicating in a noisy dental environment. Necessary adaptations noted included clear and slow speech, reduced background noise, visual cues, and communication from the hearing side, while visual aids and written explanations before and after treatment were also considered helpful. The results indicate the importance of specific communication and environmental adjustments when providing dental care for this population.
CONCLUSIONS: In dental clinic settings, consideration of patient hearing ability is essential, especially for those with UHL. Improving the communication environment benefits not only affected patients but also contributes to more inclusive dental care.