印度听力学家对认知障碍患者听力保健的知识、态度和实践——一项初步探索性研究

文献信息

中文摘要

背景/目的： 本研究旨在探讨印度听力学家对认知障碍患者听力保健的知识、态度和实践。方法：该问卷改编自先前发表的一份问卷，该问卷旨在探讨澳大利亚联合听力保健专业人员对共病性听力损失和认知障碍的知识、态度和实践。参与者包括拥有听力学和言语语言病理学学士学位、至少一年工作经验并在印度康复委员会注册的听力学家。使用Google Forms创建在线问卷，并通过社交媒体和个人电子邮件传播。连续变量以均值和标准差进行总结，分类变量以频率和百分比报告。结果：共有140名听力学家参与了研究。总体而言，回答表明对管理共病性听力损失和认知障碍患者普遍具有积极意识。大多数受访者在与老年人工作时注意到听力损失和认知障碍的共存，74.3%表示同意或非常同意。这种自我报告的意识并未一致地反映在报告的实践中，只有31.4%在其临床实践中使用过正式的认知筛查测试。结论：总体而言，研究结果表明，尽管听力学家报告了一定程度的关于认知障碍的自我感知意识，但这并未一致地转化为实践。在培训、对适当筛查工具的认识以及认知筛查的实际实施方面仍存在显著差距，凸显了需要更大的临床支持、结构化培训和更清晰的转诊路径，以弥合自我报告意识与循证实践之间的差距。

英文摘要

Background/Objectives: The present study aimed to explore the knowledge, attitudes and practices of audiologists in India towards audiological care of individuals with cognitive impairments. Methods: The questionnaire was adapted from a previously published questionnaire designed to explore knowledge, attitude, and practices regarding comorbid hearing loss and cognitive impairment among Australian allied hearing healthcare professionals. Participants included audiologists with at least a bachelor's degree in audiology and speech-language pathology, a minimum of one year of work experience and registration with the Rehabilitation Council of India. An online questionnaire was created using Google Forms and disseminated via social media and personal emails. Continuous variables were summarized using means and standard deviation, while categorical variables were reported as frequencies and percentages. Results: A total of 140 audiologists participated in the study. Overall, the responses indicated a generally positive awareness towards managing individuals with comorbid hearing loss and cognitive impairment. Most respondents were mindful about the coexistence of hearing loss and cognitive impairment while working with older adults, with 74.3% either agreeing or strongly agreeing. This self-reported awareness was not consistently reflected in reported practice, with only 31.4% having used a formal cognitive screening test as part of their clinical practice. Conclusions: Overall, the findings suggest that while audiologists report a degree of self-perceived awareness regarding cognitive impairment, this does not consistently translate into practice. Notable gaps remain in training, awareness of appropriate screening tools, and actual implementation of cognitive screening, highlighting the need for greater clinical support, structured training, and clearer referral pathways to bridge the gap between self-reported awareness and evidence-based practice.