Article record

倾听你的心与脑：一项关于在老年人中联合筛查高血压、心房颤动、认知障碍和听力损失的试点混合方法研究。

Listen to Your Heart and Mind: A Pilot Mixed-Methods Study on Combined Screening for Raised Blood Pressure, Atrial Fibrillation, Cognitive Impairment and Hearing Loss in Older Adults.

临床研究耳科IF 1.9Q3

文献信息

PMID	42841345
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Isabella Tan 查看其他 10 位作者 Aletta E Schutte；Catherine Morgan；Henry Brodaty；Sonali R Gnanenthiran；Katya Numbers；Hueiming Liu；Menglu Ouyang；Paola Incerti；Padraig Kitterick；Mridula Sharma
作者单位	The George Institute for Global Health, UNSW Sydney, Sydney, New South Wales, Australia. 查看其他 6 条单位信息 School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia.；National Acoustic Laboratories, Sydney, New South Wales, Australia.；Centre for Healthy Brain Ageing, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia.；Cardiology Department, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.；Department of Linguistics, Macquarie University, Sydney, New South Wales, Australia.；Caring Futures Institute, College of Health and Enablement, Flinders University, Adelaide, Australia.
期刊	Australasian journal on ageing
SCI 分区	Q3
IF	1.9
研究类型	临床研究 · 临床
所属专科	耳科

中文摘要

目的： 确定在听力健康评估环境中对老年人进行高血压（BP）、心房颤动（AF）和认知障碍（CI）联合筛查以检测听力损失的潜在可行性和可接受性。
方法： 我们从社区招募了65岁及以上的参与者（n=35；平均年龄73±6岁，51%为女性），参加一次持续约60-90分钟的单次访视。在进行全面听力评估之前，使用带有AF检测功能的自动BP监测仪测量BP，并使用全科医生认知评估工具的患者部分进行CI筛查。研究后对一部分参与者（n=16，50%为女性）进行了访谈，以评估可接受性。
结果： 在25名（71%）参与者中，共检测到21例阳性筛查结果（6例血压升高；2例可能AF；13例听力损失）和12例可能CI的潜在阳性筛查结果。8名参与者（23%）有超过一种新检测出的状况。访谈显示，联合筛查是可行且可接受的，因为参与者认为它“方便”、“节省时间”和“更高效”。
结论： 在听力健康评估环境中对老年人进行高血压、AF和CI的联合筛查似乎是可行的，并且在这项试点研究中总体上得到了参与者的积极评价。应进行进一步的实施研究，并嵌入过程和结果评估，以确认可行性和可接受性，以及评估老年人联合筛查的成本效益和健康结果。

英文摘要

OBJECTIVE: To determine the potential feasibility and acceptability of combined screening for raised blood pressure (BP), atrial fibrillation (AF) and cognitive impairment (CI) in older adults within a setting of hearing health assessment for detection of hearing loss.
METHODS: We recruited participants aged 65 years or older (n = 35; mean age 73 ± 6 years, 51% females) from the community to attend a single visit lasting approximately 60-90 min. Prior to a comprehensive hearing assessment, BP was measured with an automatic BP monitor with AF detection, and CI screening was conducted using the patient section of the General Practitioner Assessment of Cognition instrument. A subset of participants (n = 16, 50% females) was interviewed post study to evaluate acceptability.
RESULTS: A total of 21 positive screens (six raised BP; two possible AF; 13 hearing loss) and 12 potential positive screens for possible CI were detected in 25 (71%) participants. Eight participants (23%) had more than one newly detected condition. Interviews revealed that combined screening was feasible and acceptable as participants felt it was 'convenient,' 'saves time' and 'more efficient.'
CONCLUSIONS: Combined screening for raised BP, AF and CI in older adults within a hearing health assessment setting appears feasible and was generally perceived positively by participants in this pilot study. Further implementation studies should be conducted with process and outcome evaluation embedded to confirm feasibility and acceptability as well as to evaluate cost-effectiveness and health outcomes for combined screening in older adults.