Article record

照护接受者听力损失识别对照护者报告的照护结果的影响

Effect of Recognition of Hearing Loss Among Care Recipients on Caregiver Reported Care Outcomes.

临床研究耳科IF 5.2Q1

文献信息

PMID	42861992
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Gianna Rodriguez 查看其他 4 位作者 Wuyang Zhang；Emmanuel E Garcia Morales；Nicholas S Reed；Danielle S Powell
作者单位	Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland, USA. 查看其他 7 条单位信息 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.；Johns Hopkins, Cochlear Center for Hearing and Public Health, Baltimore, Maryland, USA.；Optimal Aging Institute, Department of Population Health, Grossman School of Medicine, New York University, New York, New York, USA.；Department of Otolaryngology - Head and Neck Surgery, Grossman School of Public Medicine, New York University, New York, New York, USA.；Amplifon SpA, Milan, Italy.；Division of Gerontology, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.；University of Maryland Institute for Health Computing, North Bethesda, Maryland, USA.
期刊	Journal of the American Geriatrics Society
SCI 分区	Q1
IF	5.2
研究类型	临床研究 · 临床
所属专科	耳科

中文摘要

背景： 听力损失（HL）在老年人中很常见，但许多人并未意识到它如何影响沟通。这种认识的缺乏可能限制照护者提供有效支持的能力，因为沟通是照护的核心。本研究探讨了照护接受者的HL识别是否与照护者负担和心理社会福祉相关。
方法： 我们使用了NHATS和NSOC第13轮（2023年）的数据，包括1480名照护者协助960名老年人。HL状态分类为：未识别的HL（有听力测定HL但无自我报告困难）、已识别的HL（有听力测定HL且有自我报告困难或使用助听器）和无HL（听力测定正常）。照护者结果包括情感、经济和身体负担；关系质量；PHQ-4福祉；以及休闲和社会活动限制。我们进一步检查了HL严重程度和助听器使用的差异。
结果： 在照护者中，47%支持有未识别HL的老年人，34%支持已识别HL，19%无HL。与无HL老年人的照护者相比，未识别HL老年人的照护者更可能报告抑郁症状，包括做事时兴趣或乐趣很少（OR 1.85；95% CI：1.19-2.87）和感到情绪低落或抑郁（OR 2.07；95% CI：1.31-3.25）。在已管理HL个体的照护者中观察到抑郁症状较少的趋势，但无统计学显著性。在照护负担、关系质量或活动限制方面未发现差异。
结论： 尽管有相反的预期，HL识别与照护者福祉之间的关联是适度的，表明当前措施可能无法完全捕捉塑造照护体验的沟通挑战。

英文摘要

BACKGROUND: Hearing loss (HL) is common in older adults, but many do not recognize how it affects communication. This lack of recognition may limit caregivers' ability to provide effective support, since communication is central to caregiving. This study examined whether care recipients' HL recognition is associated with caregiver burden and psychosocial well-being.
METHODS: We used the Round 13 (2023) data from NHATS and NSOC, including 1480 caregivers assisting 960 older adults. HL status was classified as: unrecognized HL (audiometric HL without self-reported difficulty), recognized HL (audiometric HL with self-reported difficulty or hearing aid use), and no HL (normal audiometry). Caregiver outcomes included emotional, financial, and physical burden; relationship quality; PHQ-4 well-being; and restrictions in leisure and social activities. We further examined differences by HL severity and hearing aid use.
RESULTS: Among caregivers, 47% supported older adults with unrecognized HL, 34% recognized HL, and 19% had no HL. Compared with caregivers of older adults without HL, caregivers of those with unrecognized HL were more likely to report depressive symptoms, including little interest or pleasure in doing things (OR 1.85; 95% CI: 1.19-2.87) and feeling down or depressed (OR 2.07; 95% CI: 1.31-3.25). A trend toward fewer depressive symptoms was observed among caregivers of individuals with managed HL, though it was not statistically significant. No differences were found in caregiving burden, relationship quality, or activity restriction.
CONCLUSION: Despite expectations otherwise, associations between HL recognition and caregiver well-being were modest, suggesting current measures may not fully capture the communication challenges shaping caregiving experiences.