超越人工耳蜗声音处理器淘汰的边缘：人工耳蜗使用者及其家人对老化的声音处理器有何想法、感受和行动？
Beyond the cusp of cochlear implant sound processor obsolescence: what do cochlear implant users and their families think, feel, and do about their ageing sound processors?
文献信息
| PMID | 42952198 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Jermy Wai-Yin Pang |
| 作者单位 | National Acoustic Laboratories, Macquarie University, Dharug Country (Sydney), Australia. |
| 期刊 | International journal of audiology |
| SCI 分区 | Q2 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 人工耳蜗（CI）为耳聋或听力困难者提供必要的听觉通路。然而，随着时间推移，声音处理器（SP）会变得过时。对于老年人，技术衰退可能影响沟通、参与和福祉。了解这些影响对于指导临床护理和升级路径很重要。
设计： 本定性子研究（属于更广泛的混合方法研究的一部分），作为对升级过时处理器相关临床和经济结局更广泛评估的一部分，捕捉了CI使用者及其沟通伙伴的观点。通过远程方式进行半结构化访谈，逐字转录，并使用反思性主题分析进行分析。
研究样本： 通过目的性抽样招募了15名CI使用者和7名沟通伙伴。
结果： 主题描述了与老化处理器相关的逐渐出现的挑战，包括可靠性降低、情绪压力和关系影响。升级后，参与者报告沟通更加轻松、参与恢复以及家庭负担减轻。
结论： 研究结果突出了SP过时的功能、心理社会和关系影响，并强调了将生活经验纳入长期CI护理规划的重要性。
英文摘要
OBJECTIVE: Cochlear implants (CIs) provide essential auditory access for people who are deaf or hard-of-hearing. Over time, however, sound processors (SPs) become obsolete. For older adults, technological decline can influence communication, participation, and well-being. Understanding these impacts is important for informing clinical care and upgrade pathways.
DESIGN: This qualitative sub-study (within a broader mixed-methods study) as part of a broader evaluation of clinical- and economic outcomes associated with upgrading obsolete processors, which captured the perspectives of CI users and their communication partners. Semi-structured interviews were conducted remotely, transcribed verbatim, and analysed using reflexive thematic analysis.
STUDY SAMPLE: Fifteen CI users and seven communication partners were recruited through purposive sampling.
RESULTS: Themes described gradual challenges associated with ageing processors, including reduced reliability, emotional strain, and relational impacts. Following upgrade, participants reported greater communicative ease, renewed participation, and reduced family burden.
CONCLUSION: Findings highlight the functional, psychosocial, and relational implications of SP obsolescence and underscore the importance of integrating lived experience into long-term CI care planning.