Relation between hearing complaints and audiological findings in a group of active seniors

PURPOSE:to investigate the presence of complaint and hearing loss in a group of active older people and verify the relation between self-perceived hearing condition and audiologic findings.METHODS:55 older people, aged 60 or more, of both sexes, socially active, were evaluated. The analyzed variables were the answers to three questions: “Do you think that your hearing is good?”, “Do you listen to radio or television on high volume?” and “Do you have difficulty to comprehend when many people are talking at the same time?”, which were compared to the tritonal average of 500, 1,000 and 2,000 Hz frequencies (TA1) and of 3,000, 4,000 and 6,000 Hz frequencies (TA2), Speech Recognition Threshold (SRT) and Speech Recognition Percentage Index (SRPI).RESULTS:the individuals, who reported not listen well, had worst performance in the averages of all analyzed variables. The older people, who mentioned increasing the volume of the radio or television showed no statistically significant difference in the analysis of TA2 compared to those who do not, but there was this difference when analyzed TA1, SRT and SDT variables. The subjects who reported difficulty hearing, when many people talk at the same time, showed no statistically significant difference, but the averages of these individuals showed worst performance, when compared to those without this complaint.CONCLUSION:there was a relation between self-perceived hearing condition and the audiologic findings.

研究目的：探究活跃老年群体中听力主诉与听力损失的发生情况，并验证自我感知听力状况与听力学检查结果之间的关联。研究方法：纳入55名60岁及以上、社交活跃的男女老年受试者接受评估。本次分析的变量为以下三个问题的作答结果："您认为自身听力状况良好吗？"、"您是否会将收音机或电视机音量调至较高档位？"以及"多人同时交谈时，您是否存在理解困难？"。将上述作答结果与500Hz、1000Hz及2000Hz频段的三频纯音听阈均值（tritonal average, TA1）、3000Hz、4000Hz及6000Hz频段的三频纯音听阈均值（tritonal average, TA2）、言语识别阈值（Speech Recognition Threshold, SRT）以及言语识别率指数（Speech Recognition Percentage Index, SRPI）进行对比分析。研究结果：自述听力不佳的受试者，在所有分析变量的均值上均表现更差。自述会调高收音机或电视机音量的老年受试者，其TA2检测结果与未调高音量者相比无统计学差异，但在TA1、SRT及SDT变量的分析中呈现显著差异。自述多人同时交谈时存在听力困难的受试者，与无该主诉的受试者相比，其各项指标未呈现统计学差异，但该类受试者的指标均值表现更差。研究结论：自我感知的听力状况与听力学检查结果之间存在关联。