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研究生:陳建宏
研究生(外文):Chen, Chien-Hung
論文名稱:以年長者聽障問卷-篩檢版得分評估年長者的純音及語音聽力檢查結果之相關性
論文名稱(外文):Evaluate the relationship between HHIE-S, hearing loss and speech test results in the elderly
指導教授:劉殿楨
指導教授(外文):Liu, Tien-Chen
口試委員:楊義良張秀雯
口試委員(外文):Edward Yih-Liang YangHsiuwen Chang
口試日期:2014-07-14
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:聽語障礙科學研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2013
畢業學年度:102
語文別:中文
論文頁數:66
中文關鍵詞:年長者聽障問卷-篩檢版老年性聽損氣導閾值語音接收閾值語音聽辨率
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全球人口老年化已是趨勢,而由於年齡增加造成的老年性聽力損失問題日益明顯,許多研究指出當年齡增加,聽力損失的比例會隨之提升,但年齡與聽力損失程度無顯著相關。聽力損失對生活造成許多影響,尤其是情緒與社交能力,故若能對年長者進行聽力檢查,輔以問卷使其了解聽力對其生活的影響,使其了解聽力狀況對生活造成的不便。
較多研究較著重於年長者聽障問卷-篩檢版與優耳純音聽力閾值之相關性,較少在年長者聽障問卷-篩檢版與語音聽力檢查的相關性著墨,故本研究較著重於年長者聽障問卷-篩檢版與語音檢查結果的相關性,尤其是年長者聽障問卷-篩檢版與優耳語音聽辨率之間的相關性。
本研究的目的主要有三點,第一點、年長者聽障問卷-篩檢版是否可發現聽力損失;第二點、年長者聽障問卷-篩檢版與優耳氣導聽力閾值及第三點、年長者聽障問卷-篩檢版與語音聽力檢查結果的相關性。
100位有家人陪同,並在台北市立聯合醫院和平院區耳鼻喉科就診的65歲以上年長者,平均年齡75.38±5.73歲,年長者聽障問卷-篩檢版得分為19.88±13.67分,優耳氣導閾值平均為42.18±18.48 dB HL,優耳語音接收閾值41.50±19.34 dB HL,優耳語音聽辨率89.34±14.11%。依照性別區分,男性共47位,平均年齡76.61±6.37歲,年長者聽障問卷-篩檢版得分為22.83±11.76分,優耳氣導閾值平均為45.83±15.03 dB HL,優耳語音接收閾值為45.76±15.53 dB HL,優耳語音聽辨率為88.22±11.68%;女性受測者共53位,平均年齡74.23±5.64歲,年長者聽障問卷-篩檢版得分為17.55±11.84分,優耳氣導閾值平均為38.71±16.09 dB HL,優耳語音接收閾值為37.55±15.60 dB HL,優耳語音聽辨率為90.47±9.41%。
年長者聽障問卷-篩檢版與優耳氣導閾值相關性為0.655,為中度顯著正相關,而年長者聽障問卷-篩檢版與優耳氣導閾值間的相關性由250Hz至4000Hz介於0.518至0.665,為中度顯著正相關,相關性由高至低分別為500Hz、250Hz、1000Hz、2000Hz及4000Hz,年長者聽障問卷-篩檢版與語音接收閾值的相關性為0.541,為中度顯著正相關,而年長者聽障問卷-篩檢版與語音聽辨率的相關性為-0.219,無顯著相關性。
經由上述結果,可發現年長者聽障問卷-篩檢版不僅與優耳氣導閾值平均有中度相關性,也與語音接收閾值呈現中度顯著相關,但其與語音聽辨率則呈無顯著相關。

Aging is a global trend and the hearing loss caused by aging has become more and more obviously during recent yeas. Many researches pointed out that aging cause the hearing loss population to increase, which will be a major health issue in the future.
Hearing loss affects quality of life, especially for the emotion and social ability. If we can perform hearing test for the elderly and combined with questionnaire. We can let them know how the hearing loss influence their daily life, and make them inconvenient.
Many researches put more emphasis on the relationship between HHIE-S and pure tone average in the better ear, less studies focused on the relationship between HHIE-S and speech test score, so the purpose of present research is to investigate the relationship between HHIE-S and speech test score, especially the word discrimination of the better ear.
There are three goals to be discussed in this research, the first, can we use HHIE-S to evaluate hearing loss? Second, Does the HHIE-S score related to the air conduction hearing threshold in better ear? And the third, what is the relationship between the HHIE-S and speech audiometric test result?
100 elderly who seek medical advice in the Department of Otolaryngology of Taipei City Hospital Heping Fuyou Branch participated in this study. The mean age is 75.8±5.73 years old. There 47 males and 53 females. The mean (± 1 S.D.)score of HHIE-S is 19.88±13.67. The pure tone average of the better ear is 42.18±18.48 dB HL. The speech reception threshold for better ear is 41.50±19.34 dB HL. The word discrimination score for better ear is 89.34±14.11%.
The correlation between HHIE-S and air conduction hearing threshold in better ear is 0.655, These two are moderately positively related with significance. The correlation co-efficiency between HHIE-S and speech reception threshold is 0.541, it is also moderately positively significant. No statically correlation between HHIE-S and word discrimination score was found (γ=-0.219).
In conclusion, HHIE-S can be used to screen and evaluate hearing loss in the elderly. The HHIE-score has moderately positive correlation with the averaged hearing thresholds and speech reception thresholds of the better in for the elderly.

目錄
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究重要性 5
第三節 研究目的 6
第二章 文獻探討 7
第一節 全球老年人口及聽力損失人口比例 8
第二節 年齡與聽力損失的相關性 10
第三節 老年性聽力損失特徵 14
第四節 聽力損失對生活的影響 18
第五節 年長者聽障問卷-篩檢版介紹 20
第六節 純音聽力閾值與語音接收閾值之相關性 26
第三章 研究方法 29
第一節 研究目的 29
第二節 研究對象 30
第三節 研究流程 31
第四節 資料分析 34
第四章 研究結果 35
第五章 研究與討論 45
參考文獻 49
附錄
附錄一 年長者聽障問卷-篩檢版中文版本 55
附錄二 華語語音接收閾值測試語詞表 56
附錄三 中國語音均衡字彙表 57
附錄四 計畫執行許可書 58
附錄五 受試者同意書 59
附錄六 受試者性別、問卷得分與優耳聽力測試結果 64

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