2020-08-012024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/708143摘要：隨著人口快速高齡化，聽力損傷是老人常見的健康問題。聽力損傷對老人的影響不僅在身體功能與認知表現上有顯著限制，同時可能導致老人憂鬱、孤寂以及社交隔離，甚至影響生活品質與經濟情況。因此，如何利用有效的方法來改善聽力損傷老人之溝通能力、憂鬱、孤寂感以及生活品質就顯得格外重要。本研究為三年期研究計劃，預計分兩階段進行，第一階段為質性研究設計，預計收案30位，採用個別的深入訪談法，以半結構式的訪談指引探討聽力損傷老人的感受和經驗，所得結果以現象學分析法分析及歸納資料。第二階段為重複測量的實驗性研究設計法，採實驗組、控制組之前測、後測、追蹤後測來收集資料。採隨機分派的方式將參與者分派至實驗組或控制組，預計收案人數共84位。實驗組的研究對象接受為期10週，每週1次，每次60分鐘的聽力復健方案，包括提供訊息、助聽器與聽覺輔助設備、溝通策略與技巧、個人因應方式與適應、心理社會支持以及壓力處理；控制組則為等候名單。所有研究對象將於實驗介入前(前測，T0)、實驗介入後3個月(T1)以及實驗介入後6個月(T2)等三個時間點進行資料的收集。成效指標包括：老人聽力障礙量表-篩檢版、10題流行病學研究中心憂鬱量表、短版UCLA孤寂感量表-8題以及SF-12健康生活品質量表，以意向分析法準則，進行研究數據分析，以廣義估計方程式檢定聽力復健介入的成效。聽力損傷是一個重要的，但卻經常被忽略的老人健康問題，本研究期望透過研究結果瞭解聽力損傷老人的生活經驗，並且藉此了解聽力復健方案對改善聽力損傷老人溝通能力、降低憂鬱與孤寂、提升生活品質的成效，亦可作為未來老人政策、臨床照護應用以及教育宣導方向之參考。<br> Abstract: Hearing impairment (HI) in older adults is becoming a common health problem as the population ages. The impact of hearing impairment in older adults includes not only physical function and cognitive performance, but also depression, loneliness and social isolation, as well as having a negative impact on quality of life and financial status. Effectively addressing these issues is critical. Our study will consist of two phases over three years. In the first phase, the qualitative research of the study, we will use a semi-structured interview guide to conduct in-depth interviews with an estimated 30 older adults with hearing impairment in order to understand their perceptions and experiences. All the interview data will be transcribed verbatim. Analysis the interviews will be based on the phenomenological analysis procedures. The second phase will be an experimental design featuring repeated measures, with data collected from a pretest, a posttest and a follow-up test. An estimated total of 84 participants will be randomly assigned to experimental and control groups. The experimental group will participate in a 10-week audiological rehabilitation program, including provide information, hearing aids and assistive listening devices, communication strategies and skills, personal coping and adjustment, psychosocial support and stress management, consisting of 60-minute sessions once per week, while the control group will be put on a waiting-list group. Each group will be assessed of their outcomes at 3 time points: baseline (T0), three months following the intervention (T1) and again at six months following the intervention (T2). We will use the Hearing Handicap Inventory for the Elderly-Screening version (HHIE-S), the 10-item version of the Center for Epidemiological Studies Depression Scale (10-item CES-D), the short-form UCLA Loneliness Scale-8 item (ULS-8) and the Short Form-12 health survey (SF-12) as the outcome indicators. The principle of intention-to-treat (ITT) analysis will be used, and the result will be analyzed mainly by generalized estimating equation (GEE). Hearing impairment is a critical health issue that is often overlooked in older adults. Our results will help to understand the lived experience of older adults with hearing impairment. The audiological rehabilitation program can enhance older adults with hearing impairment’ ability to communicate, reduce depression and loneliness and improve quality of life. In addition, a promising result will provide a reference for future policy, clinical care and education pertaining to older adults.聽力復健聽力損傷溝通能力憂鬱孤寂感生活品質老年人audiological rehabilitationhearing impairmentcommunication abilitydepressionlonelinessquality of lifeolder adults