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Amaç: Sensörinöral tip işitme kayıpları erişkinlerde, çevre ile iletişimi engelleyerek sosyal izolasyona, ruhsal problemlere, iş kaybına ve düşük yaşam kalitesine neden olabilir. Koklear implantasyon post-lingual ileri derecede işitme kaybı olan ve işitme cihazlarından fayda görmeyen seçilmiş vakalarda işitmenin restorasyonunu sağlayan önemli bir tedavi yöntemidir. Bu çalışmada ileri ve çok ileri derecede sensörinöral tip işitme kaybı nedeniyle tek taraflı koklear implant operasyonu yapılan, post lingual işitme kayıplı 60 yaş ve üzerindeki geriatrik hastalarda koklear implantın yaşam kalitesi üzerine etkisini araştırmayı amaçladık. Gereç ve Yöntemler: Çalışmaya 2008 ve 2015 yılları arasında ileri ve çok ileri derecede sensörinöral tip işitme kaybı nedeniyle tek taraflı koklear implant operasyonu yapılan, 60 yaş ve üzerinde 17 geriatrik post-lingual olgu dahil edildi. Olguların yaşam kalitesini değerlendirmek için Short Form -36 anketinin Türkçe versiyonu kullanıldı. Bulgular: Olguların yaşları 61 ile 84 yıl arasında olup ortalama yaş 69,5±7 yıl olarak hesaplandı. İşitme kaybı etiyolojisi 6 olguda ani işitme kaybı, 10 olguda progresif işitme kaybı, 1 olguda ise menenjit sekeli olarak tespit edildi. Short Form-36 anket sonucuna göre fiziksel durum sonuçları %76.4, genel durum sonuçları %88.2, psikolojik durum sonuçları ise %94.1 oranlarında olumlu olarak bulundu. Sonuç: İleri yaşta seçilmiş hastalarda koklear implantasyon, işitme rehabilitasyonunun yanında hastanın çevresi ile ilişkilerini geliştiren, ek bakım ve destekten kurtulma, kendine güvenini ve duygusal olarak mutluluğunu artmasına katkıda bulunan, sonuç olarak yaşam kalitesini olumlu yönde etkileyen bir tedavi metodudur.
Purpose: Sensorinoral type hearing loss in adults, interfering with the environment, can lead to social isolation, mental problems, loss of work and low quality of life. Koklear implantation is an important method of treatment that allows for the restoration of hearing in selected cases with advanced hearing loss and without the benefit of hearing devices. In this study, we aimed at investigating the impact of the cocklear implant on the quality of life in post-lingual hearing loss patients aged 60 and older due to advanced and highly advanced sensory-inoral type hearing loss. Tools and Methods: The study included 17 geriatric post-lingual phenomena, aged 60 and over, conducted by one-sided coccular implant surgery due to advanced and highly advanced sensory-inoral type hearing loss between 2008 and 2015. The Turkish version of the Short Form-36 survey was used to evaluate the quality of life of the events. The age of the cases is between 61 and 84 years and the average age is 69.5±7 years. Hearing loss etiology: 6 cases of sudden hearing loss, 10 cases of progressive hearing loss, and 1 cases of menenjite. According to the Short Form-36 survey, the physical state results were 76.4%, the overall state results 88.2%, and the psychological state results 94.1%. Result: Coclear implantation in elected patients in advanced age, in addition to hearing rehabilitation, is a treatment method that improves relationships with the patient’s environment, contributes to the elimination of additional care and support, increases self-confidence and emotional happiness, resulting in a positive impact on the quality of life.
Aim: Sensorineural hearing losses in adults may prevent communication with the environment, leading to social isolation, mental problems, loss of business and a reduced quality of life. Cochlear implantation is an important treatment method enabling restoration of hearing in selected patients who have postlingual severe hearing loss and fail to benefit from hearing aids. In this study, we aimed to research the effect of cochlear implant on the quality of life of geriatric patients aged 60 and over with post lingual hearing loss, who underwent unilateral cochlear implantation due to severe and profound sensorineural hearing loss. Materials and Method: 17 geriatric post lingual patients aged 60 and older who underwent unilateral cochlear implantation due to severe and profound sensorineural hearing loss between 2008 and 2015 were included in this study. A Turkish language version of the Short-Form 36 survey was used to evaluate the patient's quality of life. Results: The patients were aged between 61 and 84 years, and the mean age of the patients was 69,5±7 years. The etiology of hearing loss included sudden hearing loss 6 patients, progressive hearing loss in 10 patients, and a sequel of meningitis in 1 patient. According to the result of the Short-Form 36 survey, physical condition, general condition, and psychological condition results were found to be positive at the rates of 76,4%, 88,2%, and 94,1% respectively. Conclusion: In selected patients of advanced age, cochlear implantation is a treatment method that improves, aside from hearing rehabilitation, the patients' relationship with the environment, eliminating the need for additional care and support, contributing to increased self-confidence and emotional happiness, and consequently, positively affecting the quality of life.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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