Quality of life and cochlear implant: results in adults with postlingual hearing loss

Sousa, Aline Faria de; Couto, Maria Inês Vieira; Martinho-Carvalho, Ana Claudia

doi:10.1016/j.bjorl.2017.06.005

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Original Articles • Braz. j. otorhinolaryngol. 84 (4) • Jul-Aug 2018 • https://doi.org/10.1016/j.bjorl.2017.06.005 linkcopy

Quality of life and cochlear implant: results in adults with postlingual hearing loss^☆

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction Considering the variability of results found in the clinical population using a cochlear implant, researchers in the area have been interested in the inclusion of quality of life measures to subjectively assess the benefits of the implantation.

Objective To assess the quality of life of adult users of cochlear implant.

Methods A cross-sectional and clinical study in a group of 26 adults of both genders, with mean duration of cochlear implant use of 6.6 years. The Nijmegen Cochlear Implantation Questionnaire and the generic World Health Organization Quality of Life questionnaire were sent electronically.

Results The best assessed domain in the quality of life assessment for the cochlear implantation questionnaire was the social domain, whereas for the quality of life questionnaire it was the psychological domain. The variables, gender, time of cochlear implant use and auditory modality did not influence the results of both questionnaires. Only the variable level of education was correlated with the environment domain of the quality of life questionnaire. The variable telephone speech comprehension was associated with a better perception of quality of life for all the domains of the specific questionnaire and for the self-assessment of quality of life in general.

Conclusion From the users' perspective, both questionnaires showed that cochlear implant brought benefits to different aspects related to quality of life.

KEYWORDS
Cochlear implantation; Quality of life; Hearing loss; Adult; Deafness

Subdomain/domain	Mean	Standard deviation	Minimum	Median	Maximum
NCIQ-P
Physical	67.8	16.2	35.8	65.0	97.5
Psychological	69.9	20.1	12.5	77.5	90.0
Social	72.9	19.4	6.3	78.1	97.5
Overall	70.2	16.1	20.1	73.6	90.8
WHOQOL-bref
Physical	72.5	14.0	42.9	75.0	96.4
Psychological	73.6	9.9	58.3	72.9	95.8
Social Relations	69.9	15.3	33.3	70.8	100.0
Environment	61.1	12.6	34.4	60.9	87.5
QoL self-assessment	77.4	11.2	50.0	75.0	100.0

Subdomain/domain	HS	M	DP	Min.	Med.	Max.	p
Physical NCIQ	Bilateral	74.9	16.7	49.2	80.0	94.2	0.29
Physical NCIQ	Unilateral	65.6	15.9	35.8	64.2	97.5	0.29
Self-esteem	Bilateral	71.7	19.0	35.0	76.3	90.0	1.00
Self-esteem	Unilateral	69.4	20.9	12.5	77.5	90.0	1.00
Social NCIQ	Bilateral	78.0	15.0	53.8	76.7	97.5	0.71
Social NCIQ	Unilateral	71.3	20.6	6.3	78.8	90.0	0.71
Overall NCIQ	Bilateral	74.8	13.5	55.7	74.0	90.8	0.69
Overall NCIQ	Unilateral	68.8	16.8	20.1	73.6	90.8	0.69

Domains	TU	n	M	SD	Min.	Med.	Max.	p
Psychological NCIQ	No	9	57.22	25.72	12.50	60.00	87.50	0.01a
Psychological NCIQ	Yes	17	76.62	12.75	35.00	77.50	90.00	0.01a
Social NCIQ	No	9	58.99	25.09	6.25	65.00	82.50	0.02a
Social NCIQ	Yes	17	80.20	10.27	53.75	80.31	97.50	0.02a
Overall NCIQ	No	9	56.05	17.63	20.14	60.79	74.03	0.00a
Overall NCIQ	Yes	17	77.65	8.71	55.69	78.89	90.83	0.00a
Physical WHOQOL	No	9	70.63	12.60	53.57	75.00	92.86	0.43
Physical WHOQOL	Yes	17	73.53	15.00	42.86	78.57	96.43	0.43
Psychological WHOQOL	No	9	71.30	11.87	58.33	66.67	95.83	0.25
Psychological WHOQOL	Yes	17	74.75	8.90	58.33	75.00	95.83	0.25
Social Relations WHOQOL	No	9	62.96	16.20	33.33	66.67	91.67	0.10
Social Relations WHOQOL	Yes	17	73.53	13.89	50.00	75.00	100.00	0.10
Environment WHOQOL	No	9	56.94	9.21	40.63	59.38	71.88	0.24
Environment WHOQOL	Yes	17	63.24	13.87	34.38	68.75	87.50	0.24
QoL self-assessment WHOQOL	No	9	72.22	5.51	62.50	75.00	75.00	0.04a
QoL self-assessment WHOQOL	Yes	17	80.15	12.55	50.00	75.00	100.00	0.04a

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Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Sede da Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico Facial, Av. Indianópolia, 1287, 04063-002 São Paulo/SP Brasil, Tel.: (0xx11) 5053-7500, Fax: (0xx11) 5053-7512 - São Paulo - SP - Brazil
E-mail: revista@aborlccf.org.br

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[TFN2] HS, hearing status; M, mean; SD, standard deviation; Min., minimum; Med., median; Max., maximum; p, p-value.

Quality of life and cochlear implant: results in adults with postlingual hearing loss☆

Abstract

Quality of life and cochlear implant: results in adults with postlingual hearing loss^☆