Quality of life in adult cochlear implant users

Angelo, Thais Corina Said de; Moret, Adriane Lima Mortari; Costa, Orozimbo Alves da; Nascimento, Leandra Tabanez; Alvarenga, Katia de Freitas

doi:10.1590/2317-1782/20162015097

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Sumário

Original Article • CoDAS 28 (2) • Apr 2016 • https://doi.org/10.1590/2317-1782/20162015097 copy

Quality of life in adult cochlear implant users

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To evaluate the quality of life (QOL) of adult cochlear implant users (CI) and compare it with the QOL of adults with normal hearing; and study the influence of the variables socioeconomic status, education, age at assessment, auditory sensory deprivation time, device usage time and performance in auditory speech perception tests in the QOL of adult cochlear implant users.

Design

The QOL was assessed using the World Health Organization Quality of Life (WHOQOL-BREF) generic assessment questionnaire.

Study sample

Seventy adult CI users formed the experimental group (EG) and 50 adults with normal hearing formed the control group (CG).

Results

The EG scores were close to the maximum score in satisfactory quality of life for all domains of the WHOQOL-BREF and there were similar results between the EG and CG. The variables age at assessment, duration of auditory sensory deprivation, duration of CI use and performance in auditory speech perception did not influence the results of the QOL of adult cochlear implant users.

Conclusion

Evaluating the QOL should be a concern of interdisciplinary teams in CI for an intervention with humanized care.

Keywords:
Cochlear Implantation; Quality of Life; Hearing Impairment; Adult; Hearing Loss

Variable	Categories	CG	CE
Variable	Categories	n = 50	n = 70
Gender	Male	11	39
Gender	Female	39	31
Marital Status	Single	16	15
	Married	26	35
	Separate	-	6
	Divorced	1	4
	Living as married	5	9
	Widower	2	1
Education	College degree	15	14
	College degree incomplete	5	2
	High school	15	35
	High school incomplete	2	2
	Junior High	2	6
	Junior High incomplete	1	6
	Elementary	6	4
	Elementery incomplete	4	1
Socioeconomic Level	Low inferior	4	3
	Low superior	29	50
	Average inferior	16	15
	Average	1	2
Type of electrode insertion	Total	-	64
Type of electrode insertion	Partial	-	6
Performance in speech perception test	Open set	-	61
Performance in speech perception test	Closet set	-	9

Distribution of the EG (n=70)
	Time of hearing sensory deprivation (months)	Duration of CI use (months)	Age at surgery (years)
Average	133.52	100.71	38.92
Median	120	123	38
Minimum	7	6	18
Maximum	468	256	64

DOMAIN	AVERAGE	STANDART DEVIATION	COEFFICIENT OF VARIATION	MINIMUM SCORES	MAXIMUM SCORES
DOMAIN	AVERAGE	STANDART DEVIATION	COEFFICIENT OF VARIATION	MINIMUM SCORES	MAXIMUM SCORES	(1) Physical	15.38	2.99	19.43	5.71	20.00
(2) Psychological	15.55	2.61	16.77	5.33	19.33
(3) Social Relations	14.76	3.53	23.94	4.00	20.00
(4) environment	14.05	2.31	16.47	9.00	18.50
(5) Self-Assessment of QOL	16.51	2.76	16.71	8.00	20.00
TOTAL	15.03	2.24	14.88	7.23	18.92

DOMAIN	AVERAGE	STANDART DEVIATION	COEFFICIENT OF VARIATION	MINIMUM SCORES	MAXIMUM SCORES
DOMAIN	AVERAGE	STANDART DEVIATION	COEFFICIENT OF VARIATION	MINIMUM SCORES	MAXIMUM SCORES	(1) Physical	15.73	2.35	14.92	10.86	19.43
(2) Psychological	15.41	2.01	13.01	9.33	18.67
(3) Social Relations	15.89	3.13	19.68	8.00	20.00
(4) environment	15.07	1.83	12.12	11.00	18.00
(5) Self-Assessment of QOL	15.92	2.62	16.44	10.00	20.00
TOTAL	15.49	1.76	11.39	11.54	18.31

	EG	CG	p
Domain 1	15.33	15.73	0.437
Domain 2	15.52	15.41	0.801
Domain 3	14.70	15.89	0.060
Domain 4	14.04	15.07	0.010*
Domain 5	16.54	15.92	0.216
General	15.00	15.49	0.202

		*Domain 1*	*Domain 2*	*Domain 3*	*Domain 4*	*Domain 5*	*General*
Status socioeconomic	r	0.1111	0.1408	0.0435	0.3622*	0.0305	0.2046
Status socioeconomic	p	p=0.360	p=0.245	p=0.721	p=0.002*	p=0.802	p=0.089
Education	r	0.1638	0.2312	0.0417	0.3927*	0.119	0.2659*
Education	p	p=0.175	p=0.053	p=0.732	p=0.001*	p=0.326	p=0.026*

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E-mail: revista@codas.org.br

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[1] Conflict of interests: nothing to declare.