A expectativa como fator de influência no sucesso com o uso de próteses auditivas, em indivíduos idosos

Int. Arch. Otorhinolaryngol. 2012;16(2):201-208. DOI: 10.7162/S1809-97772012000200008 Original Article Expectation as a factor of influence on the success of use of hearing aids in elderly individuals A expectativa como fator de influência no sucesso com o uso de próteses auditivas, em indivíduos idosos Larissa Cristina Schuster1, Maristela Julio Costa2, Isabela Hoffmeister Menegotto3. 1) Master. Clinical Phonoaudiologist. 2 Doctoral in Riots of the Human Being Communication for the Federal University of São Paulo. Professor of the Program of After-Graduation in Riots of the Human Being Communication of the UFSM. 3) Doctoral in Riots of the Human Being Communication for the Federal University of São Paulo. Professor of the Department of Phonoaudiology of the UFCSPA. Institution: Federal University of Saint Maria - UFSM. Santa Maria / RS - Brazil. Mailing address: Larissa Cristina Schuster - Fernando Abott Street, 270/508 - Center - Santa Cruz do Sul / RS - Brazil - Zip-code: 96810-072 - Telephone: (+55 51) 3056-2709 - E-mail: Article received in August 9, 2011. Article approved in September 19, 2011. SUMMARY RESUMO Introduction: Auditory prosthesis is distinguished in function of the lesser technologies that become them each time, more powerful and efficient. The marketing can generate unreal expectations how much to the results with the amplification use, mainly in inexperienced individuals. Objective: To verify the relation between expectations and success of the process of election and adaptation of auditory prosthesis in aged. Method: Clinical and experimental study, 16 aged, inexperienced individuals with the amplification use, the election and adaptation of auditory prosthesis had been evaluated 15 days before and after. Questionnaire for evaluation of the expectations of aged the adult individual was used “/, new user of auditory prosthesis”, Hearing Handicap Inventory will be the Elderly/Screening Version, for evaluation of the perception of the restriction of participation and the International Questionnaire - Device of Amplification Sonora Individual (QI-AASI), to verify the subjective benefit with the use of the auditory prosthesis. The Percentile Index of Recognition of Sentences in Silence was determined (IPRSS), by means of the test Lists of Sentences in Portuguese to verify the objective benefit of the adaptation. The data had been analyzed by means of not-parametric test, with level of significance of 5%. Results: The entire sample presented positive expectations. Subjectively benefit for the reduction of the perception of the participation restriction and for the positive evaluation of the adaptation, evidenced for the QI-AASI was verified. Objective the improvement of the IPRSS with the use of auditory prosthesis also evidenced benefits. Conclusion: The expectation how much to the results with the amplification use, it was factor of negative influence in the success of the process of election and adaptation of auditory prosthesis, in the subjective scope. Keywords: assistant of hearing, aged, whitewashing of deficient auditory, questionnaires, only system of health. Introdução: Próteses auditivas destacam-se em função das tecnologias que as tornam cada vez menores, mais potentes e eficientes. O marketing pode gerar expectativas irreais quanto aos resultados com o uso de amplificação, principalmente em indivíduos inexperientes. Objetivo: Verificar a relação entre expectativas e sucesso do processo de seleção e adaptação de próteses auditivas em idosos. Método: Estudo clínico e experimental, 16 indivíduos idosos, inexperientes com o uso de amplificação, foram avaliados 15 dias antes e após a seleção e adaptação de próteses auditivas. Utilizou-se “Questionário para avaliação das expectativas do indivíduo adulto/idoso, novo usuário de próteses auditivas”, Hearing Handicap Inventory for the Elderly/Screening Version, para avaliação da percepção da restrição de participação e o Questionário Internacional - Aparelho de Amplificação Sonora Individual (QI-AASI), para verificar o benefício subjetivo com o uso das próteses auditivas. Determinou-se o Índice Percentual de Reconhecimento de Sentenças no Silêncio (IPRSS), por meio do teste Listas de Sentenças em Português para verificar o benefício objetivo da adaptação. Os dados foram analisados por meio de teste não-paramétrico, com nível de significância de 5%. Resultados: Toda a amostra apresentou expectativas positivas. Subjetivamente verificou-se benefício pela diminuição da percepção da restrição de participação e pela avaliação positiva da adaptação, evidenciada pelo QI-AASI. Objetivamente a melhora do IPRSS com o uso de próteses auditivas também evidenciou beneficio. Conclusão: a expectativa quanto aos resultados com o uso de amplificação, foi fator de influência negativa no sucesso do processo de seleção e adaptação de próteses auditivas, no âmbito subjetivo. Palavras-chave: auxiliares de audição, idoso, reabilitação de deficientes auditivos, questionários, sistema único de saúde. Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.16, n.2, p. 201-208, Apr/May/June - 2012. 201 Expectation as a factor of influence on the success of use of hearing aids in elderly individuals. Schuster et al. INTRODUCTION obligatorily without previous experience as using of such and absence of any cognitive impairment. Auditory prosthesis are in evidence in the current society, presenting itself as the possibility of improvement of the quality of life of carrying individuals of auditory loss. In recent years these equipment has been sufficiently divulged and the constant renewal of the lesser technological resources that also become them each time, more powerful and efficient (1,2) gains the media. Aged individuals had been considered those with 60 years or more (11) and the audiologic standards, established by means of basic the audiologic evaluation. It is noted, however, that a series of intrinsic difficulties to the election process and adaptation of auditory prosthesis, frequent it is omitted by the marketing and, most of the time, it does not arrive at the knowledge of the interested greater, the patient. Such situations make with that this believes some fancies involving the use of the auditory prosthesis and finishes creating unreal expectations and many excessively positive times (3). This occurs mainly with patients who had never had experience with the amplification use (4,5,6). In accordance with literature, the expectation daily pre-amplification can influence the patient in the success of its process of auditory whitewashing. In this perspective, knowing the previous expectations of the individual would be possible to anticipate its probable results with the use of auditory prosthesis. Other authors also believe this relation (5,7,8). Thus, it was objectified in the present study to verify of that it forms the expectation daily pre-amplification relates to the success of the process of auditor (...truncated)