| Objective:To explore the influence of Family Integrated Care model based on WeChat platform on the speech recognition ability,family function and hearing aid wearing effect of the elderly patients with hearing loss after wearing hearing aid,so as to provide empirical evidence for the rehabilitation management of patients after wearing hearing aid.Methods:63 elderly patients with hearing loss admitted to the Hearing Center of Otolaryngology Head and Neck Surgery Clinic of a third-level Class A hospital in Nanchong,who met the inclusion and exclusion criteria,were selected as the research objects,according to the single and double numbers of hearing aid wearing date,they were divided into the intervention group and the control group.The control group was given routine nursing;the intervention group was given Family Integrated Care model based on WeChat platform on the basis of routine nursing,including the establishment of Family Integrated Care intervention group,the establishment of WeChat group,the phased transmission of hearing aid knowledge,hearing compensation skills training methods,the real-time WeChat feedback of patients' hearing aid wearing by patients or their families,and the experts gave targeted guidance online.Two groups of patients filled in the general information questionnaire before intervention,before the intervention,intervention for 1 month,intervention for 3 months to assessed the speech recognition score,filled in the Family APGAR Index(APGAR),and filled in the International Outcome Inventory for Hearing Aids(IOI-HA)in 1 month and 3 months after the intervention;the family members of the two groups filled in the general information questionnaire and hearing aid related knowledge questionnaire before and after the intervention.Result:1.A comparison of general data:in patients:gender,age,education level,family per capita monthly income,spouse,residence,living form,exposure to noise,disease history,hearing loss time,and ear selection,there were no significant difference(P>0.05);in the family members of patients:age,and education level,there were no significant difference between the two groups(P>0.05),indicating that the two groups of general data are comparable.2.A comparison of speech recognition score between the two groups after wearing hearing aid:the speech recognition score of the two groups showed a time-varying trend(F=3.434,P<0.05);there was no significant difference in speech recognition score between the two groups with different intervention measures(F=0.049,P>0.05);there was an interaction effect between the intervention time and the intervention measures(F=3.560,P<0.05),with the increase of intervention time,the speech recognition score of the intervention group increased significantly.3.A comparison of the APGAR scores between the two groups after wearing hearing aid:the results showed that there were statistically significant differences between the intervention group and the control group in adaptation,partnership,growth and total scores at 3 months of intervention(P<0.05);the scores of affection and resolve were statistically significant at 1 month and 3 months after intervention(P<0.05);the total APGAR score of the two groups had a time-varying trend(F=126.273,P<0.05);the intervention measures had an impact on the total APGAR score of the questionnaire(F=7.919,P<0.05);the intervention time and the intervention measures had an interactive effect(F=9.199,P<0.05),with the increase of intervention time,the total APGAR score difference between the two groups increased gradually,the intervention group increased significantly.4.A comparison of the IOI-HA scores between the two groups of patients:there were statistically significant differences in self-test dimension,interaction dimension and total average score between the two groups after 3 months of intervention(P<0.05),and the scores in the intervention group were higher than those in the control group.5.A comparison of the scores of hearing aid related knowledge of the family members of the two groups:the scores of hearing aid related knowledge of the family members of the two groups were statistically significant after intervention(P<0.05),and the scores of the intervention group were significantly higher than that of the control group.Conclusion:The Family Integrated Care model based on WeChat platform is helpful to improve the speech recognition ability of the elderly hearing loss patients after wearing hearing aid,improve the family function and hearing aid wearing effect of the patients after wearing hearing aid,and improve the family member's mastery of hearing aid related knowledge,which is suitable for promotion and application in the rehabilitation management of the elderly hearing loss patients after wearing hearing aid. |
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