Abstract
PurposeIn clinical trials and everyday medical practice, health-related quality of life (HRQoL) measures are increasingly being used. That is, in addition to the usual biological health assessment, the impact of disease and treatment on the patient’s functioning in the physical, mental, and social areas is an important parameter. The aim of this study was to assess HRQoL before and after using a cochlear implant (CI) in adults with profound hearing loss.MethodsThere were 104 patients who qualified for the study. All gave informed and free consent. The study involved adults with bilateral hearing loss above 81 dB HL and rated according to the World Health Organization (WHO) classification scheme as having profound hearing loss (which includes deafness). In each participant, the hearing loss was postlingual, that is, it occurred after speech and language had developed. The assessment of quality of life (AQoL-8D) questionnaire was used to assess the health-related quality of life in the study participants.ResultsQuality of life significantly increased (p < 0.001) after cochlear implantation in almost all domains (except the pain dimension). The mean increase in overall quality of life was 0.16, the greatest improvement was found in the dimensions senses (mean change of 0.17) and self-worth (mean change of 0.16).ConclusionCochlear implantation improves the health-related quality of life of the postlingually deaf.
Highlights
For people with acquired deafness, performing common life tasks and engaging fully in social activity is difficult
There is a need to gauge the subjective impact of using a cochlear implant (CI) on the psychological, social, and physical aspects of the user’s life [12,13,14]
Cochlear implantation improves the quality of life, which means that for the postlingually deaf, it is the appropriate method of treatment
Summary
For people with acquired deafness, performing common life tasks and engaging fully in social activity is difficult. To reduce the effects of profound postlingual hearing loss in adults, cochlear implants (CIs) are commonly used [4, 5]. This procedure is an effective form of medical treatment and rehabilitation [6, 7]. There is a need to gauge the subjective impact of using a CI on the psychological, social, and physical aspects of the user’s life [12,13,14]. Such a holistic approach to the patient can reveal an overall
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