Classificação internacional de funcionalidade, incapacidade e saúde na avaliação de usuários de aparelhos de amplificação sonora individual.
| Ano de defesa: | 2023 |
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| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Tese |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Universidade Federal de Minas Gerais
Brasil MEDICINA - FACULDADE DE MEDICINA Programa de Pós-Graduação em Ciências Aplicadas à Saúde do Adulto UFMG |
| Programa de Pós-Graduação: |
Não Informado pela instituição
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| Departamento: |
Não Informado pela instituição
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| País: |
Não Informado pela instituição
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| Palavras-chave em Português: | |
| Link de acesso: | http://hdl.handle.net/1843/69493 |
Resumo: | INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH IN ASSESSING HEARING AID USERS ABSTRACT Introduction: Hearing impairment is one of the main causes of human functional capacity loss. One way to minimize the consequences of this health condition is by fitting/using hearing aids. Self-assessment questionnaires can be used to assess the benefits and difficulties of sound amplification to users. The correspondence between validated instruments and the International Classification of Functioning, Disability and Health contributes to a biopsychosocial assessment based on a conceptual model of functioning and disability, favoring individualized therapeutic intervention for patients with hearing loss. Objective: To characterize through the International Classification of Functioning, Disability and Health the participation restrictions, satisfaction, and quality of life of hearing aid users from a private health insurance company in Minas Gerais, Brazil. Methods: The research was approved by the Research Ethics Committee of the Federal University of Minas Gerais, under evaluation report number 3.946.715 and CAAE: 26948519.4.0000.5149. This is an analytical, observational, cross-sectional study carried out with beneficiaries of a private health insurance company in Minas Gerais. The target study population comprised all beneficiaries enrolled in the Hearing Health Program from July 2012 to December 2022, totaling 448 individuals. The first stage of the study was a descriptive analysis of clinical care data of the 448 beneficiaries who received care during this period. Of the total, 48 were selected for the second stage of the study. They were contacted by telephone and answered the following questionnaires: Hearing Handicap Inventory for Adults (for individuals up to 59 years old) or Hearing Handicap Inventory for the Elderly (for those 60 years or older), International Outcome Inventory for Hearing Aids, and the World Health Organization Quality of Life-Bref. The questionnaires were compiled in Google Docs and sent via WhatsApp to all participants who agreed to participate in the research. The informed consent form followed the recommendations regarding Resolution 466/12 and was included before the questionnaires. The said questionnaires were matched with the International Classification of Functioning, Disability and Health, preselecting the chapters of “Body Functions”, “Activities and Participation”, and “Environmental Factors” that relate to hearing loss. They were openly preselected – i.e., after defining the chapters, the set of categories was selected and the questionnaires were subsequently matched with the International Classification of Functioning, Disability and Health, based on the approach in each question to define the corresponding category. Qualifiers were indicated in the results according to the number of answer options per question. Results: There was a predominance of males, moderate sensorineural hearing loss in both the right and left ears, and bilateral indication for hearing aids. The correspondence between the Hearing Handicap Inventory for Adults and Hearing Handicap Inventory for the Elderly and the International Classification of Functioning, Disability and Health identified the qualifiers “SEVERE/COMPLETE Impairment” or “MILD/MODERATE Impairment” regarding “Body Functions” related to emotions and feelings. On the other hand, the qualifier “NO Impairment” was found in situations of coping with hearing loss – patients do not choose to isolate themselves due to their health condition. The qualifier “SEVERE/COMPLETE Difficulty” was the most found in the “Activities and Participation”, in the categorized questions and those related to tasks that require auditory effort. The qualifier “NO Difficulty” was the most found concerning interpersonal relationships. When establishing correspondence between the International Outcome Inventory for Hearing Aids and the International Classification of Functioning, Disability and Health, hearing aids were qualified as a “COMPLETE Facilitator” or “SUBSTANTIAL Facilitator” in most questions. The correspondence between the International Classification of Functioning, Disability and Health and the World Health Organization Quality of Life-Bref showed a predominance of the qualifier “MILD Impairment” in the questions categorized in the “Body Functions”, “MODERATE Difficulty” in the questions attributed to “Activities and Participation”, and the qualifier “SUBSTANTIAL Facilitator” in most questions categorized in the “Environmental Factors”. Conclusion: This study presented a new approach for assessing hearing aid users with the International Classification of Functioning, Disability and Health, considering the multidimensional, biopsychosocial, holistic perspective. The results showed how auditory functioning reflects the interaction between an individual's body functions, activities, participation, and environmental factors. This knowledge focuses on searching for solutions to reduce the daily effects of this health condition throughout the hearing rehabilitation process. Keywords: Hearing; Hearing Aids; Hearing Loss; Correction of Hearing Impairment; International Classification of Functioning, Disability and Health. |