0596/2016 - Percepção da perda auditiva: utilização da escala subjetiva de faces para triagem auditiva em idosos. Perception of hearing loss: use of subjective faces scale for hearing screening in the elderly.
• Letícia Pimenta Costa Guarisco - Guarisco, Letícia Pimenta Costa - Universidade Federal de Sao Carlos Centro de Ciencias Biologicas e da Saude, Gerontologia - <lepcosta@hotmail.com>
Coautor(es):
• Daniela Dalpubel - Dalpubel, Daniela - Universidade Federal de São Carlos, Enfermagem - <danieladalpubel@yahoo.com.br>
• Ludimila Labanca - Labanca, Ludimila - belo horizonte, Minas Gerais - Faculdade de Medicina da Universidade de Minas Gerais - <ludlabanca@gmail.com>
• Marcos Hortes Nisihara Chagas - Chagas, MHN - Universidade Federal de Sao Carlos Centro de Ciencias Biologicas e da Saude, Gerontologia - <setroh@hotmail.com>
Área Temática:
Saúde do Idoso
Resumo:
A presbiacusia é uma alteração prevalente na população idosa, porém subdiagnosticada, desta forma, é importante aprimorar instrumentos de triagem simples. Objetivo: A escala subjetiva de faces foi proposta como forma de avaliar a auto-percepção auditiva do idoso e sua correlação com exames audiológicos. Método: Foram avaliados todos idosos encaminhados para o serviço de audiologia de um centro de referência de atenção à saúde do idoso no período de fevereiro a novembro de 2013. Os pacientes foram examinados por meatoscopia, audiometria tonal e vocal e responderam a escala subjetiva de faces e o teste do sussurro. Participaram 164 idosos com média de idade de 77 anos. Resultados: Encontrou-se boa correlação entre a escala subjetiva de faces e o limiar audiométrico (r=0,66). Houve correspondência entre as faces e o grau da perda auditiva, sendo a face 1 correspondente a audição normal, face 2 a perda auditiva leve e face 3 a perda auditiva moderada grau I. Ao avaliar as qualidades psicométricas da escala subjetiva de faces, verificou-se que as faces 2 e 3 apresentam bons índices de sensibilidade e especificidade, com área sob a curva ROC de 0,81. Conclusão: A escala subjetiva de faces parece ser um bom instrumento complementar de triagem auditiva em serviços gerontológicos, de fácil aplicação e baixo custo.
Palavras-chave:
presbiacusiaidosoperda auditivadiagnóstico
Abstract:
Presbycusis is a prevalent disorder in the elderly, but underdiagnosed. Thus, it is important to improve simple screening tools. Objective: Subjective faces scale was proposed in this study as a way to assess auditory self-perception of the elderly and their correlation with audiological tests. Method: All elderly referred to an audiology service of a healthy care center for the elderly of a public university hospital from February to November 2013 were evaluated. The patients were examined by otoscopy, pure tone and speech audiometry and answered the subjective faces scale and whisper test. The study included 164 older adults with an average age of 77 years. Results: It found strong correlation between subjective scale of faces and the audiometric threshold (r = 0.66). There was correspondence between the faces and the degree of hearing loss, and the corresponding face 1 normal hearing, the face 2 to mild hearing loss and face 3 to moderate hearing loss grade I. In assessing the psychometric properties of the subjective scale of faces, it was found that the faces 2 and 3 show good levels of sensitivity and specificity, with an area under the ROC curve of 0.81. Conclusion: Subjective facial scale seems to be a good complementary tool of screening in gerontological services, easy to administer and low cost.
Perception of hearing loss: use of subjective faces scale for hearing screening in the elderly.
Resumo (abstract):
Presbycusis is a prevalent disorder in the elderly, but underdiagnosed. Thus, it is important to improve simple screening tools. Objective: Subjective faces scale was proposed in this study as a way to assess auditory self-perception of the elderly and their correlation with audiological tests. Method: All elderly referred to an audiology service of a healthy care center for the elderly of a public university hospital from February to November 2013 were evaluated. The patients were examined by otoscopy, pure tone and speech audiometry and answered the subjective faces scale and whisper test. The study included 164 older adults with an average age of 77 years. Results: It found strong correlation between subjective scale of faces and the audiometric threshold (r = 0.66). There was correspondence between the faces and the degree of hearing loss, and the corresponding face 1 normal hearing, the face 2 to mild hearing loss and face 3 to moderate hearing loss grade I. In assessing the psychometric properties of the subjective scale of faces, it was found that the faces 2 and 3 show good levels of sensitivity and specificity, with an area under the ROC curve of 0.81. Conclusion: Subjective facial scale seems to be a good complementary tool of screening in gerontological services, easy to administer and low cost.
Guarisco, Letícia Pimenta Costa, Dalpubel, Daniela, Labanca, Ludimila, Chagas, MHN. Percepção da perda auditiva: utilização da escala subjetiva de faces para triagem auditiva em idosos.. Cien Saude Colet [periódico na internet] (2016/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/percepcao-da-perda-auditiva-utilizacao-da-escala-subjetiva-de-faces-para-triagem-auditiva-em-idosos/16022?id=16022&id=16022
