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  Česky / Czech version Otorinolaryngol. /Prague/, 50, 2001, No. 4, p. 219-226
 
Analogue and Digital Hearing Aids Part 1. Evaluation of the Asset of the Hearing Aid by the Patient 
Valvoda J., Kaňa R., Haas T.* 

ORL oddělení VFN, Praha, přednosta doc. MUDr. M. Hroboň, CSc. III. interní klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Marek, DrSc.*
 


Summary:

       S u m m a r y: The authors evaluated, based on a questionnaire, the subjective asset of hearing aids in 114 patients, 58 men and 56 women, mean age 68 (22-92) years. The hearing aids were issued to the patients in 1998 and 1999. The period of use of the hearing aid in the investigated group was at least 3, and most 13 months. 14 respondents used a behind the ear analogue hearing aid, 73 an analogue programmable hearing aid and 27 patients a completely digital hearing aid. The hearing aids were made by two manufacturers. Behind the ear hearing aids predominated, there were in the ear and canal types (31 - 27%), none were body-worn hearing aids. Hearing aids were more frequently fitted in the right ear (73 patients - 63 %). This is due to the predominating correction of the right ear in patients with symmetrical hypacusis. Within 48 (42% of the group) patients with symmetrical hypacusis 40 (83%) had the hearing aid in the right ear. In asymmetrical losses (66 - 58% patients) the hearing aid was allotted in 58 cases (88%) to the better hearing ear, only in 12 to the worse ear. Binaural correction was not used. Evidence was provided that patients with more severe hypacusias use hearing aids significantly more frequently the whole day than patients with smaller losses (p = 0.002). Comparison of analogue and digital hearing aids according to subjective data of the patients was in favour of digital hearing aids, in particular as regards the time taken to get accustomed to the aid, the period of use per day, improved hearing of speech in a noisy environment, the natural character of external sounds and the own voice and the absence of internal noise. The authors do not overrate the value of this comparison. They emphasize the necessity of an individual approach to affected subjects when fitting and selecting hearing aids. They draw attention to the fact that in some cases an analogue hearing aid may be more suitable for a subject than a digital one, not only from the aspect of cost/effect. Evaluation of the benefit of hearing aids by means of a questionnaire was for the authors the source of many interesting and stimulating observations of patients which will be used in audiological practice.

        Key words: hearing aid, analogue, digital hearing aid, subjective benefit, questionnaire.
       

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