Influence of Cochlear Implantation on Work Ability

Dr. med.dent. Johanna Martin-Graziani

AutorIn

Dr. med.dent. Johanna Martin-Graziani

Titel

Influence of Cochlear Implantation on Work Ability

Zitierfähige Url:

https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa2-934487

Übersetzter Titel (DE)

Einfluss der Cochlea-Implantation auf die Arbeitsfähigkeit

Erstveröffentlichung

2024

Datum der Einreichung

09.01.2024

Datum der Verteidigung

27.08.2024

Abstract (EN)

Objective: This present study aimed to evaluate whether cochlear implant (CI) surgery influences the patients’ postoperative work ability. Additionally, the influence of demographic, audiometric, and psychometric parameters on postoperative work ability was determined. This study also explored the contrasting relationship between the postoperative work ability of employed as well as pensioned patients and the above-mentioned influencing factors. Methods: In this prospective study, 79 patients were included. They responded to questionnaires and audiometric testing preoperatively and twelve months postoperatively. Work ability was evaluated with the Work Ability Index (WAI). Disease-specific health-related Quality of Life (HRQoL) was determined using the Nijmegen Cochlear Implant Questionnaire (NCIQ) and generic HRQoL was analyzed with the World Health Organization Quality of Life: Best Available Techniques Reference (WHO-QOL-BREF). Mental disorders (depression, somatoform disorder, stress) were assessed with the German Patient Health Questionnaire (PHQ-D). The patient’s personality was reviewed with the Big Five Personality Test (B5T). Speech comprehension was evaluated in noise with the Oldenburger sentence test. Results: The patients’ postoperative work ability was not significantly (p>0.05) affected by CI-treatment. However, employed patients displayed significantly (p<0.001) higher postoperative work ability than pensioners. The generic HRQoL, personality, and mental disorders were unaffected by CI-treatment (p>0.05). Instead, speech comprehension and disease-specific HRQoL displayed significant improvements (p<0.001) postoperatively. As shown through multiple regression analysis, age (ß = -0.275*, p<0.05) and the subdomain physical health of the patient’s generic HRQoL (ß = 0.471**, p<0.01) were significantly associated with postoperative WAI outcome scores. The influencing factors stress (ß = - 0.744**, p<0.01) and age (ß = -0.571*, p<0.05) displayed significant correlations with the postoperative work ability of employed patients. In contrast, the subdomain physical health of the patient’s generic HRQoL (ß = 0.805**, p<0.01) was significantly associated with the postoperative work ability of pensioned patients. Conclusions: Perceived stress, age, and physical health are strong predictive parameters for the patient’s postoperative work ability. The results indicate that preliminary multiprofessional and individualized counseling, the promotion of work accommodations, and physical activity during CI-(re)habilitation may contribute positively to the patient’s postoperative work ability. Additionally, a differentiated therapeutic approach between employed and pensioned CI- recipients is fundamental to bringing about better WAI outcome scores post-implant for each subgroup.

Andere Ausgabe

Influence of cochlear implantation on the working ability of hearing-impaired patients: A prospective study on potential influencing factors
DOI: 10.1080/14670100.2024.2332035
Link: https://doi.org/10.1080/14670100.2024.2332035

Influence of depressive disorders, stress, and personality traits on quality of life after cochlear implantatio
DOI: 10.1007/s00405-023-08284-3
Link: https://doi.org/10.1007/s00405-023-08284-3

Freie Schlagwörter (DE)