碩士 / 國立臺北護理健康大學 / 聽語障礙科學研究所 / 99 / The purpose of this study aimed to explore whether tinnitus patients’ acceptance of internal noise (tinnitus) could response to their acceptance of external background noise. This study explored whether the acceptable noise level (ANL) of patients with tinnitus could be affected by tinnitus retraining therapy (TRT), and to explore the correlation between change of tinnitus handicap inventory (THI) scores and that of ANL before and after 6-months TRT.
There were 19 tinnitus subjects who would receive TRT (experimental group) and 20 tinnitus subjects without TRT (control group) in this study. ANLs of those patients with and without TRT were compared. No significant difference in the ANL result between the two groups was found.
THI scores could reflect the degree of patients’ tinnitus distress. Results of this study revealed that the TRT may improve the tinnitus distress, but no significant change in ANL. The correlation between the change of THI scores and that of ANL before and after treatment was positive but not significant (r=0.434, p=0.063). We further analyzed the variation of three THI subscales (functional, emotional and catastrophic subscales), ANL, MCL and BNL, The results showed a significant negative correlation between variation of THI score and that of BNL. Furthermore, THI-functional subscale was positively correlated to variation of ANL (p<0.05), and negatively correlated to variation of BNL (p<0.01)
Specific questionnaires are often used clinically to evaluate the degree of tinnitus handicap. However, results of this study demonstrated that the BNL may reflect the tinnitus of adaptation to tinnitus of each subject and his/her acceptance of tinnitus. Although there seemed to be no significant change in ANL after 6-months TRT, variation of THI-functional subscale scores could be observed in this study. The more the functional handicap improvement, the more the patients’ willingness to listen to speech under higher background noise. For the further study we suggest to increase the number of subjects and longer follow-up time to further explore the influence of auditory training on ANL.
| Identifer | oai:union.ndltd.org:TW/099NTCN0714020 |
| Date | January 2011 |
| Creators | Yu-Ching Chang, 張玉菁 |
| Contributors | Chii-Yuan Huang, 黃啟原 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 72 |
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