Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
İşitme Cihazı Satış ve Uygulama Merkezlerinde Görev Alan İşitme Cihazı Uygulayıcılarına Yönelik Tanımlayıcı Bir Araştırma
A Descriptive Study on Hearing Aid Practitioners Who Work in Hearing Aid Sales and Application Centers
Atılım ATILGANa , Ahmet OVACIKb , Ayça ÇİPRUTc
aİstanbul Medeniyet Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, İstanbul, Türkiye
bMarmara Üniversitesi Sağlık Bilimleri Enstitüsü, Odyoloji ve Konuşma Bozuklukları Programı, İstanbul, Türkiye
cMarmara Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Hastalıkları ABD, Odyoloji BD, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(3):459-68
doi: 10.5336/healthsci.2022-93839
Article Language: TR
Full Text
ÖZET
Amaç: İşitme cihazı uygulamasının başarısında işitme cihazı uygulayıcısı önemli bir rol almaktadır. İşitme cihazı uygulayıcısı odyolojik sonuçlara uygun işitme cihazının seçilmesinde danışmanlık yapar, işitme cihazı parametrelerini belirler, gerçek kulak ölçümüyle ses kazanç özelliklerini doğrular, uygulamanın sonuçlarını takip eder. Hasta memnuniyetini direkt olarak etkileyen bu süreçle ilgili uygulayıcının fikir ve düşünceleri önemlidir. Çalışmamızın amacı, işitme cihazı uygulayıcılarının sorunlarını ve ihtiyaçlarını ortaya çıkarmak için işitme cihazı uygulama sürecine ilişkin düşünce ve görüşlerini betimlemektir. Gereç ve Yöntemler: Çalışma, işitme cihazı satış ve uygulama merkezlerinde görevli 283 katılımcı ile gerçekleştirilmiştir. Katılımcıların 39'u (%13,7) odyolog, 213'ü (%75,3) odyometri teknikeri ve 31'i (%11) sertifikalı uygulayıcıdır. Katılımcıların cevapları toplamda 31 sorudan oluşan bir web tabanlı anket kullanılarak elde edilmiştir. Bulgular: Meslek grupları açısından çalışma deneyimi, çalışma süresi farklıdır. Odyometri teknikerleri diğer meslek gruplarına göre ön lisans eğitiminin işitme cihazı uygulamaları için yeterli olmadığını belirtmiştir. Katılımcıların sadece %29'u her zaman gerçek kulak ölçümü kullandığını belirtmektedir. Katılımcıların %23'ü çalıştıkları merkezde işitme testlerinin yapılmadığını bildirmiştir. Sonuç: İşitme cihazı uygulayıcılarının eğitsel yeterlilik, çalışma koşulları, işitme cihazı uygulamaları, meslekler arası iletişim konularındaki görüşleri eğitim standartlarının, kanun ve yönetmeliklerin gözden geçirilmesi, eğitim sürekliliğinin sağlanması gerektiğini göstermektedir.

Anahtar Kelimeler: İşitme cihazları; odyoloji; işitme bozukluğunun düzeltilmesi
ABSTRACT
_Hearing aid practitioners take a great role in the success of the hearing aid fitting process. They provide counseling for suitable hearing aids, adjust hearing aid parameters according to audiological results, verify hearing aids with real-ear measurement, and follow up with patients. The opinions and thoughts of the practitioner are important regarding this process that directly affects patient satisfaction. To present problems and necessities, we aimed to describe the thoughts and beliefs of hearing aid practitioners on the hearing aid fitting process. Material and Methods_ This survey study includes 283 hearing aid practitioners working in dispensing centers. 39 (13.7%) of the participants were audiologists, 213 (75.3%) were audiometry technicians and 31 (11%) were certificated hearing aid practitioners. Participants' responses were obtained through a web-based survey consisting of 31 questions. Results_ Experience and working time differ among professionals. Audiometry technicians responded that their undergraduate education was not sufficient for the competence of hearing aid fitting compared to other hearing aid practitioners. Only 29% of respondents answered that they always use real-ear measurements. 23% of the participants reported that hearing tests were not performed in their work center. Conclusion_ The opinions of hearing aid practitioners on educational competence, the hearing aid fitting process, job conditions, and communication between professionals suggest that education standards, laws, and regulations should be reviewed_

Keywords: Hearing aids; audiology; correction of hearing impairment
REFERENCES:
  1. Davidson LS, Osman A, Geers AE. The effects of early intervention on language growth after age 3 for children with permanent hearing loss. Journal of Early Hearing Detection and Intervention. 2021;6(1):1-11. [Link] 
  2. Tomblin JB, Oleson J, Ambrose SE, Walker EA, McCreery RW, Moeller MP. Aided hearing moderates the academic outcomes of children with mild to severe hearing loss. Ear Hear. 2020;41(4):775-89. [Crossref]  [PubMed]  [PMC] 
  3. Kirkwood DH. Hearing aids improve adults' quality of life. The Hearing Journal. 2007;60(5):4. [Crossref] 
  4. Amieva H, Ouvrard C, Giulioli C, Meillon C, Rullier L, Dartigues JF. Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: a 25-year study. J Am Geriatr Soc. 2015;63(10):2099-104. [Crossref]  [PubMed] 
  5. Kochkin S, Beck DL, Christensen LA, Compton-Conley C, Kricos PB, Fligor BJ, et al. MarkeTrak VIII: the impact of the hearing healthcare professional on hearing aid user success. Hearing Review. 2010;17(4):12-34. [Link] 
  6. Resmî Gazete (24.09.2011, Sayı: 28064) sayılı Ismarlama Protez ve Ortez Merkezleri ile İşitme Cihazı Merkezleri Hakkında Yönetmelik; 2011. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  7. Resmî Gazete (10.07.2010, Sayı: 27637) sayılı Ortez-Protezleri Ismarlama Olarak Üreten ve Uygulayan Merkezler ile İşitme Cihazı Satış ve Uygulaması Yapan Merkezler Hakkında Yönetmelikte Değişiklik Yapılmasına Dair Yönetmelik; 2010. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  8. Resmî Gazete (22.05.2014, Sayı: 29007) Sağlık Meslek Mensupları ile Sağlık Hizmetlerinde Çalışan Diğer Meslek Mensuplarının İş ve Görev Tanımlarına Dair Yönetmelik; 2014. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  9. Resmî Gazete (26.04.2011/27916), 6225 sayılı Bazı Kanun ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılmasına Dair Kanun; 2011. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  10. Sosyal Güvenlik Kurumu. Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliğinde Değişiklik Yapılmasına Dair Tebliğ; 2018. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  11. Taylor B, Mueller HG. Fitting and Dispensing Hearing Aids. 3rd ed. San Diego, CA: Plural Publishing; 2020.
  12. Dillon H. Hearing Aids. 2nd ed. New York: Thieme; 2012.
  13. Kaya NU, Karakol SN, Kandemir S, Türüdü S. İşitme cihazı sektörüne genel bakış [Overview of the hearing aid industry]. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi. 2021;2(1):1-8. [Link] 
  14. Akşit AM, Kösemihal E, Karam İ. İşitme cihazı satış ve uygulama merkezlerinde gerçek kulak ölçümü kullanımı [Use of real-ear measurement in hearing aid sales and application centers]. Türk Odyoloji ve İşitme Araştırmaları Dergisi. 2019;2(3):61-4. [Link] 
  15. Akşit AM, Kaya M, Ferdal A, Kösemihal E. İşitme cihazı uygulamalarında yöntemsel tercihler [Application preferences in hearing aid fitting]. Türk Odyoloji ve İşitme Araştırmaları Dergisi. 2020;3(1):1-7. [Link] 
  16. Akşit AM, Pektaş E, Ertuğrul Ö, Tüysüz O, Kalcıoğlu T. Yetişkinlerde gerçek kulak ölçüm sonuçları: bölgesel bir analiz [Real ear measurement results in adults: a regional analysis]. KBB-Forum. 2020;19(2):182-90. [Link] 
  17. Saatci̇ Ö, Polat B. Geriatrik popülasyonda işitme kaybının ve işitme cihazı kullanım memnuniyetinin yaşam kalitesine etkisi [The effect of hearing loss and hearing aid use satisfaction on quality of life in geriatric population]. KBB-Forum. 2016;15(4):81-8. [Link] 
  18. Kırkım G, Şerbetçioğlu MB, Mutlu B. Uluslararası işitme cihazları değerlendirme envanteri Türkçe versiyonu kullanılarak hastalardaki işitme cihazı memnuniyetinin değerlendirilmesi [Assessment of patient satisfaction for hearing aids using the Turkish version of international outcome inventory for hearing aids]. KBB ve BBC Dergisi. 2008;16(3):101-7. [Link] 
  19. Durmaz A, Hıdır Y, Ulus S, Satar B. Yaşlılarda işitme kaybı ve işitme cihazı kullanımı [Presbycusis and using of hearing aids among elderly]. Turkish Journal of Geriatrics. 2011;14(2):122-7. [Link] 
  20. Yi̇ği̇t Ö, Kiliç S. İşitme cihazı memnuniyetinde cihaz kullanım süresinin rolü [The role of hearing aid use time in hearing aid satisfaction]. Hacettepe Üniversitesi Sağlık Bilimleri Dergisi. 2019;6(3):243-53. doi: 10.21020/husbfd.647854
  21. Yükseköğretim Kurulu [İnternet]. Yükseköğretim Program Atlası. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  22. Yükseköğretim Kurulu [İnternet]. Yükseköğretim Akademik Arama. Erişim tarihi: 20.08.2021 Erişim linki: [Link] 
  23. Sanders J, Stoody T, Weber J, Mueller G. Manufacturers' NAL-NL2 Fittings Fail Real-ear Verification. 2015. [Link] 
  24. Narayanan SE, Manjula P. Comparison of performance with hearing aid programmed to NAL-NL1 first-fit and optimized-fit. Codas. 2021;34(1):e20200310. [Crossref]  [PubMed]  [PMC] 
  25. Folkeard P, Bagatto M, Scollie S. Evaluation of hearing aid manufacturers' software-derived fittings to DSL v5.0 pediatric targets. J Am Acad Audiol. 2020;31(5):354-62. [Crossref]  [PubMed] 

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