Asuman KÜÇÜKÖNER, Ömer KÜÇÜKÖNER, Dursun Mehmet MEHEL

Covid 19 Pandemisinin Odyoloji Üzerine Etkisi

Koronavirüs (COVID 19) pandemisi, odyoloji alanında çalışanlar ve odyoloji hizmetinden faydalanan hastalar için birtakım zorlukların yanında yeni iş deneyimlerini de beraberinde getirmiştir. Sosyal izolasyon ve maske kullanımı işitme güçlüğü yaşayan, işitme rehabilitasyonundan faydalanan bireyler için iletişim güçlüklerini ortaya çıkarmıştır. Görsel ipuçlarının azalması iletişimi zorlaştırmakla beraber evde tanıdık kişilerle konuşma ve arka plan gürültüsünün az olması, daha elverişli dinleme koşulları gürültüde konuşma anlaşılırlığı az olan hastalar için uygun ortam oluşturmuştur. Yüz yüze iletişim, sağlık çalışanları ve hastalar arasındaki iletişim için önemlidir. Salgının yayılmasını kontrol altına almak için kişisel temas azaltıldı. İşitsel beyin sapı yanıtları (ABR) ve videonistagmografi (VNG) gibi kişisel yakın temas gerektiren prosedürler ertelendi. Koklear implant ve işitme cihazı kullanan hastaların fitting ayarlarında gecikmeler yaşandı. Çok acil durumlar dışında hastalar hastane hizmetinden faydalanamadılar. İşitme sağlığı hizmetlerinde yaşanan aksaklıklar hastaları psikolojik olarak etkilemiştir. Odyoloji alanında çalışanların farklı alanlarda hizmet verme yükümlülüğü ortaya çıktı. COVID 19, odyoloji hizmetlerinin sunum şeklinin yeniden değerlendirmesini içeren yeni bir dönem başlattı. Tele odyoloji, tele rehabilitasyon kavramlarının gerekli olduğu benimsendi. Bu uygulamalara hızlı adaptasyon sağlandı. Odyoloji hastalarında rehabilitasyon etkinliği için takip çok önemlidir. COVID 19 krizinin etkileri yaygın olarak devam etmektedir. Odyoloji kliniklerinde değişen duruma yanıt olarak yenilikçi dijital ve tele-sağlık yaklaşımlarını hızlı bir şekilde geliştirme ve yaygınlaştırılması gerekmektedir. Bu derlemede COVID 19 krizinin odyoloji hizmetlerinin hasta ve çalışanlar üzerine olumlu, olumsuz etkileri ve odyolojik yaklaşım konuları üzerinde durulacaktır.

Anahtar Kelimeler:

Odyoloji, COVID 19, Sosyal İzolasyon, Tele Rehabilitasyon, Tele Odyoloji

The Effect of the Covid 19 Pandemic on Audiology

The coronavirus epidemic (COVID 19) has brought with it new work experiences as well as some difficulties for those working in the field of audiology and patients benefiting from audiology services. Social isolation and the use of masks have revealed communication difficulties for individuals who have hearing difficulties and benefit from hearing rehabilitation. Although the decrease in visual cues makes communication difficult, speaking with familiar people at home and less background noise, more favorable listening conditions have created a suitable environment for patients with low speech intelligibility in noise. Face-to-face communication is important for communication between healthcare professionals and patients. Personal contact has been reduced to contain the spread of the epidemic. Procedures requiring close personal contact such as auditory brainstem responses (ABR) and Videonystamography (VNG) have been postponed. There were delays in fitting settings of patients using cochlear implants and hearing aids. Except for very urgent cases, patients could not benefit from hospital services. Disruptions in hearing health services affected patients psychologically. It has brought the obligation of those working in the field of audiology to provide services in different fields. COVID 19 ushered in a new era that included a re-evaluation of the delivery of audiology services. It was accepted that the concepts of teleaudiology and tele rehabilitation are necessary. Quick adaptation to these applications was achieved. Follow-up is very important for rehabilitation effectiveness in audiology patients. The effects of the COVID 19 crisis continue to be widespread. Audiology clinics need to rapidly develop and disseminate innovative digital and telehealth approaches in response to the changing situation. In this review, the positive and negative effects of the audiology services of the COVID 19 crisis on patients and employees and the audiological approach will be discussed.

Keywords:

COVID 19, Audiology, Social Isolation, Tele-Rehabilitation, Tele-Audiology,

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ASHA. (2020). https://www.asha.org/about/coronavirus-updates/.
Atcherson, S. R., Mendel, L. L., Baltimore, W. J., Patro, C., Lee, S., Pousson, M., & Spann, M. J. (2017). The effect of conventional and transparent surgical masks on speech understanding in individuals with and without hearing loss. Journal of the American Academy of Audiology, 28(1), 58-67.
Ayas, M. A. A., AMHA. Khaled, D. Alwaa, AM. (2020). Impact of COVID-19 on the access to hearing health care services for children with cochlear implants: a survey of parents. F1000Research, 9.
Batod. (2020). https://www.batod.org.uk/wp-content/uploads/2020/07/COVID-19-Joint-Guidance-Sept-01-2020.pdf /
Batra, P. S., LoSavio, P. S., Michaelides, E., Revenaugh, P. C., Tajudeen, B. A., Al-khudari, S., . . . Stenson, K. M. (2020). Management of the Clinical and Academic Mission in an Urban Otolaryngology Department During the COVID-19 Global Crisis. Otolaryngology--Head and Neck Surgery.
Brüggemann, P., Szczepek, A. J., Klee, K., Gräbel, S., Mazurek, B., & Olze, H. (2017). In patients undergoing cochlear implantation, psychological burden affects tinnitus and the overall outcome of auditory rehabilitation. Frontiers in human neuroscience, 11, 226.
Bush, M. L., Kaufman, M. R., & McNulty, B. N. (2017). Disparities in access to pediatric hearing healthcare. Current opinion in otolaryngology & head and neck surgery, 25(5), 359.
Chien, W., & Lin, F. R. (2012). Prevalence of hearing aid use among older adults in the United States. Archives of internal medicine, 172(3), 292-293.
Coco, L., Davidson, A., & Marrone, N. (2020). The role of patient-site facilitators in teleaudiology: A scoping review. American Journal of Audiology, 29(3S), 661-675.
Dham, R. A., Senthil Vadivu. Dharmarajan, Sandhya. Mathews, Sunil. Paramasivan, Vijaya Krishnan. Kameswaran,
Mohan. (2020). Interrupted cochlear implant habilitation due to COVID-19 pandemic-ways and means to overcome this. International journal of pediatric otorhinolaryngology.
Geers, A. E. (2002a). Factors affecting the development of speech, language, and literacy in children with early cochlear implantation.
Geers, A. E. (2002b). Factors affecting the development of speech, language, and literacy in children with early cochlear implantation. Language, Speech, and Hearing Services in Schools.
Geers, A. E., Nicholas, J. G., & Sedey, A. L. (2003). Language skills of children with early cochlear implantation. Ear and hearing, 24(1), 46S-58S.
Goldin, A., Weinstein, B., & Shiman, N. (2020). How do medical masks degrade speech perception. Hearing review, 27(5), 8-9.
Harrison, L. J., & McLeod, S. (2010). Risk and protective factors associated with speech and language impairment in a nationally representative sample of 4-to 5-year-old children.
Heffernan, E., Coulson, N. S., Henshaw, H., Barry, J. G., & Ferguson, M. A. (2016). Understanding the psychosocial experiences of adults with mild-moderate hearing loss: An application of Leventhal’s self-regulatory model. International Journal of Audiology, 55(sup3), S3-S12.
Hoffman, J. M., Yorkston, K. M., Shumway-Cook, A., Ciol, M. A., Dudgeon, B. J., & Chan, L. (2005). Effect of Communication Disability on Satisfaction With Health Care. American Journal of Speech-Language Pathology.
Ludvigsson, J. F. (2020). Systematic review of COVID‐19 in children shows milder cases and a better prognosis than adults. Acta Paediatrica, 109(6), 1088-1095.
Naylor, G., Burke, L. A., & Holman, J. A. (2020). Covid-19 Lockdown Affects Hearing Disability and Handicap in Diverse Ways: A Rapid Online Survey Study. Ear and hearing, 41(6), 1442-1449.
Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., . . . Agha, R. (2020). The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of Surgery, 78, 185-193. doi:https://doi.org/10.1016/j.ijsu.2020.04.018
Ratanjee-Vanmali, H., Swanepoel, D. W., & Laplante-Lévesque, A. (2020). Patient uptake, experience, and satisfaction using web-based and face-to-face hearing health services: process evaluation study. Journal of medical Internet research, 22(3), e15875.
Ricketts, T. A., Picou, E. M., Shehorn, J., & Dittberner, A. B. (2019). Degree of hearing loss affects bilateral hearing aid benefits in ecologically relevant laboratory conditions. Journal of Speech, Language, and Hearing Research, 62(10), 3834-3850.
Sahoo, L., Kumari, A., Patnaik, U., & Dwivedi, G. (2020). Cochlear Implant Rehabilitation During Covid-19 Pandemic: A Parents’ Perspective.
Sahoo, L., Sahoo, K. S., Nayak, N. K., & Behera, A. (2020). Outcomes of Hearing Aid and Cochlear Implantation in Case of
Congenital Non-Syndromic Bilateral Severe to Profound Sensorineural Hearing Loss: An Observational Study. Indian Journal of Otolaryngology and Head & Neck Surgery, 1-7.
Swanepoel, D. W. (2020). eHealth technologies enable more accessible hearing care. Paper presented at the Seminars in hearing.
Teagle, H. F., Park, L. R., Brown, K. D., Zdanski, C., & Pillsbury, H. C. (2019). Pediatric cochlear implantation: A quarter century in review. Cochlear implants international, 20(6), 288-298.
Trecca, E. M., Gelardi, Matteo., Cassano, Michele. (2020). COVID-19 and hearing difficulties. American Journal of Otolaryngology, 41(4), 102496. , WHO. (2021, 19.12.2021). https://www.who.int/emergencies/diseases/novel-coronavirus-2019.