Objective: The purpose of this study is to rind out the effects of hearing
impairment, on the QOL of nursing home residents. Methods: We constructed t
he self-assessment questionnaire designed for evaluating the QOL for the el
derly in nursing homes. The questionnaire is constructed of physical, socia
l, communicational and psychological states. It was administered to 60 subj
ects > 65 years of age (mean age: 79 years) living in nursing homes, with h
earing threshold levels in the better ear ranging from normal to severe and
their response were analyzed. Results: Chronbach's alpha -values of the qu
estionnaire obtained ranged from 0.66 to 0.91 and was 0.84 overall. The rel
iability and validity of the questionnaire as well as its brevity, simplici
ty, ease of administration and interpretation, all satisfied its use in ass
essing the QOL of the elderly in nursing homes. It tended to decrease the p
oints of communication scale, sociability scale and psychological scale (PG
C Morale Scale) accordingly to elevate the threshold. As for subscales of c
ommunication, hearing disability was correlated statistically to the sociab
ility and psychological. Conclusion: Our questionnaire is regarded as a use
ful tool for evaluating the QOL of the elderly. Hearing loss affects the co
mmunication, sociability and psychological aspect of the QOL for the elderl
y in the nursing homes. (C) 2001 Elsevier Science Ireland Ltd. All rights r
eserved.