You need to clean your ears, but never use the q-tip or cotton swab. Instead, lay on your side and pour a few drops of hydrogen peroxide in your ear and let it bubble up for several minutes, then turn and do it to that ear. You do this twice, swapping back and forth. Then you take a shower with a gentle stream of warm water flushing into your ears to flush them out the rest of the way to properly cleaning your ears.
Using a cotton swab in your ears moves the wax around and can cause you issue with compacted wax. You’ll want your ears cleaned to keep your hearing aids from being gunked up, however the hearing aids will still need to be cleaned regardless regularly. Talk to your ENT or audiologist for more information for the proper care for your specific brand of hearing aid.