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新生儿听力普遍筛查——家长的态度与关注

Universal neonatal hearing screening--parental attitudes and concern.

作者信息

Hergils L, Hergils A

机构信息

Department of Audiology, University Hospital, Linköping, Sweden.

出版信息

Br J Audiol. 2000 Dec;34(6):321-7. doi: 10.3109/03005364000000147.

DOI:10.3109/03005364000000147
PMID:11201318
Abstract

This study addresses parental attitudes and concern in relation to universal neonatal hearing screening by otoacoustic emissions (OAE) testing. The parents of 87 children who had participated during the first year of the universal neonatal hearing screening programme at University Hospital, Linköping, Sweden were included in the study. These children were all tested during this period and later cared for at three well-baby clinics (part of their primary healthcare). A questionnaire was given to the parents during routine medical check-ups at the well-baby clinics when the infants were 5-6 months of age. Ninety-five per cent of parents stated that they had a positive attitude towards neonatal hearing screening, 1% were ambivalent and 4% were negative about it. The parents wanted early detection of hearing loss and the possibility of early intervention. It was also found that screening did not disturb the children. A few parents were anxious due to repeated testing of their children. The information provided in connection with the test was found to be sufficient by 77% of parents, whereas 11% of parents had negative comments about it (e.g. they wanted more information about the otoacoustic emissions technique). The general attitude among parents towards universal neonatal hearing screening was very positive in that they felt reassured by it. The risk of disturbing the parent-child relationship by early screening seems to be small, and could be further minimized by improved information and rapid and effective follow-up.

摘要

本研究探讨了父母对通过耳声发射(OAE)测试进行的新生儿普遍听力筛查的态度和担忧。瑞典林雪平大学医院新生儿普遍听力筛查项目第一年参与筛查的87名儿童的父母被纳入研究。这些儿童在此期间均接受了测试,之后在三家健康婴儿诊所(其初级医疗保健的一部分)接受护理。当婴儿5至6个月大时,在健康婴儿诊所进行常规体检期间,向父母发放了一份问卷。95%的父母表示他们对新生儿听力筛查持积极态度,1%的父母态度矛盾,4%的父母持消极态度。父母希望早期发现听力损失并能进行早期干预。研究还发现筛查并未干扰儿童。一些父母因孩子接受多次测试而感到焦虑。77%的父母认为与测试相关的信息足够,而11%的父母对此有负面评价(例如,他们希望获得更多关于耳声发射技术的信息)。父母对新生儿普遍听力筛查的总体态度非常积极,因为他们从中感到安心。早期筛查干扰亲子关系的风险似乎很小,通过改进信息以及快速有效的后续跟进可以进一步将其降至最低。

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