Mohd Khairi Md Daud, Rafidah Kamaruddin Noor, Affizal Ahmad, Normastura Abd Rahman, Suzana Mansor, Normani Zakaria Mohamad
Department of Otorhinolaryngology Head and Neck Surgery, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Int J Pediatr Otorhinolaryngol. 2011 Apr;75(4):513-7. doi: 10.1016/j.ijporl.2011.01.009. Epub 2011 Feb 2.
To investigate the anxiety among mothers whom their babies have failed test results in the first stage of Universal Neonatal Hearing Screening Program.
A cross-sectional study was carried out on mothers whom their baby have positive test results in the first stage of Universal Neonatal Hearing Screening Program. Face to face interview was conducted to obtain data on sociodemographic profiles, knowledge about hearing loss and past medical history. Symptoms experienced by the mothers due to positive hearing test results and level of anxiety were measured by using the Malay translation Beck Anxiety Inventory questionnaire. These mothers were then given an appointment to come for the second screening six weeks after the first screening. The same questionnaire was given to them before the start of the second screening. SPSS version 11.5 was used for data entry and analysis. Wilcoxon signed Rank Test was used to compare the level of anxiety between the first and second screening.
From a total of 78 mothers who were participated during the first screening, 50 of them have completed the study at the second screening (response rate=64%). Fifty-two percent of them knew about the hearing screening before hand. Ninety-six percent of the mothers became alert about their child response towards sounds after they knew that their child had failed the first hearing screening. During the first screening, 74% of the mothers felt mild anxiety which was decreased to 68% before the mothers undergone the second screening. Moderate anxiety was felt by 10% of the mothers during both the first and second screening. There were 8% of the mothers having severe anxiety during the first screening but have reduced to half (4%) before the mothers undergone the second screening. The anxiety level was significantly less before the second screening with the median score of 5 (IQR: 13.0) compared to after the first screening (8, IQR=14.25); p=0.001.
There are considerable portion of the mothers of false-positive test result during Universal Neonatal Hearing Screening Program experienced unacceptable anxiety. This group of mothers needs to be identified and given a necessary help.
调查在新生儿听力普遍筛查项目第一阶段其婴儿听力筛查结果未通过的母亲们的焦虑情况。
对在新生儿听力普遍筛查项目第一阶段其婴儿听力筛查结果呈阳性的母亲们进行了一项横断面研究。通过面对面访谈获取社会人口学特征、听力损失知识及既往病史等数据。使用马来语翻译版的贝克焦虑量表问卷来测量母亲们因听力测试结果呈阳性而经历的症状及焦虑程度。然后为这些母亲预约在首次筛查六周后进行第二次筛查。在第二次筛查开始前,再次向她们发放相同问卷。使用SPSS 11.5版本进行数据录入和分析。采用威尔科克森符号秩检验来比较首次筛查和第二次筛查之间的焦虑程度。
在首次筛查时参与的78位母亲中,有50位在第二次筛查时完成了研究(应答率 = 64%)。其中52%的母亲事先知晓听力筛查。96%的母亲在得知其孩子首次听力筛查未通过后,开始留意孩子对声音的反应。在首次筛查时,74%的母亲感到轻度焦虑,在进行第二次筛查前,这一比例降至68%。在首次和第二次筛查期间,均有10%的母亲感到中度焦虑。在首次筛查时有8%的母亲感到重度焦虑,但在进行第二次筛查前,这一比例降至一半(4%)。第二次筛查前的焦虑程度明显更低,中位数为5(四分位间距:13.0),而首次筛查后为8(四分位间距 = 14.25);p = 0.001。
在新生儿听力普遍筛查项目中,相当一部分假阳性检测结果患儿的母亲经历了难以接受的焦虑。需要识别出这组母亲并给予必要的帮助。