Department of Otolaryngology, Chang-Gung Memorial Hospital, College of Medicine, Chang-Gung University, Linkou, Taiwan.
Laryngoscope. 2013 May;123(5):1241-6. doi: 10.1002/lary.23755. Epub 2013 Apr 2.
OBJECTIVES/HYPOTHESIS: To investigate the characteristics of parental stress in the child, parent, and total domains in families of Mandarin-speaking children with cochlear implants at four different time periods in the implantation process. Previous studies have shown that parental stress lessens after cochlear implantation surgery.
Cross-sectional case series.
Self-reported questionnaires based on Abidin's Parenting Stress Index (Taiwanese edition) were filled out by 113 mothers of children with cochlear implants. Factors related to parental stress were analyzed. In addition, we calculated the percentage of families experiencing high levels of stress (percentile ≥ 90) and compared the differences in stress level between each time period (preoperatively, postoperative time < 2 years, postoperative time between 2 and 5 years, and postoperative time >5 years).
Parent socioeconomic status, patient sex, and patient age were significantly related to the total parental stress. In the study of families experiencing high-stress between each time period, we found that parents had the highest level of parenting stress during the period of 0 to 2 years postoperatively in the total (odds ratio, 1.89) and child domain (odds ratio, 4.23). The contrary result was found in the parent domain, of which the highest odds ratio was found in the preoperative period.
Although parental stress in the parent domain lessened after the cochlear implantation surgery, parents experienced the highest level of total parental stress during the period of 0 to 2 years postoperatively. The degree of total parenting stress did not lessen after the cochlear implantation surgery.
目的/假设：调查在植入过程的四个不同时期，讲普通话的植入人工耳蜗儿童的家庭中，在儿童、父母和总分域中父母压力的特点。先前的研究表明，植入手术后父母的压力会减轻。
横断面病例系列。
113 名植入人工耳蜗儿童的母亲根据 Abidin 的父母压力指数（台湾版）填写了自我报告问卷。分析了与父母压力相关的因素。此外，我们计算了经历高压力水平家庭的百分比（百分位≥90），并比较了每个时期（术前、术后<2 年、术后 2-5 年和术后>5 年）之间的压力水平差异。
父母的社会经济地位、患者的性别和年龄与总父母压力显著相关。在每个时期经历高压力家庭的研究中，我们发现父母在术后 0 至 2 年期间的总分域（优势比，1.89）和儿童域（优势比，4.23）中经历了最高水平的育儿压力。在父母域中则得到了相反的结果，其中术前的优势比最高。
尽管植入手术后父母在父母域的压力减轻，但父母在术后 0 至 2 年期间经历了最高水平的总父母压力。植入手术后，总育儿压力的程度并没有减轻。
4 级。
