Rogha Mehrdad, Mokhtari Elham
Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan , Iran.
Iran J Otorhinolaryngol. 2014 Apr;26(75):57-64.
Newborn hearing screening leads to the early detection of hearing impairment. The aim of screening is to decrease or remove the effect of hearing impairment on development of speech and language by timely diagnosis and effective treatment. A number of risk factors lead to delayed start of decreased hearing ability including: 1. Congenital infection with cytomegalovirus (CMV) virus, 2. Meningitis, 3. Mumps, 4. Positive family history, 5. Head trauma, 6. Chemotherapy,7. Syndrome pertaining to delayed start of decreased hearing. Unfortunately, lack of attention to early diagnosis of hearing impairment is becoming a general health problem. No research has yet been carried out relating to the knowledge of pediatricians on this issue, particularly the importance of hearing impairment and hearing screening. The aim of this study was to determine the attitude to newborn hearing screening among pediatricians.
This cross-sectional, descriptive-analytic study was conducted in Isfahan in 2012 among 300 pediatricians and final-year pediatric residents. An adjusted 22-question version of the Early Hearing Detection and Intervention (EHDI) questionnaire was used to collect data. The validity and reliability of the EHDI questionnaire was previously demonstrated by Boys Town National Research Hospital and its Farsi translated version was validated by the EDC Center at the Isfahan University of Medical Sciences.
In our study, 83% of pediatricians agreed on the importance of hearing impairment screening for all infants. However 65% were not aware of special needs for hearing-impaired patients.
Newborn hearing impairment and deafness screening is important, irrespective of the costs, and lack of timely diagnosis results in both individual and social consequences. The majority of physicians use textbooks to gain information about hearing screening, but recognize that this is insufficient. Although it is now one of the most useful tools for gathering and applying new information, the physicians in our study rely very little on the Internet as a source of information.
新生儿听力筛查可实现听力障碍的早期检测。筛查的目的是通过及时诊断和有效治疗，减少或消除听力障碍对言语和语言发育的影响。多种风险因素会导致听力下降开始延迟，包括：1. 先天性巨细胞病毒（CMV）感染；2. 脑膜炎；3. 腮腺炎；4. 家族史阳性；5. 头部外伤；6. 化疗；7. 与听力下降开始延迟相关的综合征。不幸的是，对听力障碍早期诊断缺乏关注正成为一个普遍的健康问题。尚未开展关于儿科医生对此问题的认知情况的研究，尤其是听力障碍和听力筛查的重要性。本研究的目的是确定儿科医生对新生儿听力筛查的态度。
这项横断面描述性分析研究于2012年在伊斯法罕对300名儿科医生和儿科住院医师最后一年的学员进行。使用经过调整的22个问题版本的早期听力检测与干预（EHDI）问卷收集数据。EHDI问卷的有效性和可靠性先前已由博伊西市国家研究医院证明，其波斯语翻译版本经伊斯法罕医科大学的EDC中心验证。
在我们的研究中，83%的儿科医生认同对所有婴儿进行听力障碍筛查的重要性。然而，65%的人不了解听力受损患者的特殊需求。
无论成本如何，新生儿听力障碍和耳聋筛查都很重要，而缺乏及时诊断会导致个体和社会后果。大多数医生通过教科书获取有关听力筛查的信息，但认识到这并不够。尽管互联网现在是收集和应用新信息最有用的工具之一，但我们研究中的医生很少将其作为信息来源。
