Duchesne Louise, Millette Isabelle, Bhérer Maurice, Gobeil Suzie
a Département d'orthophonie , Université du Québec à Trois-Rivières , Trois-Rivières , Canada.
b Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale , Québec , Canada.
Cochlear Implants Int. 2017 May;18(3):143-152. doi: 10.1080/14670100.2017.1290925. Epub 2017 Feb 20.
(1) To describe auditory performance and subjective benefits in adults with congenital or prelingual deafness who received a cochlear implant (CI) during adolescence or adulthood, and (2) to examine the benefits as experienced by these CI users.
Twenty-one adults aged 23-65 years participated in the study. All had a congenital or prelingual deafness (onset before age 3). They received a CI between the age of 16 and 61 years (mean age: 31). Speech recognition scores before and after implantation were computed and a questionnaire on subjective benefits (French adaptation of the Adult Cochlear Implant Questionnaire, designed by Zwolan and collaborators (1996, Self-report of CI use and satisfaction by prelingually deafened adults. Ear and Hearing, 17(3): 198-210) was administered. Semi-structured interviews were subsequently conducted with a subsample of seven participants.
Speech recognition scores after implantation ranged from 0 to 95%. Despite large inter-individual variability, most participants expressed high levels satisfaction and overall usefulness. Correlational analyses showed that speech recognition performance was moderately associated with subjective benefits. Data from the interviews revealed that the underlying sources of satisfaction with the implant are related to the discovery and enjoyment of environmental sounds, easier lip-reading, and improvement of self-confidence during communicative interactions.
DISCUSSION/CONCLUSION: CI benefits are mostly subjective in this particular population: descriptive and qualitative approaches allow us to obtain a nuanced portrait of their experience and provide us with important elements that are not easily measurable with tests and scores.
（1）描述在青少年期或成年期接受人工耳蜗植入（CI）的先天性或语前聋成年人的听觉表现和主观获益情况，以及（2）研究这些人工耳蜗使用者所体验到的获益。
21名年龄在23至65岁之间的成年人参与了该研究。所有人均患有先天性或语前聋（发病年龄在3岁之前）。他们在16至61岁之间接受了人工耳蜗植入（平均年龄：31岁）。计算植入前后的言语识别分数，并发放一份关于主观获益的问卷（由Zwolan及其合作者设计的《成人人工耳蜗问卷》的法语改编版，1996年，《语前聋成年人人工耳蜗使用与满意度的自我报告》。《耳与听力》，17(3): 198 - 210）。随后对7名参与者的子样本进行了半结构化访谈。
植入后的言语识别分数范围为0至95%。尽管个体间存在较大差异，但大多数参与者表示高度满意且总体认为人工耳蜗有用。相关性分析表明，言语识别表现与主观获益呈中度相关。访谈数据显示，对人工耳蜗满意的潜在来源与发现和享受环境声音、更容易唇读以及在交流互动中自信心的提升有关。
讨论/结论：在这一特定人群中，人工耳蜗的获益大多是主观的：描述性和定性方法使我们能够获得他们经历的细致描述，并为我们提供通过测试和分数不易衡量的重要因素。
