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一项关于产后母亲对婴儿听力损失风险因素、早期识别及干预的知识与态度的定性研究——简短调查

A Qualitative Study on Knowledge and Attitude towards Risk Factors, Early Identification and Intervention of Infant Hearing Loss among Puerperal Mothers- A Short Survey.

作者信息

Dudda Ravi, Muniyappa Hanumanth Prasad, Puttaraju Sahana, Lakshmi M S

机构信息

Associate Professor, Department of Ear, Nose and Throat, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.

Professor and Head, Department of Ear, Nose and Throat, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.

出版信息

J Clin Diagn Res. 2017 Jul;11(7):MC01-MC05. doi: 10.7860/JCDR/2017/25837.10238. Epub 2017 Jul 1.

Abstract

INTRODUCTION

Maternal active participation and their support are critical for the success of early hearing loss detection program. Erroneous maternal decisions may have large life long consequences on the infant's life. The mothers' knowledge and their attitudes towards infant hearing loss is the basis for their decisions.

AIM

The present study was done to determine the mothers' knowledge and their attitude towards risk factors of infant hearing loss, its early identification and intervention and also awareness of effect of consanguinity on hearing loss.

MATERIALS AND METHODS

In this cross-sectional questionnaire survey study, a total of 100 mothers were interviewed using the questionnaire which consisted of three sections namely risk factors, early identification and early intervention of hearing loss. Chi-square test was used to establish relationship between consanguineous and non-consanguineous mother's responses to its effect on hearing loss. A p-value < 0.05 was considered as significant.

RESULTS

Mothers' awareness was significantly high for visible causes (ear pain/discharge, head injury and slap to ear) of hearing loss. Positive attitude was seen for importance of screening programs and follow up testing. Moderate level of awareness was found on hazards of consanguinity and benefits of early identification. However, mothers were least aware of neonatal jaundice, NICU admission (>5 days), signs of late-onset and neural hearing loss, management of hearing loss, hearing aid fitting and therapy necessity, which might interfere in early detection and intervention of hearing loss.

CONCLUSION

It is crucial to educate mothers on few risk factors and management of hearing loss to reduce its consequences.

摘要

引言

母亲的积极参与及其支持对于早期听力损失检测项目的成功至关重要。母亲的错误决定可能会对婴儿的一生产生重大影响。母亲对婴儿听力损失的认知和态度是她们做出决定的基础。

目的

本研究旨在确定母亲对婴儿听力损失风险因素、早期识别和干预的认知与态度,以及对近亲结婚对听力损失影响的认识。

材料与方法

在这项横断面问卷调查研究中,使用包含听力损失风险因素、早期识别和早期干预三个部分的问卷对100位母亲进行了访谈。采用卡方检验来确定近亲结婚和非近亲结婚母亲对其对听力损失影响的回答之间的关系。p值<0.05被认为具有统计学意义。

结果

母亲对听力损失的明显原因(耳痛/耳流脓、头部受伤和耳部掌掴)的知晓率显著较高。对筛查项目和后续检测的重要性持积极态度。对近亲结婚的危害和早期识别的益处的认识处于中等水平。然而,母亲对新生儿黄疸、入住新生儿重症监护病房(>5天)、迟发性和神经性听力损失的体征、听力损失的管理、助听器适配和治疗必要性的知晓度最低,而这些可能会干扰听力损失的早期检测和干预。

结论

对母亲进行一些听力损失风险因素和管理方面的教育,以减少其后果,这至关重要。

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