Yang Y, Gao J Y, Qian X Y, Dai Q Q, Jiang Y F, Guan Y, Gao X
Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory); Research Institute of Otolaryngology, Nanjing, 210008, China.
Jiangsu Rehabilitation Center for Hearing and Speech Impairment.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jan 5;32(1):42-47. doi: 10.13201/j.issn.1001-1781.2018.01.009.
To study the auditory language ability of children with artificial cochlea after entering normal schools as well as the school life conditions and to evaluate the long-term comprehensive benefits of surgery on children along with their families. The questionnaire was designed referring to the categories of auditory performance (CAP), the speech intelligibility rating (SIR), and family burden scale of diseases (FBS), with the questions involving four aspects of the general conditions, the auditory language ability, the school life conditions and the family conditions. Altogether 50 families were participated. Children who had applied artificial cochlea for at least two years and studied in normal schools were selected as the studying objects. The follow-up questionnaire was conducted on the parents. The differences were compared in the auditory language ability and the school life conditions, grouped by gender, age at surgery, parents' educational level, residence, service time of artificial cochlea and parent-child time in general. Meanwhile, the differences of 15 family conditions were compared before and after surgery. The variable factors were of no obvious statistical significance in the comparison among groups of the auditory language ability (>0.05); In the comparison of the school life conditions, there were significant differences in the number of making friends when grouped by parent-child time (<0.05), there wes no statistical significance in the comparison among groups of the remaining various factors (>0.05); In the comparison of family conditions before and after surgery, the rest of the indexes were of significant differences (<0.05), there was no significant differences in the economic burden and social time of parents (>0.05). Family conditions improved evidently after surgery. Under the circumstances of different variable factors, after 2 years of rehabilitation, children are able to acquire better auditory language ability, and adjust themselves to the school life, finishing their studies, still there is a deficiency in the aspect of organizational competence in comparison to age-matched children. In addition, with children's recovery and attending schools, parents' mental stress is significantly reduced, family life returns to normal, and family atmosphere becomes harmonious. Not only can the artificial cochlea help rid children of disability, but also it can be of obvious benefits to their families.
研究人工耳蜗植入儿童进入普通学校后的听觉语言能力以及学校生活状况，评估手术对儿童及其家庭的长期综合效益。问卷设计参考听觉表现分级（CAP）、言语可懂度分级（SIR）和疾病家庭负担量表（FBS）的类别，问题涉及一般情况、听觉语言能力、学校生活状况和家庭状况四个方面。共50个家庭参与。选取已佩戴人工耳蜗至少两年且在普通学校就读的儿童作为研究对象，对其家长进行随访问卷调查。按性别、手术年龄、家长文化程度、居住地、人工耳蜗使用时间及亲子相处总时长分组，比较听觉语言能力和学校生活状况的差异。同时，比较手术前后15项家庭状况的差异。听觉语言能力组间比较，各可变因素差异无统计学意义（>0.05）；学校生活状况比较中，按亲子相处总时长分组时交友数量有显著差异（<0.05），其余各因素组间比较差异无统计学意义（>0.05）；手术前后家庭状况比较，其余指标差异有统计学意义（<0.05），家长经济负担和社交时间差异无统计学意义（>0.05）。术后家庭状况明显改善。在不同可变因素情况下，经过2年康复训练，儿童能获得较好的听觉语言能力，适应学校生活并完成学业，但与同龄儿童相比，组织能力方面仍有不足。此外，随着孩子康复上学，家长心理压力明显减轻，家庭生活恢复正常，家庭氛围融洽。人工耳蜗不仅能帮助孩子摆脱残疾，对其家庭也有明显益处。
