Suneel Deepa, Davidson Lisa S, Lieu Judith
Department of Communication Sciences and Disorders, University of Texas Austin, Austin, TX, USA.
Department of Otolaryngology, Washington University School of Medicine, St. Louis, MO, USA.
Cochlear Implants Int. 2020 Mar;21(2):83-91. doi: 10.1080/14670100.2019.1670486. Epub 2019 Oct 7.
Self-reported hearing quality of life (QoL) for pediatric cochlear implant (CI) recipients was examined, asking whether 1) children with CIs have similar QoL as those with less severe hearing loss (HL); 2) children with different bilateral CI (BCI) device configurations report different QoL; and 3) do audiological, demographic and spoken language factors affect hearing QoL? One hundred four children (ages 7-11 years) using bimodal devices or BCIs participated. The Hearing Environments and Reflection of Quality of Life (HEAR-QL) questionnaire, receptive language and speech perception tests were administered. HEAR-QL scores of CI recipients were compared to scores of age-mates with normal hearing and mild to profound HL. HEAR-QL scores for CI participants were similar to those of children with less severe HL and did not differ with device configuration. Emotion identification and word recognition in noise correlated significantly with HEAR-QL scores. CI recipients reported that HL hinders social participation. Better understanding of speech in noise and emotional content was associated with fewer hearing-related difficulties on the HEAR-QL. Noisy situations encountered in educational settings should be addressed for children with HL. The link between perception of emotion and hearing-related QoL for CI recipients should be further examined.
研究了小儿人工耳蜗（CI）植入受者自我报告的听力生活质量（QoL），探讨了以下问题：1）CI植入儿童的生活质量是否与听力损失（HL）较轻的儿童相似；2）使用不同双侧CI（BCI）设备配置的儿童报告的生活质量是否不同；3）听力学、人口统计学和口语因素是否会影响听力生活质量？104名使用双耳助听器或BCI的7至11岁儿童参与了研究。研究人员发放了听力环境与生活质量反映（HEAR-QL）问卷、接受性语言和言语感知测试。将CI植入受者的HEAR-QL分数与听力正常以及轻至重度HL的同龄人的分数进行比较。CI植入参与者的HEAR-QL分数与HL较轻的儿童相似，且与设备配置无关。情绪识别和噪声中的单词识别与HEAR-QL分数显著相关。CI植入受者报告称HL会阻碍社交参与。在HEAR-QL中，对噪声中言语和情感内容的更好理解与较少的听力相关困难相关。对于HL儿童，应解决教育环境中遇到的嘈杂情况。CI植入受者情绪感知与听力相关生活质量之间的联系应进一步研究。
