Department of Otolaryngology-Neurotology & Skull Base Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail:.
Saudi Med J. 2020 May;41(5):485-490. doi: 10.15537/smj.2020.5.25070.
To determine whether family environment and demographic factors such as family income and education produce any significant difference in postoperative performance of cochlear implant (CI) patients.
In this study, 49 participants who received cochlear implant devices at King Abdullah Ear Specialist Center, Riyadh, Saudi Arabia before the age 5 years were included. Data were collected between July 2019 and August 2019. Postoperative performance was assessed by speech intelligibility rating (SIR) and categories of auditory performance (CAP) scales. Family environment was assessed with family environment scale (FES) survey. Data of demography, average income, and maternal and paternal education were obtained through review of patient's medical files. The data obtained were analyzed using Statistical Package for Social Sciences for Mac, version 23 (IBM Corp, Armonk, NY, USA).
A significant difference between the organization categories of FES (p less than 0.05) was observed in terms of postoperative CAP scores, while a significant effect of the expressiveness category on both postoperative CAP and SIR scores (p less than 0.05) was observed. The scores on both CAP and SIR scales were significantly affected by maternal education, and the scores on SIR scale were positively correlated with paternal education.
This study suggests that post-procedural performance of auditory perception and speech intelligibility in CI patients is significantly related to the family environment as well as the education levels of the parents.
确定家庭环境和人口统计学因素（如家庭收入和教育程度）是否会对耳蜗植入（CI）患者的术后表现产生显著影响。
本研究纳入了 49 名在沙特阿拉伯利雅得阿卜杜拉国王耳科专家中心接受过 5 岁以下人工耳蜗植入设备的参与者。数据收集于 2019 年 7 月至 2019 年 8 月之间。术后表现通过言语可懂度评分（SIR）和听觉表现分类（CAP）量表进行评估。家庭环境采用家庭环境量表（FES）调查进行评估。通过查阅患者的病历获得人口统计学数据、平均收入以及母亲和父亲的教育程度。使用 Mac 版社会科学统计软件包（SPSS）版本 23（IBM 公司，纽约州阿蒙克市）对获得的数据进行分析。
在术后 CAP 评分方面，FES 的组织类别之间存在显著差异（p 小于 0.05），而在术后 CAP 和 SIR 评分方面，表达类别存在显著影响（p 小于 0.05）。CAP 和 SIR 量表的评分均受母亲教育程度的显著影响，而 SIR 量表的评分与父亲教育程度呈正相关。
本研究表明，CI 患者的听觉感知和言语可懂度的术后表现与家庭环境以及父母的教育程度显著相关。
