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儿童人工耳蜗植入后的社会能力:能否赶上同龄人?

Social competence in children with cochlear implants: is it possible to catch up with their peers?

机构信息

Department of Audiology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2021 Aug;278(8):2775-2780. doi: 10.1007/s00405-020-06363-3. Epub 2020 Sep 23.

Abstract

PURPOSE

The objective of this study is to compare social competence skills in children with CI and their normal hearing peers.

METHODS

Forty-six children with normal hearing and 46 children with CI between the ages of 42 and 72 months were included in the control group and study group, respectively. Preschool teachers rated children's social competence in the classroom using the Social Competence and Behavior Evaluation-Preschool Edition. Three subscales constitute the structure of the SCBE-30 scale: anger-aggression, social competence, and anxiety-withdrawal.

RESULTS

The analyses showed that there were statistically significant differences between social competence scores of the study group and the control group. However, there was no statistically significant difference between anger-aggression scores and anxiety-withdrawal scores of the study group and the control group. There was a significant correlation found between anger-aggression score and the age of starting rehabilitation.

CONCLUSION

Anger-aggression scores and anxiety-withdrawal scores were similar between children using cochlear implant and normal hearing peers, whereas children with CI show lower social competence abilities than normal hearing peers. Earlier beginning to the rehabilitation programs coincide with lower anger-aggression scores. To the best of our knowledge, this is the first study to reflect these findings more objectively, from the view of teachers.

摘要

目的

本研究旨在比较有听力障碍儿童和正常听力儿童的社会能力技能。

方法

分别纳入 46 名正常听力儿童和 46 名年龄在 42 至 72 个月之间的听力障碍儿童进入对照组和研究组。幼儿园教师使用学前版社会能力和行为评估量表(Social Competence and Behavior Evaluation-Preschool Edition)在课堂上对儿童的社会能力进行评分。SCBE-30 量表的结构由三个分量表组成:愤怒-攻击、社会能力和焦虑-退缩。

结果

分析表明,研究组与对照组的社会能力评分存在统计学显著差异。然而,研究组和对照组的愤怒-攻击评分和焦虑-退缩评分之间没有统计学显著差异。研究组的愤怒-攻击评分与康复开始年龄之间存在显著相关性。

结论

使用人工耳蜗的儿童与正常听力儿童的愤怒-攻击评分和焦虑-退缩评分相似,而听力障碍儿童的社会能力低于正常听力儿童。康复计划开始得越早,愤怒-攻击评分越低。据我们所知,这是首次从教师的角度更客观地反映这些发现的研究。

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