新生儿单侧听力障碍的听力筛查与干预：三个北欧国家的临床实践
Newborn Hearing Screening and Intervention in Children with Unilateral Hearing Impairment: Clinical Practices in Three Nordic Countries.
作者信息
Laugen Nina Jakhelln, Erixon Elsa, Huttunen Kerttu, Mäki-Torkko Elina, Löfkvist Ulrika
机构信息
Department of Psychology, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.
Department of Surgical Sciences, Uppsala University, 75185 Uppsala, Sweden.
出版信息
J Clin Med. 2021 Nov 2;10(21):5152. doi: 10.3390/jcm10215152.
Studies have limitedly considered children with early-identified unilateral hearing impairment (UHI), and clinical practices regarding screening, diagnostics and habilitation in this group are rarely documented. In this study, routines for newborns with UHI from screening to diagnostics and habilitation were explored in Norway, Sweden and Finland. An online survey was sent to hospitals responsible for the hearing diagnostics of children requesting information about their practices regarding congenital UHI. Responses covered 95% of the children born in the three included countries. The results revealed large variations in ways of organising healthcare and in clinical decisions regarding hearing screening, diagnostics and habilitation of children with congenital UHI. Finally, implications for policy making and research are also discussed.
以往的研究对早期确诊的单侧听力障碍（UHI）儿童关注有限，关于该群体筛查、诊断及 habilitation 的临床实践鲜有文献记载。在本研究中，我们对挪威、瑞典和芬兰从筛查到诊断及 habilitation 的单侧听力障碍新生儿诊疗流程进行了探索。我们向负责儿童听力诊断的医院发送了在线调查问卷，以了解他们针对先天性单侧听力障碍儿童的诊疗实践。调查回复涵盖了三个纳入国家95%的出生儿童。结果显示，在先天性单侧听力障碍儿童的听力筛查、诊断及 habilitation 的医疗组织方式和临床决策方面存在很大差异。最后，我们还讨论了对政策制定和研究的启示。
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