Özal Nurşah, Özbal Batuk Merve, Yılmaz Işıkhan Selen
Department of Audiology, Insitute of Graduate Studies, İstanbul University-Cerrahpaşa, İstanbul, Turkey.
Department of Audiology, Hacettepe University Faculty of Health Sciences, Ankara, Turkey.
Turk Arch Otorhinolaryngol. 2023 Mar;61(1):25-36. doi: 10.4274/tao.2022.2022-6-9. Epub 2023 Aug 11.
The purpose of this study was to determine the factors affecting hearing aid use in children and investigate how these factors affected their subjective auditory performance.
The study was carried out with 34 children aged three to six years who had mild or moderate sensorineural hearing loss and had used a bilateral hearing aid for at least six months. The daily hearing aid usage times of children were collected with the help of data logging software. Parent-child interactions were assessed with the Maternal Behavior Rating Scale (MBRS) and Child Behavior Rating Scale (CBRS) scores. To assess the parents' levels of knowledge about hearing devices, the Hearing Aid Awareness Question Form for Parents, which was prepared by the researchers, was used. Finally, to evaluate the subjective hearing performance of the children, the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) survey was implemented.
Strong and significant correlations were found between the MBRS and CBRS scores, the results obtained from some questions in the Hearing Aid Awareness Question Form for Parents, the overall PEACH score, the QUIET subscale score, and the NOISE subscale score (p<0.001). According to the multivariate linear regression analyses, it was observed that the use of the pediatric clip hearing aids holder (question 17) had a significant effect in decreasing both the overall PEACH score (β=-3.07, p=0.008) and the PEACH-NOISE subscale score (β=-1.88, p=0.012). A unit increase in the score given to question 24 of the Hearing Aid Awareness Question Form for Parents (i.e., using the hearing aids longer) caused a 2.35-fold increase in the PEACH-NOISE subscale score, a 1.74-fold increase in the PEACH-QUIET subscale score, and a 4.06-fold increase in the overall PEACH score.
Parent-child interaction and parents' knowledge about hearing aid use are important factors affecting hearing aid use in children. These factors also affect the children's subjective auditory performance. Parents should be given detailed information about hearing aid use and be more sensitive and responsive in their interactions with their children.
本研究旨在确定影响儿童使用助听器的因素，并调查这些因素如何影响他们的主观听觉表现。
该研究对34名年龄在3至6岁之间、患有轻度或中度感音神经性听力损失且已使用双侧助听器至少6个月的儿童进行。借助数据记录软件收集儿童的每日助听器使用时间。通过母婴行为评定量表（MBRS）和儿童行为评定量表（CBRS）得分评估亲子互动情况。为评估家长对听力设备的了解程度，使用了研究人员编制的家长助听器认知问题表单。最后，为评估儿童的主观听力表现，实施了儿童听觉/口语表现家长评估（PEACH）调查。
发现MBRS和CBRS得分、家长助听器认知问题表单中部分问题的结果、PEACH总分、安静环境子量表得分和噪声环境子量表得分之间存在强且显著的相关性（p<0.001）。根据多元线性回归分析，观察到使用儿童夹式助听器固定器（问题17）对降低PEACH总分（β=-3.07，p=0.008）和PEACH-噪声环境子量表得分（β=-1.88，p=0.012）均有显著影响。家长助听器认知问题表单问题24的得分每增加一个单位（即更长时间使用助听器）会导致PEACH-噪声环境子量表得分增加2.35倍、PEACH-安静环境子量表得分增加1.74倍、PEACH总分增加4.06倍。
亲子互动和家长对助听器使用的了解是影响儿童使用助听器的重要因素。这些因素也会影响儿童的主观听觉表现。应向家长提供有关助听器使用的详细信息，并在与孩子互动时更加敏感和积极回应。
