Tulaci Tugba, Ceylan Banu Tijen, Mutlu Murad, Gokce Tulaci Kamil, Akin İstemihan, Ozdek Ali
Department of Otorhinolaryngology Head and Neck Surgery, Balıkesir Atatürk City Hospital, Balıkesir, Türkiye.
Department of Otorhinolaryngology Head and Neck Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
J Int Adv Otol. 2025 Jul 9;21(4):1-6. doi: 10.5152/iao.2025.241705.
To compare the quality of life scores of children with monoaural cochlear implants (CIs) aged 4-16 with those of normally hearing (NH) children and parents' reports. METHODS: The KINDL-R questionnaire that measures health-related quality of life (HRQoL) was delivered to 72 children aged 4-16 years and their parents. The children were divided into 3 subgroups of 4-7, 8-11, and 12-16 years and asked to report their quality of life from their own perspectives. The parents were divided into 2 subgroups for 4-7 aged and 8-16 aged children and were asked to report their child's quality of life status from their perspectives. The QoL scores of children with CI in the 3 subgroups were compared with the scores of their parents and NH peers. RESULTS: The total scores of children with CIs in all subgroups were significantly worse than NH peers. The total scores of parents and children with CIs in all subgroups revealed no statistically significant differences. In the correlation analysis, the age of implantation was negatively correlated with the total score both in 8-11 (ρ: -0.777) and 12-16 year subgroups (ρ: -0.591). Similarly, the implant usage duration was positively correlated with the total score in all age groups. CONCLUSION: Children with CI experience worse QoL status than their NH peers. The possible causes of the lower QoL scores following cochlear implantation must be investigated. Reports from parents on their children's QoL status are reliable.
比较4至16岁单耳人工耳蜗植入（CI）儿童与正常听力（NH）儿童的生活质量得分及家长报告情况。方法：向72名4至16岁儿童及其家长发放测量健康相关生活质量（HRQoL）的KINDL-R问卷。将儿童分为4至7岁、8至11岁和12至16岁三个亚组，要求他们从自己的角度报告生活质量。将家长分为4至7岁儿童组和8至16岁儿童组两个亚组，要求他们从自己的角度报告孩子的生活质量状况。比较三个亚组中CI儿童的生活质量得分与其家长及NH同龄人得分。结果：所有亚组中CI儿童的总分均显著低于NH同龄人。所有亚组中CI儿童及其家长的总分无统计学显著差异。在相关性分析中，植入年龄在8至11岁亚组（ρ：-0.777）和12至16岁亚组（ρ：-0.591）中均与总分呈负相关。同样，植入使用时长在所有年龄组中均与总分呈正相关。结论：CI儿童的生活质量状况比NH同龄人差。必须调查人工耳蜗植入后生活质量得分较低的可能原因。家长对孩子生活质量状况的报告是可靠的。
