学龄前听力筛查：一份家长问卷的评估

Preschool hearing screening: evaluation of a parental questionnaire.

作者信息

Hammond P D, Gold M S, Wigg N R, Volkmer R E

机构信息

Child Health Research Institute, Women's and Children's Hospital, North Adelaide, SA, Australia.

出版信息

J Paediatr Child Health. 1997 Dec;33(6):528-30. doi: 10.1111/j.1440-1754.1997.tb01664.x.

DOI:10.1111/j.1440-1754.1997.tb01664.x

PMID:9484686

Abstract

OBJECTIVE

To evaluate the validity of a parental questionnaire used to screen preschool children for persistent hearing impairment.

METHODOLOGY

Six-hundred and eighty-five children aged 4-5 years from a Metropolitan area of Adelaide, Australia, were enrolled. Each parent completed a questionnaire aimed at detecting parental concerns about hearing impairment. Screening audiometry was then performed. Children who failed the initial audiometry screening underwent repeat audiometry screening 6-8 weeks later. The audiometry and questionnaire data were then compared.

RESULTS

Of the 657 children who successfully completed initial audiometry, 544 (83%) passed and 113 (17%) failed. Of the 84 children who had follow-up audiometry, 64 (76%) passed. Parental concerns were identified on questionnaire in 50% of all children. Neither individual questions nor the number of concerns were found to relate to audiometry results. Compared with audiometry results, the hearing screening questionnaire had a sensitivity of 56% and specificity of 52%.

CONCLUSIONS

The hearing questionnaire used in this study and in several Australian states is an ineffective screening test for detecting persistent hearing loss.

摘要

目的

评估一份用于筛查学龄前儿童持续性听力障碍的家长问卷的有效性。

方法

招募了来自澳大利亚阿德莱德市区的685名4至5岁儿童。每位家长都填写了一份旨在检测家长对听力障碍担忧的问卷。随后进行了听力筛查测听。初次听力筛查测听未通过的儿童在6至8周后接受了重复听力筛查测听。然后将测听数据和问卷数据进行了比较。

结果

在成功完成初次听力筛查测听的657名儿童中，544名（83%）通过，113名（17%）未通过。在接受后续听力筛查测听的84名儿童中，64名（76%）通过。在所有儿童中，50%的儿童家长在问卷中表达了担忧。未发现单个问题或担忧数量与测听结果有关。与测听结果相比，听力筛查问卷的灵敏度为56%，特异度为52%。