成人人工耳蜗植入术后社会适应能力及生活幸福感调查

Survey of the ability of social adaptation and life happiness in adult after cochlear implant

目的研究语前聋和语后聋成人人工耳蜗植入患者在手术前后社会适应能力与生活幸福感的变化情况,指导术后康复工作。方法使用社会适应性自测量表和总体幸福感量表作为评估工具,在手术前和术后2年对23例成人人工耳蜗者进行问卷随访,汇总其得分,测试术后2年时所有患者的助听听阈,按照语前聋与语后聋分组,使用SPSS17.0统计学软件对数据进行分析。结果两组患者助听听阈无统计学差异(P>0.05);社会适应能力方面,语前聋与语后聋两组患者分别在手术前后比较中均有显著性(P均<0.01),术后均优于术前,组间比较,术前两组患者得分无显著性差异(P>0.05),术后比较则有显著性差异(P<0.01),语后聋组优于语前聋组;总体幸福感方面,两组患者分别在手术前、后的比较中均有显著性差异(P均<0.01),术后均优于术前,组间比较,手术前与手术后也均有显著性差异(P均<0.01),术前语后聋组较语前聋组得分更低,而术后语后聋组较语前聋组得分更高。结论人工耳蜗不仅提高了患者听力,更加强了患者的社会属性,使他们的生活更加幸福。同时,我们需要更加关注成人语前聋人群术后康复,鼓励他们大胆的与人交流、主动面对社会生活。

OBJECTIVE We will research the change of ability of social adaptation and life happiness in prelingual deafness and postlingual deafness adult before and after cochlear implant （CI）, and that will offer references for rehabilitation. METHODS Twenty three CI recipients participated in this study. We use Social Adaptation Scale for Self Testing Questionnaire and General Well Questionnaire to evaluate the scores before and two years after the operation . We test their hearing threshold with CI in two years after the operation. Then we group all data according to prelingual deafness or postlingual deafness. SPSS 17.0 statistics software was used to analyzed the data. RESULTS There were no statistical differences in hearing threshold between the two groups （P〉0.05）. The assessment of ability of social adaptation： there were significant differences in both groups between the scores before and after the operation （P〈0.01）. The scores after the operation were better. There were no statistical differences in scores between the two groups before operation （P〉0.05）. But there were significant differences after operation （P〈0.01）. The scores in patients with postlingual deafness were better. The assessment of life happiness： also there were significant differences in both groups between the scores before and after the operation （P〈0.01）. The scores after the operation were better. The scores in postlingual deafness patients were worse before operation and better after operation in comparison between groups （P〈0.01）. CONCLUSION CI can not only improves the hearing, but also strengthens the social attribute of patients and improves the life of happiness. In addition, we need to pay more attention to rehabilitation of prelingual deafness patients and to encourage them to be bold to communicate with people and active in social life.