教师多维态度对全纳教育模式下语前聋人工耳蜗植入儿童安置效果的影响

The Influence of Teachers'Multidimensional Attitude on the Placement Effect of Prelingual Deaf Children with Cochlear Implant under the Inclusive Education Model

目的探讨教师多维态度对全纳教育模式下语前聋人工耳蜗植入儿童教育安置中的作用及影响。方法选取2010年以来山西省人民医院行人工耳蜗植入术后采用随班就读安置的语前聋儿童60名,以教育安置效果是否满意划分为2组,记录全纳教育教师的多维态度量表(teacher’s multidimensional attitudes towardinclusive education scale,TMATIES)得分。结果全纳教育模式下,两组儿童教师多维态度量表得分存在显著差异(P<0.01)。其中,认知、行为维度具有极显著差异(P<0.01),情感维度无显著差异(P>0.05);教师多维态度是影响语前聋人工耳蜗植入儿童教育安置效果的正相关因素(rs=0.381,P<0.05);积极的教师态度会产生更满意的教育安置效果(X2=16.766,P<0.05),教师的多维态度越积极,儿童的视觉模拟评分量表得分越高,全纳教育效果越满意(OR=1.164>1,CI:1.069~1.268,P<0.05);而教师性别、儿童性别、年龄、手术时间及入普时间与融合教育安置成效均无相关性(P>0.05)。结论语前聋人工耳蜗植入儿童全纳教育状态下,应持续提升教师多维态度的积极性,可提高全纳教育安置效果的满意度。

Objective To explore the role and influence of teachers'multidimensional attitude in the education,placement and rehabilitation of children with prelingual deafness after cochlear implantation under the inclusive education model.Method Sixty prelingual deaf children who had undergone cochlear implantation in Shanxi Provincial People's Hospital since 2010 and were currently enrolled in regular classes without return were divided into two groups according to whether the children's educational placement effect was satisfactory.The scores of Teachers'Multidimensional Attitudes toward Inclusive Education Scale(TMATIES)were recorded to analyze the role and influence of teachers'multidimensional attitude in the process of children's postoperative educational placement under the mode of inclusive education.Result Under the inclusive education mode,there was a significant difference in the scores of teachers'multidimensional attitude scale between the two groups(P<0.01).There was a significant difference between the two groups in the dimensions of cognition and behavior(P<0.01),and there was no difference between the two groups in the dimension of emotion(P>0.05).Teachers'multidimensional attitude was a positive correlation factor affecting the effect of education and placement(rs=0.381,P<0.05).Positive teachers'attitude produced a more satisfactory effect of inclusive education placement(x2=16.766,P<0.05).The more positive teachers'multidimensional attitude was,the higher the score of children's visual analog scale was,the more satisfied the effect of inclusive education was(OR=1.164>1,CI:1.069-1.268,P<0.05).There was no correlation between the gender and age of teachers,children's gender,age,operation and enrollment time and the effect of integrated education placement(P>0.05).Conclusion In the state of inclusive education for prelingual deaf children after cochlear implantation,we should continue to improve the motivation of teachers'multi-dimensional attitude,and a positive multi-dimensional attitude of teachers should improve the satisfaction of children's inclusive education placement effect.