Rehabilitation is a set of measures aimed at compensating or fully restoring the functions of the patient impaired by the disease. In the rehabilitation of children with a cochlear implant, a comprehensive, systematic...Rehabilitation is a set of measures aimed at compensating or fully restoring the functions of the patient impaired by the disease. In the rehabilitation of children with a cochlear implant, a comprehensive, systematic approach is essential in the work of doctors, teachers, sign language teachers, psychologists, and families. Rehabilitation and social adaptation of children with a cochlear implant depend not only on specialists but also on the ability of parents to help the child organize educational activities in an optimistic mood and the ability to provide emotional support. This means that the role of parents in the way to successful rehabilitation is high, and therefore this topic is especially relevant today. .展开更多
Objective:The goal of this study was to evaluate the quality of life of parents of children who use hearing aids(HA)with those who use cochlear implants(CI)in the Indian context and document any differences found.Meth...Objective:The goal of this study was to evaluate the quality of life of parents of children who use hearing aids(HA)with those who use cochlear implants(CI)in the Indian context and document any differences found.Methods:The Kannada version of the AQoL-4D was administered in a modified fashion to 131 parents(87 HA and 44 CI).Sociodemographic details were collected for supplemental information on the intervention strategy used.Results:A total of 49 parents(29 HA and 20 CI)responded to the questionnaire sent.The mean total scores for both the groups were similar(HA group=17.9(SD=5.5),CI group=17.2(SD=3.4)),as was the score for the first subscale(HA group=8.6(SD=2.9);CI group=8.5(SD=2.6))of the AQoL-4D.No significant differences were found between the two groups on either scores[Total Score:U(N_(HA)=29,NCI=20)=280.5,z=0.194,p>0.05;Subscale 1 Score:U(N_(HA)=29,NCI=20)=281.5,z=-0.176,p>0.05].The degree of hearing loss in the hearing aid group was equivalent to that of the cochlear implant group but this did not appear to influence parental quality of life.Conclusion:Parents of children with hearing aids and cochlear implants appear to be similar on several psychosocial factors in the realms of functional,social,and psychological well-being.In terms of parental quality of life,hearing aids and cochlear implants appear to be equally effective intervention techniques.展开更多
The purpose of the study is to identify the important aspects of quality of life assessed in children with cochlear implant. Parental Perspective questionnaire with modified in Bangla was used as a data collection too...The purpose of the study is to identify the important aspects of quality of life assessed in children with cochlear implant. Parental Perspective questionnaire with modified in Bangla was used as a data collection tool in this study. Data was collected through face to face interview with 25 parents of children with Cochlear Implant (CI) attended at Bangabandhu Sheikh Mujib Medical University, Dhaka. Among 25 cochlear implant children, the boys (12) and girls (13) were nearly the same. Results indicated that the majority of the children had difficulties with communication with known people (48.00%) and before implantation children with CI obtained no benefit at all from hearing aids (76.00%). However, the research finding shows that they are largely satisfied with the outcomes from implantation. Improvement of social relationship, family well-being, within the family, educational condition, and self-reliance was satisfactorily reported by the parents. This study would help the clinician, speech pathologist, children and parents to raise awareness about the impact of CI and its treatment.展开更多
Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,alt...Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,although such programs are already established for metabolic diseases.The acquisition of spoken language is a time-dependent process,and some form linguistic input should be present before the first 6 mo of life for a child to become linguistically competent.Therefore,profoundly deaf children should be detected early,and referred timely for the process of auditory rehabilitation to be initiated.Hearing assessment methods should reflect the behavioural audiogram in an accurate manner.Additional disabilities also need to be taken into account.Profound congenital SNHL is managed by a multidisciplinary team.Affected infants should be bilaterally fitted with hearing aids,no later than 3 mo after birth.They should be monitored until the first year of age.If they are not progressing linguistically,cochlear implantation can be considered after thorough preoperative assessment.Prelingually deaf children develop significant speech perception and production abilities,and speech intelligibility over time,following cochlear implantation.Age at intervention and oral communication,are the most important determi-nants of outcomes.Realistic parental expectations are also essential.Cochlear implant programs deserve the strong support of community members,professional bodies,and political authorities in order to be successful,and maximize the future earnings of pediatric cochlear implantation for human societies.展开更多
目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B...目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B组接受一侧植入人工耳蜗、对侧配戴助听器干预。分别于开机前、开机6个月、12个月时采用婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,IT-MAIS)、简易版普通话早期言语感知测试(low-verbal mandarin early speech perception test,LV-MESP)评价患儿听觉能力和言语感知能力;采用言语空间听觉质量量表-父母版问卷(speech,spatial and other qualities of hearing scale for parents,SSQ-P)评价患儿空间听觉能力,采用中文版人工耳蜗植入儿童家长观点调查问卷(mandarin children with cochlear implants:parental perspectives,MPP)评价患儿生活质量。结果B组患儿开机6个月时的IT-MAIS和LV-MESP得分显著高于A组(P<0.05),但两组开机12个月时的IT-MAIS和LV-MESP得分无显著差异(P>0.05)。B组患儿开机6个月时SSQ-P量表中空间听力和听力质量维度评分显著高于A组(P<0.05),两组患儿不同时间言语感知维度评分和开机12个月时的空间听力和听力质量维度评分比较均无显著差异(P>0.05)。两组患儿开机12个月时的MPP量表各维度评分均无显著差异(P>0.05)。结论双模式干预治疗低龄语前聋患儿的短期疗效优于双侧人工耳蜗植入,但二者长期干预效果接近,临床应根据手术风险、患儿是否为对称性耳聋、患儿家庭经济情况进行合理选择。展开更多
文摘Rehabilitation is a set of measures aimed at compensating or fully restoring the functions of the patient impaired by the disease. In the rehabilitation of children with a cochlear implant, a comprehensive, systematic approach is essential in the work of doctors, teachers, sign language teachers, psychologists, and families. Rehabilitation and social adaptation of children with a cochlear implant depend not only on specialists but also on the ability of parents to help the child organize educational activities in an optimistic mood and the ability to provide emotional support. This means that the role of parents in the way to successful rehabilitation is high, and therefore this topic is especially relevant today. .
文摘Objective:The goal of this study was to evaluate the quality of life of parents of children who use hearing aids(HA)with those who use cochlear implants(CI)in the Indian context and document any differences found.Methods:The Kannada version of the AQoL-4D was administered in a modified fashion to 131 parents(87 HA and 44 CI).Sociodemographic details were collected for supplemental information on the intervention strategy used.Results:A total of 49 parents(29 HA and 20 CI)responded to the questionnaire sent.The mean total scores for both the groups were similar(HA group=17.9(SD=5.5),CI group=17.2(SD=3.4)),as was the score for the first subscale(HA group=8.6(SD=2.9);CI group=8.5(SD=2.6))of the AQoL-4D.No significant differences were found between the two groups on either scores[Total Score:U(N_(HA)=29,NCI=20)=280.5,z=0.194,p>0.05;Subscale 1 Score:U(N_(HA)=29,NCI=20)=281.5,z=-0.176,p>0.05].The degree of hearing loss in the hearing aid group was equivalent to that of the cochlear implant group but this did not appear to influence parental quality of life.Conclusion:Parents of children with hearing aids and cochlear implants appear to be similar on several psychosocial factors in the realms of functional,social,and psychological well-being.In terms of parental quality of life,hearing aids and cochlear implants appear to be equally effective intervention techniques.
文摘The purpose of the study is to identify the important aspects of quality of life assessed in children with cochlear implant. Parental Perspective questionnaire with modified in Bangla was used as a data collection tool in this study. Data was collected through face to face interview with 25 parents of children with Cochlear Implant (CI) attended at Bangabandhu Sheikh Mujib Medical University, Dhaka. Among 25 cochlear implant children, the boys (12) and girls (13) were nearly the same. Results indicated that the majority of the children had difficulties with communication with known people (48.00%) and before implantation children with CI obtained no benefit at all from hearing aids (76.00%). However, the research finding shows that they are largely satisfied with the outcomes from implantation. Improvement of social relationship, family well-being, within the family, educational condition, and self-reliance was satisfactorily reported by the parents. This study would help the clinician, speech pathologist, children and parents to raise awareness about the impact of CI and its treatment.
文摘Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,although such programs are already established for metabolic diseases.The acquisition of spoken language is a time-dependent process,and some form linguistic input should be present before the first 6 mo of life for a child to become linguistically competent.Therefore,profoundly deaf children should be detected early,and referred timely for the process of auditory rehabilitation to be initiated.Hearing assessment methods should reflect the behavioural audiogram in an accurate manner.Additional disabilities also need to be taken into account.Profound congenital SNHL is managed by a multidisciplinary team.Affected infants should be bilaterally fitted with hearing aids,no later than 3 mo after birth.They should be monitored until the first year of age.If they are not progressing linguistically,cochlear implantation can be considered after thorough preoperative assessment.Prelingually deaf children develop significant speech perception and production abilities,and speech intelligibility over time,following cochlear implantation.Age at intervention and oral communication,are the most important determi-nants of outcomes.Realistic parental expectations are also essential.Cochlear implant programs deserve the strong support of community members,professional bodies,and political authorities in order to be successful,and maximize the future earnings of pediatric cochlear implantation for human societies.
文摘目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B组接受一侧植入人工耳蜗、对侧配戴助听器干预。分别于开机前、开机6个月、12个月时采用婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,IT-MAIS)、简易版普通话早期言语感知测试(low-verbal mandarin early speech perception test,LV-MESP)评价患儿听觉能力和言语感知能力;采用言语空间听觉质量量表-父母版问卷(speech,spatial and other qualities of hearing scale for parents,SSQ-P)评价患儿空间听觉能力,采用中文版人工耳蜗植入儿童家长观点调查问卷(mandarin children with cochlear implants:parental perspectives,MPP)评价患儿生活质量。结果B组患儿开机6个月时的IT-MAIS和LV-MESP得分显著高于A组(P<0.05),但两组开机12个月时的IT-MAIS和LV-MESP得分无显著差异(P>0.05)。B组患儿开机6个月时SSQ-P量表中空间听力和听力质量维度评分显著高于A组(P<0.05),两组患儿不同时间言语感知维度评分和开机12个月时的空间听力和听力质量维度评分比较均无显著差异(P>0.05)。两组患儿开机12个月时的MPP量表各维度评分均无显著差异(P>0.05)。结论双模式干预治疗低龄语前聋患儿的短期疗效优于双侧人工耳蜗植入,但二者长期干预效果接近,临床应根据手术风险、患儿是否为对称性耳聋、患儿家庭经济情况进行合理选择。
