不同语言环境及父母知信行对人工耳蜗植入术后患儿听觉言语康复的影响

doi:10.6040/j.issn.1673-3770.0.2023.411

摘要/Abstract

摘要： 目的探讨不同语言环境及父母知信行对人工耳蜗植入术后患儿听觉言语康复效果的影响。方法选取2021年至2023年行人工耳蜗植入术的双侧重度或极重度感音神经性聋患儿377例为研究对象,根据家庭交流使用语言,分为普通话组(201例)、非普通话组(176例),利用助听听阈检测、言语识别率检测及IT-MAIS/MAIS、CAP-Ⅱ、SIR量表评估2组患儿人工耳蜗植入术后听觉言语效果,同时以自制父母知信行(knowledge-attitude-practice, KAP)量表评估患儿父母知信行对人工耳蜗植入事件的影响。结果术后助听听阈结果及IT-MAIS/MAIS评分差异无统计学意义,术后言语识别率普通话组优于非普通话组,CAP-Ⅱ、SIR得分普通话组高于非普通话组;在KAP研究中,普通话组父母的认知K分数比非普通话父母高出2.13分,差异有统计学意义,普通话组父母的态度A分数比非普通话父母高出0.31分,差异无统计学意义,普通话组父母的行为P分数比非普通话父母高出1.08分,差异有统计学意义。Pearson相关性分析显示家长KAP评分和患儿CAP-Ⅱ评分之间的相关系数值为0.351,并且呈现出0.01水平的显著性;家长KAP和患儿SIR评分之间的相关系数值为0.784,并且呈现出0.01水平的显著性;患儿CAP-Ⅱ评分和患儿SIR评分之间的相关系数值为0.738,并且呈现出0.01水平的显著。结论不同语言环境下人工耳蜗植入术后患儿言语交流上存在较大的差异影响,提供普通话的家庭语言环境,更有利于儿童术后康复效果的评估,更有利于适应主流社会。患儿父母KAP水平与儿童听觉言语康复效果密切相关。

关键词: 语言环境, 人工耳蜗植入, 听觉能力, 言语能力, 知信行

Abstract: Objective Exploring the effects of different language environments and parental knowledge, beliefs, and behaviors on the auditory and speech rehabilitation outcomes of children after cochlear implant surgery. Methods 377 children with bilateral severe or extremely severe sensorineural hearing loss who underwent cochlear implant surgery from 2021 to 2023 were selected as the research subjects. According to the language used in family communication, they were divided into a Mandarin group(201 cases)and a non Mandarin group(176 cases). The auditory and speech effects of the two groups of children after cochlear implant surgery were evaluated using hearing aid threshold testing, speech recognition rate testing, and IT-MAIS/MAIS, CAP-Ⅱ, and SIR scales, Simultaneously, evaluate the impact of parental knowledge-attitude-practice(KAP)on cochlear implant events using a self-made KAP scale. Reslults The postoperative hearing aid threshold results and IT-MAIS/MAIS score, P>0.05, showed no statistically significant difference between the two groups; The postoperative speech recognition rate in the Mandarin group was better than that in the non Mandarin group, with P<0.01 and a statistically significant difference; The CAP-Ⅱ and SIR scores of the Mandarin group were better than those of the non Mandarin group, with P<0.01, and the difference was statistically significant; In the KAP study, parents whose family communication language is Mandarin had a cognitive K score 2.13 points higher than non Mandarin parents, with a statistically significant difference(P<0.05). Parents whose family communication language is Mandarin had an attitude A score 0.31 points higher than non Mandarin parents, with no statistically significant difference(P>0.05). Parents whose family communication language is Mandarin had a behavioral P score 1.08 points higher than non Mandarin parents, The difference was statistically significant(P<0.05). Pearson correlation analysis showed that the correlation coefficient between parental KAP score and pediatric CAP-Ⅱ score was 0.351, showing a significant level of 0.01; The correlation coefficient between parental KAP and child SIR scores is 0.784 and shows a significant level of 0.01; The correlation coefficient between CAP-Ⅱ score and SIR score of the patient is 0.738 and shows significance at the 0.01 level. Conclusion There are significant differences in speech communication among children after cochlear implantation in different language environments. Providing a Mandarin speaking home language environment is more conducive to evaluating the postoperative rehabilitation effect of children. The KAP level of the parents of the affected child is closely related to the effectiveness of auditory and speech rehabilitation in the child.

Key words: Language environment, Artificial cochlear implantation, Auditory ability, Speech ability, Knowledge-attitude-practice

中图分类号:

R764.43

池文月,林垦,马静,杜玉玲,高映勤,周丽娟,张珩颖,张铁松. 不同语言环境及父母知信行对人工耳蜗植入术后患儿听觉言语康复的影响[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 8-15.

CHI Wenyue, LIN Ken, MA Jing, DU Yuling, GAO Yingqin, ZHOU Lijuan, ZHANG Hengying, ZHANG Tiesong. The impact of different language environments and parents' knowledge-attitude-practice on the auditory-verbal rehabilitation of children with cochlear implants[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 8-15.

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