Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 8-15.doi: 10.6040/j.issn.1673-3770.0.2023.411

• Original Article • Previous Articles    

The impact of different language environments and parents' knowledge-attitude-practice on the auditory-verbal rehabilitation of children with cochlear implants

CHI Wenyue, LIN Ken, MA Jing, DU Yuling, GAO Yingqin, ZHOU Lijuan, ZHANG Hengying, ZHANG Tiesong   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Kunming Children's Hospital, Children's Hospital Affiliated to Kunming Medical University, Kunming 650100, Yunnan, China
  • Published:2025-01-17

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2

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

CLC Number: 

  • R764.43
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