Impact of Instructional Guidelines on Knowledge and Practices of Mothers Having Children with Cochlear Implantation

Rasha Shawky Elashry, Amal S. Abu Almakarem, Hanan Kheir Abd Ellatif Elmowafi, Wafaa Hamed Kamal Elshafie, Manal Mohamed Ahmed Ayed
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Abstract

Background: Pediatric cochlear implantation significantly improves various quality of life aspects for hearing-impaired children by influencing communication. Aim: determine the impact of instructional guidelines on knowledge and practices of mothers having children with cochlear implantation. Design : A quasi-experimental research design. Sample: A convenient sample of a total 200 of mothers and 200 children after cochlear implantation, divided equally into two groups (control& study group). Setting: Ear, Nose, and Throat outpatient clinics at Sohag University Hospital. Tools: Tool I: Structured interview questionnaire sheet: it is composed of two parts; mothers' personal data, and children's personal data, Tool II: Mothers' knowledge about cochlear implantation (pre/post); Tool III: Mothers' self-reported practice for their children with cochlear implantation (pre/post). Results : The majority of the mothers in the study group had a satisfactory level of knowledge and adequate level of practice toward caring for their children who have cochlear implantation post-instructional guidelines. There was a highly statistically significant difference between mothers in the study and control group regarding knowledge and self-reported practice after instructional guidelines implementation. Conclusion : The instructional guidelines improved knowledge and reported practice of mothers having children with cochlear implantation. Recommendation : Instructional guidelines for mothers about caring for their children after cochlear implantation are highly recommended.
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教学指南对人工耳蜗植入母亲的知识和实践的影响
背景:儿童人工耳蜗植入术通过影响听力障碍儿童的交流,显著改善其生活质量。目的:确定指导方针对有人工耳蜗植入儿童的母亲的知识和实践的影响。设计:准实验研究设计。样本:方便抽取200名人工耳蜗植入后的母亲和200名儿童,平均分为两组(对照组和研究组)。地点:Sohag大学医院耳、鼻、喉门诊。工具一:结构化访谈问卷表:由两部分组成;工具二:母亲对人工耳蜗植入的认知情况(植入前/植入后);工具三:母亲对其儿童人工耳蜗植入(前/后)的自我报告实践。结果:实验组中大多数母亲对人工耳蜗植入后儿童的护理有满意的认识和足够的实践水平。实验组母亲与对照组母亲在教学指导实施后的知识和自我报告实践方面存在高度统计学显著差异。结论:该指导方针提高了儿童人工耳蜗植入术母亲的认识和报告实践。建议:强烈建议为母亲提供关于人工耳蜗植入后照顾孩子的指导指南。
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