儿童助听器使用影响因素的评价。

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2023-03-01 DOI:10.4274/tao.2022.2022-6-9
Nurşah Özal, Merve Özbal Batuk, Selen Yılmaz Işıkhan
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摘要

目的:本研究的目的是确定影响儿童助听器使用的因素,并探讨这些因素如何影响他们的主观听觉表现。方法:研究对象为34名年龄在3至6岁之间,患有轻度或中度感音神经性听力损失且使用双侧助听器至少6个月的儿童。利用数据记录软件收集儿童每日助听器使用次数。采用母亲行为评定量表(MBRS)和儿童行为评定量表(CBRS)评分评估亲子互动。为了评估家长对助听器的知识水平,使用了由研究人员准备的《家长助听器意识问题表》。最后,对儿童的主观听力表现进行评价,采用家长对儿童听觉/口语表现的评价(PEACH)调查。结果:MBRS评分与CBRS评分、《家长助听器认知问卷》部分问题的结果、PEACH总分、QUIET分量表评分、NOISE分量表评分之间存在较强的显著相关(p)。结论:亲子互动和家长助听器使用知识是影响儿童助听器使用的重要因素。这些因素也会影响儿童的主观听觉表现。应向家长提供有关助听器使用的详细信息,并在与孩子的互动中更加敏感和敏感。
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Evaluation of Factors Affecting Hearing Aid Use in Children.

Objective: The purpose of this study was to determine the factors affecting hearing aid use in children and investigate how these factors affected their subjective auditory performance.

Methods: The study was carried out with 34 children aged three to six years who had mild or moderate sensorineural hearing loss and had used a bilateral hearing aid for at least six months. The daily hearing aid usage times of children were collected with the help of data logging software. Parent-child interactions were assessed with the Maternal Behavior Rating Scale (MBRS) and Child Behavior Rating Scale (CBRS) scores. To assess the parents' levels of knowledge about hearing devices, the Hearing Aid Awareness Question Form for Parents, which was prepared by the researchers, was used. Finally, to evaluate the subjective hearing performance of the children, the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) survey was implemented.

Results: Strong and significant correlations were found between the MBRS and CBRS scores, the results obtained from some questions in the Hearing Aid Awareness Question Form for Parents, the overall PEACH score, the QUIET subscale score, and the NOISE subscale score (p<0.001). According to the multivariate linear regression analyses, it was observed that the use of the pediatric clip hearing aids holder (question 17) had a significant effect in decreasing both the overall PEACH score (β=-3.07, p=0.008) and the PEACH-NOISE subscale score (β=-1.88, p=0.012). A unit increase in the score given to question 24 of the Hearing Aid Awareness Question Form for Parents (i.e., using the hearing aids longer) caused a 2.35-fold increase in the PEACH-NOISE subscale score, a 1.74-fold increase in the PEACH-QUIET subscale score, and a 4.06-fold increase in the overall PEACH score.

Conclusion: Parent-child interaction and parents' knowledge about hearing aid use are important factors affecting hearing aid use in children. These factors also affect the children's subjective auditory performance. Parents should be given detailed information about hearing aid use and be more sensitive and responsive in their interactions with their children.

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