建立人工耳蜗植入后影响因素评估体系的研究  

An evaluation system for factors influencing children's rehabilitation results from cochlear implantation

作　　者：曹永茂[1] 陶泽璋[1] 毛宗福[2] 华清泉[1] 吴展元[1] 银力 龙墨[4] 郗昕[5] 刘莎[6] 朱娅琴[1] 黄永兰[7] 周宗奎[8] 李骏[1] 常伟[1] 朱素琴[1] 

机构地区：[1]武汉大学人民医院耳鼻咽喉-头颈外科,武汉430060 [2]武汉大学公共卫生学院,武汉430071 [3]杭州诺尔康神经电子科技有限公司,杭州310011 [4]中国聋儿康复研究中心,北京100029 [5]解放军总医院耳鼻咽喉科,北京100853 [6]首都医科大学附属同仁医院北京市耳鼻咽喉科研究所,北京100005 [7]武汉大学人民医院精神卫生中心,武汉430060 [8]华中师范大学心理学院,武汉430079

出　　处：《中华耳科学杂志》2010年第4期368-371,共4页Chinese Journal of Otology

基　　金：湖北省科技厅资助项目(2008CDB210);湖北省卫生厅科研基金资助项目(2007JX3B16)

摘　　要：目的建立人工耳蜗植入术后影响因素的评估体系。方法应用Delphi法以问卷调查的形式,将评估表传送给全国各地70位受邀请的专家,对评估表的评估内容进行分析、判断、列序、权重,并对评估系统中的测试指标进行删改、补充。分析问卷回收率及专家们咨询意见集中程度、协调程度、权威程度,以及对指标的权重系数进行统计学分析。结果经过两轮专家咨询后,问卷的回收率分别为82.86%和93.10%,专家们的意见的集中程度和协调程度的在第二轮咨询时达到了较高的一致性(P<0.05),并得出了二级和三级指标的权重系数。结论本研究的评估内容得到了专家们的积极参与,并有很好的协调性,专家们达成了影响人工耳蜗植入术后患儿康复效果的因素的共识,且二级指标中手术前一般资料所占的权重系数最高,三级指标中人工耳蜗植入时年龄的权重系数最高。Objective To establish a system for evaluating factors having enfluence on cochlear implantation effectiveness.Methods The Delphi＇s techniques was used in this study.The evaluation questionnaire was sent twice to 70 selected experts in the country.Based on their analyses and judgement,the order and weighing of the content in the questionnaire were ratified with deletions and additions as seen appropriate.Expert response rate,opinion convergence,correlation,degree of authority,and weighing coefficients on questionnaire items were analyzed.Results The response rate was 82.86% and 93.10% for the two rounds of inquiries,respectively.Expert opinions demonstrated reasonable convergence and coherence（P 0.05）,allowing determination of weighing coefficient for secondary and tertiary indices.Conclusion With enthusiastic participation by experts,a consensus has been reached regarding appropriate items in a system for evaluating factors having enfluence on children＇s rehabilitation results from cochlear implantation.In this study,the preoperative general information in the secondary indices and the age of the cochlear implantation in the tertiary indices has been given the highest weighing coefficient,respectively.

关 键 词：人工耳蜗植入 影响因素 评估 

分 类 号：R764.5[医药卫生—耳鼻咽喉科] R318.18[医药卫生—临床医学]