人工耳蜗术后患儿听觉言语发育影响因素  

Infl uencing factors of auditory speech development in children undergoing cochlear implantation

作　　者：彭婷[1] PENG Ting(Hunan Children's Hospital,Changsha,410007,China)

机构地区：[1]湖南省儿童医院,湖南省长沙市410007

出　　处：《护理实践与研究》2022年第19期2854-2859,共6页Nursing Practice and Research

摘　　要：目的探讨人工耳蜗术患儿术后听觉言语发育影响因素并讨论护理对策。方法选择医院2019年1月—2021年8月收治的人工耳蜗术患儿共100例,采用问卷调查患儿基础信息,术后3个月采用听觉行为分级标准、言语可懂度分级标准对患儿听觉感知、言语表达进行评价,并通过单因素分析、多元线性回归分析筛选人工耳蜗术患儿术后听觉言语发育影响因素。结果多因素线性回归分析显示,人工耳蜗术患儿术后听觉感知影响因素有耳蜗植入年龄≥3岁、术前未佩戴助听器、术前无言语模仿能力、术后听觉言语训练缺失、术后未佩戴对侧助听器、术后耳蜗佩戴时间<8 h/d(P<0.05);人工耳蜗术患儿术后言语表达独立影响因素有耳蜗植入年龄≥3岁、术前未佩戴助听器、术前无言语模仿能力、术后听觉言语训练缺失、术后耳蜗佩戴时间<8 h/d、术后延续性健康教育缺失(P<0.05)。针对影响因素实施相应护理对策。结论耳蜗植入年龄≥3岁、术前未佩戴助听器、术前无言语模仿能力、术后听觉言语训练缺失、术后未佩戴对侧助听器、术后耳蜗佩戴时间<8 h/d是人工耳蜗术患儿术后听觉感知的影响因素;耳蜗植入年龄≥3岁、术前未佩戴助听器、术前无言语模仿能力、术后听觉言语训练缺失、术后耳蜗佩戴时间<8 h/d、术后延续性健康教育缺失是人工耳蜗术患儿术后言语表达的影响因素,针对影响因素采取有效的干预措施,有利于患儿康复。Objective To explore the influencing factors of auditory speech development in children after cochlear implantation and discuss the nursing strategies.Methods A total of 100 children with cochlear implantation admitted in the hospital from January 2019 to August 2021 were selected.The basic information of the children was investigated by questionnaire.Single factor analysis and multiple linear regression analysis were used to screen the infl uencing factors of auditory speech development in children after cochlear implantation.Results Multivariate linear regression analysis showed that the infl uencing factors of auditory perception after cochlear implantation were cochlear implantation age≥3 years old,no hearing aid before operation,no speech imitation ability before operation,lack of auditory speech training after operation,no contralateral hearing aid after operation,and cochlear wear time<8 h/d after operation(P<0.05).The independent infl uencing factors of postoperative speech expression in children with cochlear implantation were cochlear implantation age≥3 years old,no hearing aid before operation,no speech imitation ability before operation,lack of postoperative auditory speech training,cochlear wear time<8 h/d after operation,and lack of postoperative continuous health education(P<0.05).Implement corresponding nursing countermeasures according to the infl uencing factors.Conclusion Age≥3 years old,no hearing aid before operation,no speech imitation ability before operation,lack of auditory speech training after operation,no contralateral hearing aid after operation,and cochlear wear time<8 h/d after operation were the infl uencing factors of auditory perception after cochlear implantation.Cochlear implants age≥3 years old,preoperative did not wear hearing aids,preoperative no speech imitation,postoperative postoperative cochlear hearing loss of speech training,wear time<8 h/d,missing continuity after health education were the infl uence factors of speech expression in children after cochlear impl

关 键 词：人工耳蜗术 听觉感知 言语表达 影响因素 护理干预 

分 类 号：R473.72[医药卫生—护理学]