影响成人语后聋人工耳蜗植入者音乐相关生活质量的因素探究  

Exploring the factors affecting music-related quality of life in post-lingual deaf adults with cochlearimplants

作　　者：杨烨[1] 钱晓云[1] 耿立国 姜耀锋 高珺岩 黄鹂[4] 黎奥 赵宁 徐玉芹 朱光洁[1] 高下[1] Yang Ye;Qian Xiaoyun;Geng Liguo;Jiang Yaofeng;Gao Junyan;Huang Li;Li Ao;Zhao Ning;Xu Yuqin;Zhu Guangjie;Gao Xia(Department of Otolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Research Institute of Otolaryngology,Nanjing 210008,China;Department of Medical Information,Afiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Technical Counseling,Jiangsu Children's Rehabilitation Research Center,Nanjing 210008,China;Department of Library Information Center,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科、南京鼓楼医院耳鼻咽喉研究所,南京210008 [2]南京大学医学院附属鼓楼医院医疗病案中心,南京210008 [3]江苏省儿童康复研究中心技术指导部,南京210008 [4]南京大学医学院附属鼓楼医院图书情报中心,南京210008

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第1期27-33,共7页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：国家自然科学基金(81771019);国家自然科学基金青年科学基金(82101223);江苏省科教强卫工程项目(ZDXKB2016015);中国博士后科学基金第68批面上资助(2020M681561)

摘　　要：目的:观察成人语后聋人工耳蜗植入者日常生活中聆听音乐的感受以及音乐对其生活的重要性,探寻相关影响因素。方法:该研究为横断面调查研究。2021年1—8月使用《音乐相关生活质量量表》评估63例成人语后聋人工耳蜗植入者的音乐体验以及需求,其中男性27例,女性36例,年龄(40.7±12.3)岁(均数±标准差,下同),手术时年龄(36.8±13.1)岁,术前助听器无效时间(3.9±5.8)年。分析指标包括年龄、术前佩戴助听器无效的时间、术前对音乐喜好程度、术后人工耳蜗使用时间、目前助听方式和听觉康复效果,采用SPSS 25.0统计软件分析上述6种因素是否对受试者聆听音乐构成影响。结果:量表中的各维度均只与单一因素相关,其中音乐体验部分的两个亚维度均与听觉康复效果相关;而重要性部分中,听觉康复效果是“参与重要性”维度的影响因素,术前对音乐的喜好程度则是“感知重要性”维度的影响因素。以上述因素分组比较后组间差异有统计学意义( P值均<0.05);而以其他因素分组时,组间比较差异均无统计学意义( P值均>0.05)。 结论:成人语后聋患者在植入人工耳蜗后有继续聆听音乐的需求和尝试,听觉康复效果和术前对音乐的喜好程度是影响植入者聆听音乐的两个重要因素。当听觉交流水平得到一定程度恢复后,需要及时关注植入者在音乐方面的聆听需求和训练,尤其对于术前喜好音乐者。ObjectiveTo observe the feelings of listening to music and the importance of music in the daily life of post-lingual deaf adults with cochlear implants,and to explore the relevant influencing factors.MethodsT This was a cross-sectional survey study.From January 2021 to August 2021,the Music-Related Quality of Life Scale was used to evaluate the music needs and music experiences of 63 post-lingual deaf adults who met the inclusion criteria,including 27 males and 36 females,aged(40.7±12.3)years,at the time of surgery(36.8+13.1)years,and with a preoperative hearing aid ineffective time of(3.9+5.8)years.Indicators analyzed included age,duration of ineffective preoperative hearing aid wear,preoperative music preference,duration of postoperative cochlear implant use,current hearing aid modality,and auditory rehabilitation outcomes.Whether the six factors mentioned above constituted an influence on the subjects'music listening was investigated using SPSS 25.0 statistical software.Results All of the observations in the scale were correlated with a single factor.The two sub-dimensions of music experience section were related to the effect of auditory rehabilitation.In the importance section,the effect of auditory rehabilitation was the influential factor of the dimension of"participation importance",and the preoperative enjoyment of music was the relevant influential factor of the dimension of"perceived importance".There was a significant difference between the groups when they were grouped by the above factors(P value<0.05),while there was no statistically significance between the groups when they were grouped by other factors(P value>0.05).Conclusions Post-lingual deaf adults show the need and attempt to listen to music after cochlear implantation.The effectiveness of auditory rehabilitation and the degree of music preference preoperatively are two important factors that influence music listening in implant recipients.Once the level of auditory communication has been restored to a certain degree,it is important to pay

关 键 词：耳蜗植入术 问卷调查 音乐 成人 语后聋 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]