{"title":"听力损失和人工耳蜗植入对儿童生活质量的影响。","authors":"Afnan F. Bukhari, Faisal Zawawi","doi":"10.1016/j.ijporl.2024.112069","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>This study evaluates the Quality of Life (QoL) in children with moderate to profound hearing impairments using cochlear implants (CIs), compared to those with normal hearing. It explores the impacts of hearing loss and the effectiveness of CIs in pediatric populations.</p></div><div><h3>Methods</h3><p>Conducted at a tertiary care academic center, this cross-sectional study included children aged 13–18. Participants were divided into three groups: normal hearing, yet to be treated moderate or worse hearing loss (uHL), and CI users. Demographic data were collected, and the QoL was assessed using the Hearing Environments and Reflection of Quality of Life (HEAR-QL) questionnaire, with scores across various subdomains compared.</p></div><div><h3>Results</h3><p>Of the 79 children meeting the inclusion criteria, 38 % had normal hearing, 29 % had at least moderate HL, and 33 % were CI users. Statistically significant differences in HEAR-QL scores were found among the groups. The normal hearing group reported the highest scores. In the subdomain of hearing circumstances and academic performance, CI users showed no significant difference from the normal hearing group, unlike those with untreated uHL who scored lower. However, in social interaction and emotional well-being subdomains, CI users' scores were lower than those of the normal hearing group but similar to the uHL group.</p></div><div><h3>Conclusion</h3><p>Children with CIs show comparable QoL in auditory capabilities to their normal hearing peers but experience significant challenges in psychosocial and emotional areas. This indicates that while CIs can improve hearing-related quality of life, they do not fully address the psychosocial impacts of hearing loss.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The impact of hearing loss and cochlear implantation on the quality of life in children\",\"authors\":\"Afnan F. Bukhari, Faisal Zawawi\",\"doi\":\"10.1016/j.ijporl.2024.112069\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>This study evaluates the Quality of Life (QoL) in children with moderate to profound hearing impairments using cochlear implants (CIs), compared to those with normal hearing. It explores the impacts of hearing loss and the effectiveness of CIs in pediatric populations.</p></div><div><h3>Methods</h3><p>Conducted at a tertiary care academic center, this cross-sectional study included children aged 13–18. Participants were divided into three groups: normal hearing, yet to be treated moderate or worse hearing loss (uHL), and CI users. Demographic data were collected, and the QoL was assessed using the Hearing Environments and Reflection of Quality of Life (HEAR-QL) questionnaire, with scores across various subdomains compared.</p></div><div><h3>Results</h3><p>Of the 79 children meeting the inclusion criteria, 38 % had normal hearing, 29 % had at least moderate HL, and 33 % were CI users. Statistically significant differences in HEAR-QL scores were found among the groups. The normal hearing group reported the highest scores. In the subdomain of hearing circumstances and academic performance, CI users showed no significant difference from the normal hearing group, unlike those with untreated uHL who scored lower. However, in social interaction and emotional well-being subdomains, CI users' scores were lower than those of the normal hearing group but similar to the uHL group.</p></div><div><h3>Conclusion</h3><p>Children with CIs show comparable QoL in auditory capabilities to their normal hearing peers but experience significant challenges in psychosocial and emotional areas. 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引用次数: 0
摘要
研究背景本研究评估了与听力正常的儿童相比，使用人工耳蜗（CI）的中度至深度听力障碍儿童的生活质量（QoL）。它探讨了听力损失的影响和 CI 在儿童群体中的有效性：这项横断面研究在一家三级医疗学术中心进行，研究对象包括 13-18 岁的儿童。参与者被分为三组：听力正常、有待治疗的中度或更严重听力损失（uHL）和 CI 使用者。研究人员收集了人口统计学数据，并使用 "听力环境和生活质量反映"（HEAR-QL）问卷对其生活质量进行了评估，同时比较了各个子域的得分：在符合纳入标准的 79 名儿童中，38% 的儿童听力正常，29% 的儿童至少患有中度听力障碍，33% 的儿童是 CI 使用者。各组之间的 HEAR-QL 分数存在明显的统计学差异。听力正常组的得分最高。在听力情况和学习成绩这一分域中，CI 使用者与听力正常组没有明显差异，而未经治疗的 UHL 患者得分较低。然而，在社会交往和情感幸福子域中，CI 使用者的得分低于正常听力组，但与 uHL 组相似：结论：使用人工耳蜗的儿童在听觉能力方面的生活质量与听力正常的儿童相当，但在社会心理和情感方面却面临巨大挑战。这表明，虽然人工耳蜗可以改善与听力相关的生活质量，但并不能完全解决听力损失对社会心理的影响。
The impact of hearing loss and cochlear implantation on the quality of life in children
Background
This study evaluates the Quality of Life (QoL) in children with moderate to profound hearing impairments using cochlear implants (CIs), compared to those with normal hearing. It explores the impacts of hearing loss and the effectiveness of CIs in pediatric populations.
Methods
Conducted at a tertiary care academic center, this cross-sectional study included children aged 13–18. Participants were divided into three groups: normal hearing, yet to be treated moderate or worse hearing loss (uHL), and CI users. Demographic data were collected, and the QoL was assessed using the Hearing Environments and Reflection of Quality of Life (HEAR-QL) questionnaire, with scores across various subdomains compared.
Results
Of the 79 children meeting the inclusion criteria, 38 % had normal hearing, 29 % had at least moderate HL, and 33 % were CI users. Statistically significant differences in HEAR-QL scores were found among the groups. The normal hearing group reported the highest scores. In the subdomain of hearing circumstances and academic performance, CI users showed no significant difference from the normal hearing group, unlike those with untreated uHL who scored lower. However, in social interaction and emotional well-being subdomains, CI users' scores were lower than those of the normal hearing group but similar to the uHL group.
Conclusion
Children with CIs show comparable QoL in auditory capabilities to their normal hearing peers but experience significant challenges in psychosocial and emotional areas. This indicates that while CIs can improve hearing-related quality of life, they do not fully address the psychosocial impacts of hearing loss.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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