Association Between Compliance Behavior And Rehabitation Of Hearing And Speech In Prelingually Deaf Children With Cochlear Implants

Objective:The present study was to investigate whether the parents'factors influence the hearing and speech recovery process by evaluating the hearing and speech ability of pre-lingual deaf children after cochlear implant. This study will be benefit to the hearing and speech ability of the pre-lingual deaf children. Meanwhile, this study will also help to make rehabilitation program for the deaf children.Methods:The questionnaire was designed by ourselves and the parents of severe and very severe sensorineural hearing loss children after cochlear implant were surveyed by telephone follow up. The research object includes 86 pre-lingual deaf children from Otolaryngology of Shandong Provincial Hospital one year after cochlear implant dating from March 2014 to November 2015. The content of questionnaire include name, surgery time, only child or not, postoperative rehabilitation model, daily family language training time, debugging frequency, parents' health status, marital status, monthly income and guardian education level. The categories of auditory performance (CAP) and speech intelligibility rating (SIR) were used to grading the auditory perception level and language production skill of the pre-lingual deaf children after cochlear implant. All these data was collected and adjusted, and a database was established by SPSS 16.0 software. The correlation of CAP and SIR grading result, parents' hearing and speech health status, guardian education level, guardian language training skill, postoperative recovery mode, daily family language training time, debugging frequency and the daily cochlear using time was analyzed by ANOVA analysis and student's t test. Finally, the influencing factors of CAP and SIR were analyzed by multiple linear regression model, and the possible influencing factors were discussed.Results:(1) ANOVA analysis indicated that the CAP score between three groups of parents with different hearing and language health status was significantly different (F value=3.322, P value=0.041), while the SIR score was not (F value=0.139, P value=0.871).(2) The CAP score and SIR score of three different groups of guardians with different education level were significantly different (F value of CAP=18.63, F value of SIR=9.29) with the P value<0.05.(3) The CAP score and SIR score of the children with different skill in language training and postoperative recovery model were analyzed by t test, and the results were significantly different.(4) Meanwhile, the CAP score and SIR score of three groups of children with different family language training and different debugging frequency were analyzed by ANOVA, and the results were significantly different (P<0.05).(5) The CAP value and SIR value of three groups of children with different daily cochlear using time was also analyzed by ANOVA, and the result indicated that the CAP value was significantly different (F=16.13, P<0.05), while the SIR was not significantly different (F=2.94, P=0.058).(6) Multivariate analysis revealed that, three factors can significantly affect CAP scores, including postoperative recovery model, whether or not the caregiver has the ability of language training, and daily family language training time (all P<0.01). Four factors obviously affect CAP scores, and they are different education levels of caregivers, postoperative recovery model, whether or not the caregiver has language training, and daily family language training time (all P<0.01).Conclusion:The above results indicated that whether the parents of the pre-lingual deaf children after cochlear implant comply with doctor's advice will directly influence the children recovery effect. In the future clinical work, it is important for the parents to know the knowledge of the cochlear and to own the professional skill in postoperative rehabilitation. They are important to the children in the recovery process.