| ObjectiveThrough investigation of the basic characteristics of the subjects, their family situation, and the rehabilitation effect of the hearing aids project for 0-6 years old deaf children in Lianyungang, The different effects of before and after rehabilitation recipients,and through analysis of the relevant influential factors. MethodsSelect the 2014-2015 accept Aids relief projects for the sample of 208 cases of 0-6 years old children in Lianyungang city, the questionnaire of 208 deaf children, parents and teachers of language training were investigated. Rehabilitation effects were evaluated according to the criteria and methods of evaluation of the auditory work, edited by Sun Xibin.The data are recorded and analyzed by EXCEL2003 software,SPSS19.0 is used for statistical analysis. The measure data is described by M(Min,Max),The Nonparametric test is used to compare the data between different groups. Logistic regression is used to analyze the effect of rehabilitation on deaf children aged 0-6 years with hearing aid. Results1. From 2014 to 2015, there were 125 males(60.1%) and 83 females(39.9%) among the 0-6 years old deaf children in Lianyungang City. The age distribution of males is higher than females; the 0-6 years old deaf children are mainly concentrated in the age segment of 5-6 years old numbered 104(50.0%), 22 patients(10.6%) aged 0-3years, and 82 patients(39.4%) aged 3-5 years.2. Among the 0-6 years old deaf children, their medical care is mainly of the type called the new rural cooperative medical care: 169 deaf children(81.2%) of the total; the vast majority of them are of rural household registration, and their guardians are mainly peasants with junior high school education or lower, taking agriculture as their main occupation, altogether 165 peasants(79.3%); the guardians' education level is mainly junior high school, 202 people in total(97.1%).3. The average hearing loss of the deaf children was mostly more than 91 d BHL. The majority of the children aged 0-6 years were in private language training institutions; 129 subjects(62%) were in private language training institutions; 79 people(38.0%) were in public language training institutions.4. Before application of the hearing aid program, the hearing aid wearing rate was low among the deaf children: 195 of them were not wearing any, accounting for 93.7%. The comprehensive calculation shows that the hearing aid wearing rate was 6.25%, among which 1 person wore it on a single ear, accounting for 0.5%,while 12 people wore it binaurally, accounting for 5.8%. As per relevant calculations, before the salvage project, the average speech recognition rate was 3.13%, and the average speech age was 0.05 years. The overall rehabilitation of deaf children before receiving help from the hearing salvage program did not show any obvious signs of improvement.5. The recipients' wearing rate of hearing aids benefiting from the program has been significantly improved: The wearing rate of hearing aids was 99%; 207 people were wearing dual hearing aids or cochlear implants, among whom 1 was wear a single-ear hearing aid due to individual difference. The average maximum speech recognition rate and speech-language development age were also significantly higher than before receiving the program assistance. After the rehabilitation assessment, the average speech recognition rate was calculated according to the formula to be 66.29%. The mean speech-language development age of the subjects after their receiving the program aids was 2.60 years old. 39 deaf children failed to receive the rehabilitation effect evaluation due to their individual differences. However, it should be noted that the overall rehabilitation effect has been promising: 81.25% of the deaf children have significantly improved their hearing.6. 72 of the subjects have a total aid wearing time of 31-40 months before and after receiving aids from the program, accounting for 34.6%. Another 52 deaf children have a total aid wearing time of 21-30 months, accounting for 25%. The proportion of accumulated aid wearing time of 84 deaf children is less than 17%. The cumulative number of deaf children with recovery within 11-20 months is 45, accounting for 21.6%; 59 deaf children within 21-30 months, accounting for 28.4%; 59 deaf children within 31-40 months, accounting for 28.4%; the accumulated rehabilitation training time of 45 deaf children has a proportion of less than 12%. Conclusions1. Among the hearing-impaired children of 0-6 years old in Lianyungang City from 2014 to 2015 who benefited from the government aid project, the vast majority are from rural households, and their guardians,who do agriculture-related jobs are mainly of junior high school education.2. After receiving hearing aids from the government for rehabilitation, hearing-impaired children of 0-6 years old in Lianyungang City were improving significantly, but some children were unable to complete the rehabilitation evaluation due to the difference of the individual hearing conditions. The hearing aid rate was higher than that before implementation of the aid program. The maximum speech recognition rate was higher than that before the hearing-rescue efforts. After implementation of the hearing aid rehabilitation project, the deaf children have significantly improved their hearing abilities and speech abilities than before the hearing-rescue program.3. The age, hearing ability, speech-language ability, cumulative wearing time of hearing aids, and the rehabilitation training time constitute the main influencing factors upon the rehabilitation effect of hearing aid programs for children aged 0-6. |
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