The effect of improving the physical and mental health on different rehabilitation programs for post-linguistic cochlear implantees
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摘要: 目的: 评价不同人工耳蜗术后康复方案对于改善语后聋成年患者听觉能力、降低交流恐惧程度的作用。方法: 采用普通话噪声下言语测试(MHINT)材料、交流恐惧自陈量表(PRCA-24)和中文版Nijmegen人工耳蜗植入量表(NCIQ)评估36例语后聋成年人工耳蜗使用者接受家庭支持方案、听觉训练方案、心理干预方案康复前后的听觉能力、心理健康水平以及健康相关生活质量。结果: ①家庭支持方案有利于改善语后聋成年人工耳蜗使用者的听觉能力(P<0.05),但对于缓解交流恐惧情绪无效;②听觉训练方案既可改善其听觉能力(P<0.01),亦可降低对二人交谈场景的恐惧程度(P<0.01);③心理干预方案可显著提高其听觉能力,降低其对于二人、多人以及公众场景的交流恐惧程度并有利于提高语后聋成年人工耳蜗使用者的整体生活质量(P<0.01)。结论: 采用听觉言语训练和团体心理干预相结合的康复方案,有助于缓解人工耳蜗使用者的交流恐惧情绪,增强社会适应能力,提高整体生活质量,使听力障碍者最大程度获益。Abstract: Objective: To evaluate the physical and mental health status of post-linguistic cochlear implantees, and then to explore the effectiveness on of different rehabilitation programs.Method: Mandarin hearing in noise test(MHINT),personal report of communication apprehension (PRCA-24) and Nijmegen cochlear implant questionnaire (NCIQ) were used to measure the hearing ability, mental health degree and the health related life quality in 36 post-linguistic cochlear implant users, respectively. The improvement of subjects' physical and mental health levels was compared with among different rehabilitation programs, including family training program, auditory habilitation program and psychological intervention program.Result: ①Family training program only can improve the subject's hearing ability (P<0.05), but failed to ease the communication apprehension;②Auditory habilitation program can both significantly improve the subjects' hearing ability (P<0.01) and ease the fear of talking face to face (P<0.01);③Psychological intervention program can significantly increase the auditory abilities (P<0.01), reduce the communication apprehension (P<0.01) and improve the quality of life.Conclusion: Post-linguistic cochlear implantees had obvious mental symptoms. It was very important to design an effective rehabilitation program to improvement the living quality of hearing loss people.
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Key words:
- deafness /
- cochlear implantation /
- communication apprehension /
- group therapy
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[1] WONG L L,SOLI S D,LIU S,et al.Development of the Mandarin Hearing in Noise Test(MHINT)[J].Ear Hear,2007,28(2 Suppl):70S-74S.
[2] ZHANG N,LIU S,XU J,et al.Development and applications of alternative methods of segmentation for Mandarin Hearing in Noise Test in normal-hearing listeners and cochlear implant users[J].Acta Otolaryngol,2010,130:831-837.
[3] 汪向东,王希林,马弘.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志出版社,1999:467-470.
[4] 董瑞娟,刘博,彭晓霞,等.Nijmegen人工耳蜗植入量表中文版信度和效度评价[J].中华耳鼻咽喉头颈外科杂志,2010,4(5):818-823.
[5] PENG S C,CHATTERJEE M,LU N.Acoustic cue integration in speech intonation recognition with cochlear implants[J].Trends Amplif,2012,16:67-82.
[6] 亓贝尔,刘博,刘莎,等.人工耳蜗电极植入部位对人工耳蜗使用者言语理解影响的研究[J].临床耳鼻咽喉头颈外科杂志,2011,25(10):441-444.
[7] ZHOU N,XU L.Lexical tone recognition with spectrally mismatched envelopes[J].Hear Res,2008,246:36-43.
[8] GANI M,VALENTINI G,SIGIST A,et al.Implications of deep electrode insertion on cochlear implant fitting[J].J Assoc Res Otolaryngol,2007,8:69-83.
[9] 亓贝尔,李晓芳,董瑞娟,等.语后聋人工耳蜗植入者的心理健康状况分析[J].听力学及言语疾病杂志,2012,20(1):40-43.
[10] 姜乾金.医学心理学[M].4版.北京:人民卫生出版社,2004:142-145.
[11] 吴红东,曹火军,吴洪军,等.聋哑学生心理健康状况及其干预[J].中国健康心理学杂志,2012,20(12):1859-1861.
[12] 王月琴,李海燕.团体心理辅导对改善大学生人际关系的效果[J].中国健康心理学杂志,2014,22(9):1401-1404.
[13] 李丽娜,孙洪霞,付英雪,等.团体辅导对提高大学生自信心、容纳他人与自我和谐水平的实验研究[J].中国健康心理学杂志,2012,20(5):705-707.
[14] 姜柏生.两种医学模式的方法论问题评价[J].医学与哲学,2000,21(8):8-10.
[15] 亓贝尔,刘博,高文斌.听力障碍对患者心理健康的影响[J].临床耳鼻咽喉头颈外科杂志,2014,28(19):1533-1536.
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