Factors influencing the quality of life of children with cochlear implants,

Abstract Introduction The multidimensional impact of hearing loss on the various demands of life in children using cochlear implants is represented by variables that can influence the hearing, language and quality of life outcomes of this population. Objective To evaluate the factors influencing the quality of life of children with cochlear implantation, considering age, hearing age, age at evaluation, hearing skills, spoken language, family degree of receptiveness, schooling and socioeconomic status of the parents. Methods Participated 30 children using cochlear implants, aged 6 to 12 years and their respective parents. The children were evaluated by the categories auditory performance, by language category, and by the children with cochlear implants: perspectives parents questionnaire. Parents were assessed by the family involvement scale. Results The cochlear implant impacted the quality of life of the children, with more significant results on the increase of the social relations domain and the decrease of the family support domain. Overall, the increase of the age in the evaluation, better hearing and language skills, the mother's level of schooling and the family receptiveness correlated with the quality of life of children with cochlear implants. Conclusion The influencing factors that correlated with the quality of life of the implanted children were the child's older age at the evaluation, the better hearing and language skills, the mother's level of schooling and the family receptiveness.

摘要 引言：听力损失对使用人工耳蜗（Cochlear Implants）儿童的生活各方面需求产生的多维度影响，可通过影响该群体听力、语言及生活质量结局的变量予以体现。
研究目的：本研究旨在评估人工耳蜗植入儿童的生活质量影响因素，考量维度包括年龄、听觉年龄、评估时年龄、听觉技能、口语能力、家庭接纳度、父母受教育程度及父母社会经济地位。
研究方法：本研究纳入30名6~12岁的人工耳蜗植入儿童及其对应家长。针对儿童的评估涵盖听觉表现、语言能力两大类别，以及《人工耳蜗植入儿童：家长视角问卷》（Children with Cochlear Implants: Perspectives Parents Questionnaire）；针对家长则采用家庭参与量表（Family Involvement Scale）进行测评。
研究结果：人工耳蜗对儿童的生活质量存在显著影响，具体表现为社会关系领域得分显著提升，家庭支持领域得分显著下降。整体而言，评估时年龄更大、听觉与语言技能更佳、母亲受教育程度更高以及家庭接纳度更高，均与人工耳蜗植入儿童的生活质量呈正相关。
研究结论：与人工耳蜗植入儿童生活质量相关的影响因素包括：儿童评估时的年龄更大、听觉与语言技能更佳、母亲受教育程度更高以及家庭接纳度更高。