To Analyze The Related Factors Of Cochlear Implantation In Children With Sensorineural Hearing Loss

Objective: To evaluate the effects of cochlear implantation(CI)on the auditory,speech and psychological states of prelingual deaf patients,and to analyze the potential relationship among them by using structural equation model.Methods: The clinical data of 112 patients with severe to profound bilateral congenital sensorineural hearing loss who received CI implantation in the 940 th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army from January 2017 to December 2021 were collected.The participants received rehabilitation training in the same auditory and speech rehabilitation center for more than 2 years in time after CI.The patients were followed up for 1 year after the completion of the institutional training.The social statistical factors included the patient’s age,gender,whether they were the only child,place of residence,parents’ education level,guardian,daily communication mode and preoperative residual hearing,etc.The effects of these variables on the auditory ability,speech ability and psychological states of the patients were analyzed.A structural equation model was constructed to analyze the potential factors among auditory ability,speech ability and psychological states.Results:1.There was no significant difference in the scores of auditory ability,speech ability and psychological states between the patients with implantation age,gender and whether they were the only child(P>0.05).There were significant differences in the scores of residence,parents’ education level,daily communication mode,and guardian’s auditory ability,speech ability and psychological states(P<0.05).In addition,the preoperative residual hearing had statistical significance on the psychological states scores(P<0.05).2.The daily communication mode of children with CI,parents’ education levels and the place of residence had a direct impact on the auditory ability and speech ability,and the residual hearing had a direct impact on the psychological states.In addition,auditory ability and speech ability can affect the psychological states,and speech ability played a partial mediating effect between auditory ability and psychological states.Conclusions: Some social statistical factors can affect the rehabilitation efficacy of children with CI.Through the path relationship in the structural equation model,the direct and indirect relationship between variables is more deeply understood,which suggests that we should not only pay attention to the development of children’s auditory and speech ability,but also the psychological states of children.