دورية أكاديمية
أعرض في EDS

Perceived benefits of cochlear implants by parents: expectations, decision-making process, and barriers to care.

التفاصيل البيبلوغرافية
العنوان: Perceived benefits of cochlear implants by parents: expectations, decision-making process, and barriers to care.
المؤلفون: Ibrahim AM; Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, 11942, Saudi Arabia. a.eleglany@psau.edu.sa.; Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt. a.eleglany@psau.edu.sa., El-Gilany AH; Community Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Mohamed EWA; Pediatric Nursing Department, Faculty of Nursing, Kafrelsheikh University, Kafr el-Sheikh, Egypt., Farrag NS; Community Medicine Department, Faculty of Medicine, Port Said University, Port Said, Egypt.
المصدر: The Journal of the Egyptian Public Health Association [J Egypt Public Health Assoc] 2023 Apr 04; Vol. 98 (1), pp. 7. Date of Electronic Publication: 2023 Apr 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 7505602 Publication Model: Electronic Cited Medium: Print ISSN: 0013-2446 (Print) Linking ISSN: 00132446 NLM ISO Abbreviation: J Egypt Public Health Assoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: [New York, NY] : Springer
Original Publication: Cairo : Egyptian Public Health Association
مستخلص: Background: Identifying predictive factors of the cochlear implant outcomes in pediatric patients is critical in guiding tailored rehabilitation programs. The study aimed to assess cochlear implant outcomes, identify predictors, and highlight decision-making factors and barriers to quality care.
Methods: This cross-sectional study included parents of children who received unilateral cochlear implants for bilateral severe- to- deep sensorineural hearing loss. Inclusion criteria were age ≤ 5 years and intelligence quotient (IQ) Scores ≥ 85, A pre-designed structured questionnaire was used to collect data from parents/guardians of the children attending follow-up. The Arabic validated Glasgow Children Benefit Inventory score was used to assess the health-related quality of life (QOL) after intervention.
Results: The quality of life (QOL) score (outcome) after surgery was positive in all cases. Multivariate analysis showed that the site of operation (Bahtim hospital and Ain Shams Hospital [AOR(95% confidence interval CI), 5.7 (1.4-23), 5 (1.4-17.9), p = 0.015, 0.013, respectively]), education of the father (university/postgraduate [AOR (95% CI): 5 (1.4-17.9), p = 0.013]), the parents' expectation that their child would be able to participate in regular classroom activities [AOR (95% CI): 8.9 (3.7-21.3), p < 0.001], and history of Attention deficit/hyperactivity disorder (ADHD), perinatal hypoxia, and low birth weight [AOR (95% CI): 2.5 (1.2-5.1), 3.7 (1.7-8.1), 4.7 (2.1-10.5), p = 0.013, 0.001, ≤ 0.001, respectively] are significant independent predictors of good outcome.
Conclusion: All parents expressed a positive change in their child's QOL. Almost all parents of children with cochlear implants face many barriers in obtaining quality healthcare services for their children. Parents, especially those with lower schooling, should receive good counselling to increase their confidence in their children's capabilities and maximize benefits of regular follow-up. Improving the quality of healthcare centers is recommended.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Access to health care; Cochlear implantation; Decision making; Health-related quality of life; Hearing disability
تواريخ الأحداث: Date Created: 20230403 Latest Revision: 20230411
رمز التحديث: 20230411
مُعرف محوري في PubMed: PMC10070563
DOI: 10.1186/s42506-023-00132-w
PMID: 37012459
قاعدة البيانات: MEDLINE
الوصف
تدمد:0013-2446
DOI:10.1186/s42506-023-00132-w