针对儿童听力障碍和听觉处理障碍的多学科临床评估和干预:研究结果与临床实践之间的关系
David R Moore1,2,3, Li Lin1, Ritu Bhalerao1
1Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH.
medRxiv : the preprint server for health sciences
|July 1, 2024
概括
护理人员报告和研究测试可靠地预测了儿童大多数听力困难 (LiD),除了听力处理障碍 (APD). 这突出了LID作为一个复杂的神经发育问题,需要多方面的诊断和干预方法.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科听力学 儿科听力学
- 临床心理学 临床心理学
背景情况:
- 听力困难 (LiD) 经常与听力处理障碍 (APD) 相关.
- 以前的研究表明,照顾者报告的LiD和正常听力测试的儿童在听力和认知测试中表现不佳.
- 这项研究将研究结果与对患有LiD的儿童的临床评估联系起来.
研究的目的:
- 检查研究和临床环境之间的听力障碍儿童的预测关系.
- 为了比较临床评估和干预措施与基于研究的表现,在儿童与LiD.
- 确定与LiD相关的临床条件的可靠预测因素.
主要方法:
- 审查了64名儿童 (6-13岁) 的电子医疗记录,护理人员报告了LiD.
- 分析了来自听力学,职业治疗,心理学和语音语言病理学的临床评估和干预.
- 使用单变量和后勤预测分析,比较临床接触的描述统计数据与标准化研究测试性能.
主要成果:
- 确定了24个与LiD相关的临床类别,包括APD. 常见的疾病包括注意力 (32%),语言 (28%) 和听力 (18%) 障碍.
- 护理人员报告和定量研究数据可靠地预测了大多数临床条件,除了APD.
- 复合SCAN评分预测了临床语言和注意力困难,但不是APD诊断.
结论:
- 听力障碍是一种多方面的神经发育问题,得到了各种临床表现和干预措施的支持.
- 临床和研究评估之间的比较表明,优先考虑护理人员报告和用于查和诊断的特定心理测试.
- 使用护理人员输入和有针对性的心理测试的综合方法可能会提高LiD的诊断准确性.
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