儿童听力困难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 Moore1,2,3,4, Li Lin1, Ritu Bhalerao1
1Division of Patient Services Research, Cincinnati Children's Hospital Medical Center, OH.
概括
护理人员报告和特定测试有效预测儿童听力障碍 (LiD),这是一个复杂的神经发育问题. 虽然研究和临床数据在许多疾病中一致,但听力处理障碍 (APD) 的预测仍然具有挑战性.
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
- 儿童学习障碍 儿童学习障碍
背景情况:
- 听力困难 (LiD) 经常与听力处理障碍 (APD) 相关.
- 听力测试正常但报告有LiD的儿童在听力和认知技能方面表现出缺陷.
- 了解研究结果和临床实践之间的关系对于LiD至关重要.
研究的目的:
- 调查基于研究的评估与儿童听力障碍临床评估之间的预测关系.
- 为了比较临床数据与研究表现的儿童与LiD.
- 为了确定有效的查和诊断路径,为LiD.
主要方法:
- 在儿童医院对64名 (6-13岁) 患有护理人员报告的LiD的儿童进行了一项研究.
- 电子医疗记录被审查为临床评估和干预在听力学,职业治疗,心理学和语音语言病理学.
- 临床数据与使用统计分析的标准化研究测试性能进行了比较.
主要成果:
- 与LiD相关的24个临床类别被确定,注意力,语言,听力,焦虑和自闭症谱系障碍是最常见的.
- 根据提供者,条件和干预措施,研究测试的表现有显著差异.
- 护理人员报告和研究数据可靠地预测了大多数临床条件,除了听觉处理障碍 (APD).
结论:
- 儿童听力障碍是一个复杂的,多方面的神经发育问题.
- 护理人员报告和精选的心理测试显示了查和诊断的前景.
- 需要进行进一步的研究,以改善在临床环境中对听觉处理障碍 (APD) 的预测.
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