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护士使用耳声排放进行婴儿听力查的可靠性
Mukovhe Phanguphangu1, Andrew J Ross
1Department of Family Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban. mukovhe.phanguphangu1@alumni.lshtm.ac.uk.
通过使用扭曲产品耳声排放 (DPOAE) 的护士进行婴儿听力查,可用于早期检测先天性听力损失 (HL). 这种方法可以改善查的准入,并减少在南非的识别延迟.
科学领域:
- 听力学 听力学是指听力学.
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 在南非,先天性听力损失 (HL) 往往在30个月左右的晚期被发现.
- 婴儿和新生儿听力查 (INHS) 的有限准入有助于诊断延迟.
- 需要使用替代查模型,例如护士管理的INHS.
研究的目的:
- 为了评估护士管理的INHS的可靠性.
- 评估与听力学家查相比,护士查的一致性.
主要方法:
- 一项涉及50名婴儿在6周免疫接种时的重复措施研究.
- 婴儿接受了两个护士和一名听力学家使用扭曲产品耳声发射 (DPOAE) 的独立查.
- 通过使用科恩的卡帕来分析数据以达成一致.
主要成果:
- 26% (13/50) 的婴儿没有通过DPOAE查.
- 在听力学家和护士查之间发现了几乎完美的一致性 (k=0.81).
- 所有失败的婴儿都被转诊进一步评估.
结论:
- 护士可以可靠地进行DPOAE查先天性HL.
- 护士管理的DPOAE查可以整合到免疫计划中.
- 这种模式有可能增加INHS访问并满足早期识别标准.
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