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Quality of life of children with cochlear implants

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Author(s):
Joice de Moura Silva
Total Authors: 1
Document type: Master's Dissertation
Press: Bauru.
Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB)
Defense date:
Examining board members:
Adriane Lima Mortari Moret; Mariane Perin da Silva Comerlatto; Natália Barreto Frederigue Lopes; Eliane Maria Carrit Delgado Pinheiro
Advisor: Adriane Lima Mortari Moret
Abstract

Several factors have influence on the performance of hearing abilities, spoken language and quality of life of children with cochlear implants (CI). Investigating the multidimensional impact of hearing impairment on the various demands of the child\'s life can help identifying the variables that most influence on results of this population. The achievement of the greatest benefits provided by the use of the electronic device depends on effective insertion in specialized speech therapy and investments in family participation in the auditory habilitation and rehabilitation process. This study aimed to evaluate the quality of life of children with prelingual hearing loss who use cochlear implants and to analyze the correlation with the results of auditory perception of speech, the performance of spoken language and the degree of family permeability in the therapeutic process. Thirty children of both sexes, ranging from six complete years to 12 incomplete years, who use cochlear implants and their respective parents and/or legal guardians participated in the study. The children were evaluated for auditory perception of speech, performance of spoken language, familial permeability and quality of life. The evaluation of hearing abilities showed a statistically significant correlation between the auditory scale Categories Auditory Performance (CAP) and Language Category. In the evaluation of spoken language, no statistically significant results were observed among the studied variables. Familial permeability revealed statistically significant correlations with CAP. From the perspective of parents, CI improved quality of life in all domains related to the child and in one of the domains related to the family. The subscale social relations presented a higher score among the domains. The increase of chronological age had a positive impact on the educational aspects of quality of life. Children with higher hearing categories had an influence on communication and education, and communication was also influenced by language category. Language skills were correlated with the autonomy of children, and parents more permeable to rehabilitation impacted on communication and education. No statistically significant correlations were found between quality of life and age at surgery and hearing age. However, the negative correlation between age at surgery and quality of life suggests that early implanted children tend to have a better quality of life. Therefore, it was concluded that the variable oral language influenced the quality of life in the domains communication and autonomy of the child. The variables auditory performance and familial permeability influenced on quality of life in communication and education domains. Quality of life in the education domain was also influenced by the chronological age of the child. (AU)

FAPESP's process: 16/24216-0 - Quality of life in children with cochlear implants
Grantee:Joice de Moura Silva
Support type: Scholarships in Brazil - Master