Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
İşitsel Rehabilitasyon Başlama Süresi ve Ebeveyn Eğitim Düzeyinin İlişkisi: Tanımlayıcı Araştırma
The Relationship Between the Duration of Auditory Rehabilitation Initiation and Parental Education Level: Descriptive Research
Banu BAŞa , Zeynep KIRILMAZb , Sümeyye Nur ACARb
aAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, Türkiye
bAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü, Odyoloji Yüksek Lisans Programı, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(1):131-7
doi: 10.5336/healthsci.2024-103952
Article Language: TR
Full Text
ÖZET
 Amaç: İşitme kaybına sahip işitsel implant kullanıcısı çocukların akademik, sosyal, bilişsel ve işitsel gelişimleri için büyük önem taşıyan işitsel rehabilitasyon sürecine, implant cerrahisinden ne kadar süre sonra başladıklarını tespit etmek ve ebeveynlerin bu konudaki farkındalıklarının belirlenmesidir. Gereç ve Yöntemler: İşitsel implant kullanıcısı 101 çocuğun ebeveynlerine araştırmacılar tarafından hazırlanan anket uygulanmıştır. Hazırlanan anket, işitsel implant kullanıcısı çocuğun demografik bilgilerine ek olarak 8 soruyu içermektedir. Araştırma verileri çocukların devam ettikleri özel eğitim ve rehabilitasyon merkezlerinden elde edilmiştir. Katılımcılar çalışmanın içeriği hakkında bilgilendirilmiş ve yazılı onamları alınmıştır. Bulgular: İşitsel implant kullanıcısı çocukların 55'inin (%59,7) implant cerrahisinden en geç 3 ay sonra, 23'ünün (%25) 6 ay sonra, 14'ünün (%15,2) en erken 1 sene sonra rehabilitasyon sürecine başladıkları görülmüştür. Ankete katılan ebeveynlerin 45'i (%48,9) ortaöğretim veya daha az, 25'i (%27,2) lise, 16'sı (%17,4) lisans ve 6'sı (%6,5) lisansüstü eğitim düzeyine sahiptir. Çocukların rehabilitasyon eğitimine başlamaları ile ebeveynin eğitim düzeyi arasında istatistiksel olarak anlamlı olmayan düşük bir korelasyon bulunmuştur (rs=0,059, p>0,05). Sonuç: Erken dönemde tanı ve tedavi, çocukların tüm gelişim alanlarında normal gelişim gösteren akranlarına benzer performans gösterebilmeleri için gereklidir. Ebeveynlere aile danışmanlığı yapılması ve implant adayı işitme kayıplı çocukların, cerrahi öncesinde işitme cihazı kullanımı ile eş zamanlı işitsel rehabilitasyon eğitimine dâhil edilmiş olmaları cerrahiden sonra daha kısa sürede eğitime dönmelerini sağlamaktadır.

Anahtar Kelimeler: Erken müdahale; işitsel rehabilitasyon, koklear implant; işitsel beyin sapı implantı, aile yaklaşımı
ABSTRACT
 Objective: It is aimed to determine how long after the implant surgery, children with hearing loss who use auditory implants start the auditory rehabilitation process, which is of great importance for their academic, social, cognitive and auditory development, and to determine the awareness of parents on this issue. Material and Methods: A questionnaire prepared by the researchers was administered to the parents of 101 children using auditory implants. The questionnaire includes 8 questions in addition to the demographic information of the child using the auditory implant. The research data were obtained from the special education and rehabilitation centers the children attend. Participants were informed about the content of the study, and their written consent was obtained. Results: It was observed that 55 (59.7%) of the children with auditory implants started the rehabilitation process at the latest 3 months after implant surgery, 23 (25%) after 6 months, and 14 (15.2%) after one year at the earliest. Of the parents surveyed, 45 (48.9%) had secondary education or less, 25 (27.2%) high school, 16 (17.4%) undergraduate and 6 (6.5%) graduate education. There was a statistically non-significant weak correlation between the parents' educational level and the time of children's initiation of rehabilitation (rs=0.059, p>0.05). Conclusion: Early diagnosis and treatment are essential for children to perform similarly to their peers with normal development in all areas of development. Family counseling for parents and the inclusion of children with hearing loss who are implant candidates in auditory rehabilitation training concurrently with hearing aid use prior to surgery enable them to return to education sooner after surgery.

Keywords: Early intervention; aural rehabilitation, cochlear implantation; auditory brainstem implantation, family approach
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