İşitme Cihazı Kullanan Çocuklarda Gürültüde Konuşmayı Anlama Becerisinin Değerlendirilmesi: Preliminer Sonuçlar

Yıl 2021, Cilt: 4 Sayı: 2, 45 - 50, 04.09.2021

Ecem Kartal Özcan , Merve Batuk , Şule Kaya , Gonca Sennaroğlu

Öz

Amaç: Gürültülü ortamlar, tıpkı yetişkinler gibi çocukların da günlük yaşamının bir parçasıdır. İşitme kaybı olan ve işitme cihazı takan çocuklar, normal işiten yaşıtlarına göre gürültünün olumsuz etkilerine daha hassastır. Bu çalışmanın amacı işitme cihazı kullanan çocukların gürültüde konuşmayı anlama performanslarının değerlendirilmesi ve normal işiten yaşıtlarıyla karşılaştırılmasıdır.
Gereç ve Yöntemler: Çalışmaya 6-12 yaşları arasında, bilateral ortadan ileri dereceye kadar simetrik sensörinöral işitme kaybı olan ve bilateral kulak arkası işitme cihazı kullanan 5 çocuk dahil edilmiştir. Türkçe HINT-C’nin 4 farklı koşulu uygulanmış ve her koşul için bir konuşmayı anlama eşiği (KAE) belirlenmiştir.
Bulgular: İşitme cihazı kullanan çocukların, yaşlarından bağımsız olarak normal işiten yaşıtlarıyla eşit performansa ulaşabilmek için ihtiyaç duydukları SGO, tüm test koşulları için daha yüksek bulunmuştur. Genel olarak normal işiten çocuklarda da görüldüğü gibi işitme kayıplı çocukların ortalama Gön skoru, ortalama Gsağ ve Gsol skorlarından daha yüksek elde edilmiştir.
Sonuç: Bu araştırmanın sonuçları bilateral simetrik ortadan ileri dereceye kadar işitme kaybı olan çocukların normal işiten yaşıtlarına kıyasla, sınıf ortamına benzer ortamlarda daha kötü konuşmayı anlama skorları elde ettiklerini ortaya koymuştur. Sonuçlarımız, uygun rehabilitasyon ve takipler için yol gösterici olmuştur.

Anahtar Kelimeler

gürültüde konuşmayı anlama, işitme kaybı, işitme cihazı, pediatrik odyoloji, HINT

Assessment of Speech Perception in Noise in Children with Hearing Aids: Preliminary Results

Öz

Objective: Noisy environments are a part of the daily life of children, just like adults. Children with hearing loss who wear hearing aids are more susceptible to the negative effects of noise than their normal-hearing peers. This study aims to evaluate the speech recognition in noise performance of hearing aid users and compare them with their normal-hearing peers.
Material and Method: Five children aged 6-12 years with bilateral moderate to severe symmetrical sensorineural hearing loss and using bilateral behind-the-ear hearing aids were included in the study. 4 different conditions of the Turkish HINT-C were applied, and a speech recognition threshold (SRT) is determined for each condition.
Results: Regardless of their age, the SRT needed by children with hearing aids to achieve equal performance with their normal-hearing peers was found to be higher for all test conditions. As seen in children with normal hearing in general, the mean noise front score of the children with hearing loss was higher than the mean noise right and noise left scores.
Conclusion: The results of this study revealed that children with bilaterally symmetrical moderate to severe hearing loss achieved poor speech recognition scores in environments similar to the classroom environment, compared to their normal-hearing peers. Our results guided appropriate rehabilitation and follow-up.

Anahtar Kelimeler

speech recognition in noise, hearing loss, hearing aid, pediatric audiology, HINT

Kaynakça

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