CAJ | 학술논문

目的：探讨康复模式对先天性重度或极重度感音神经性聋婴幼儿听觉言语能力的影响。方法依据康复模式将63例确诊为重度或极重度感音神经性聋婴幼儿分为A组（21例，仅家庭康复模式）、B组（19例，仅康复机构康复模式）、C组（23例，家庭与康复机构相结合康复模式），采用听觉行为分级（categories of auditory per‐formance ，CAP）、言语可懂度分级（speech intelligibility rating ，SIR）、婴幼儿有意义听觉整合量表（infant －toddler meaningful auditory integration scale ，IT －MAIS）、有意义言语使用量表（meaningful use of speech scale ，MUSS）对各组受试者听觉干预前（0个月）和听觉干预后（3、6、9、12个月）的听觉言语能力发展效果进行评估比较。结果重复测量方差分析结果显示，各组听障婴幼儿在听觉干预3～12个月期间，C组四种评估问卷得分均值明显高于A组和B组相对应的得分均值，差异均有统计学意义（P＜0．05）。结论家庭与康复机构相结合的康复模式更有利于听障婴幼儿早期听觉言语能力的提升。
목적：탐토강복모식대선천성중도혹겁중도감음신경성롱영유인은각언어능력적영향。방법의거강복모식장63례학진위중도혹겁중도감음신경성롱영유인분위A조（21례，부가정강복모식）、B조（19례，부강복궤구강복모식）、C조（23례，가정여강복궤구상결합강복모식），채용은각행위분급（categories of auditory per‐formance ，CAP）、언어가동도분급（speech intelligibility rating ，SIR）、영유인유의의은각정합량표（infant －toddler meaningful auditory integration scale ，IT －MAIS）、유의의언어사용량표（meaningful use of speech scale ，MUSS）대각조수시자은각간예전（0개월）화은각간예후（3、6、9、12개월）적은각언어능력발전효과진행평고비교。결과중복측량방차분석결과현시，각조은장영유인재은각간예3～12개월기간，C조사충평고문권득분균치명현고우A조화B조상대응적득분균치，차이균유통계학의의（P＜0．05）。결론가정여강복궤구상결합적강복모식경유리우은장영유인조기은각언어능력적제승。
Objective To analyze the auditory skills and speech development in congenital severe or profound hearing impaired infants and toddlers of 3~36 months in early intervention under different rehabilitation modes . Methods Based on different rehabilitation modes ,63 infants and toddlers with severe or profound hearing loss were divided into group A (family rehabilitation mode) ,group B (institutional rehabilitation mode) ,and group C (family plus institutional rehabilitation modes) ,using questionnaires of categories of auditory performance (CAP) ,speech intelligibility rating (SIR) ,infant -toddler meaningful auditory integration scale (IT -MAIS) ,meaningful use of speech scale (MUSS) to assess and analyze auditory skills and speech development before intervention (0 month) and after intervention (3 months ,6 months ,9 months and 12 months) .Results The mean scores of CAP ,SIR ,IT-MAIS and MUSS of group C were higher than those of groups A and B under auditory intervention from three months to twelve months .The mean scores of CAP ,SIR ,IT -MAIS and MUSS were significantly different be‐tween group C and group A or group B (P<0 .05) .Conclusion Family plus institutional rehabilitation modes have more advantages to promote auditory skills and speech development of hearing impaired infants and toddlers with auditory invention .