以人为本的听力咨询在听损儿童家庭哀伤应对中的应用

蒋雯; 刘稳

doi:10.3969/j.issn.1672-4933.2025.02.018

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以人为本的听力咨询在听损儿童家庭哀伤应对中的应用

综述 | 更新时间：2026-07-11

- 以人为本的听力咨询在听损儿童家庭哀伤应对中的应用
- The Application of Person-Centered Hearing Counselling in Grief Coping of Hearing-Impaired Children's Families
- 中国听力语言康复科学杂志 2025年23卷第2期页码：190-192
- 作者机构：
  
  1.徐州医科大学附属医院耳鼻咽喉及头颈外科徐州 221006
  2.徐州医科大学第二临床医学院/江苏省人工听觉工程研究中心徐州 221004
- 作者简介：
  
  蒋雯博士讲师；研究方向：听力学教育、临床听力学
  刘稳，E-mail：liuwen1972@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.02.018
  中图分类号： R764.43
- 收稿：2024-11-22，
  
  纸质出版：2025-03-15
- 稿件说明：
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蒋雯,刘稳.以人为本的听力咨询在听损儿童家庭哀伤应对中的应用[J].中国听力语言康复科学杂志,2025,23(02):190-192.

JIANG Wen,LIU Wen.The Application of Person-Centered Hearing Counselling in Grief Coping of Hearing-Impaired Children's Families[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(02):190-192.
蒋雯,刘稳.以人为本的听力咨询在听损儿童家庭哀伤应对中的应用[J].中国听力语言康复科学杂志,2025,23(02):190-192. DOI： 10.3969/j.issn.1672-4933.2025.02.018.

JIANG Wen,LIU Wen.The Application of Person-Centered Hearing Counselling in Grief Coping of Hearing-Impaired Children's Families[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(02):190-192. DOI： 10.3969/j.issn.1672-4933.2025.02.018.

摘要

听力损失对儿童及其家庭带来深远的情感影响，许多家庭在面对孩子的诊断后经历了复杂且长期的哀伤过程。哀伤不仅是一种情感反应，还是一种心理适应过程，父母在这一过程中可能会经历否认、愤怒、讨价还价、抑郁和接纳5个阶段。以人为本的听力咨询，通过关注家庭成员的情感需求并提供个性化支持，有效促进家庭情感调整和全面康复。本文探讨了结合哀伤5阶段模型，以人为本的听力咨询如何帮助父母在哀伤过程中逐步适应孩子的听力损失，支持家庭康复，并为听力损失儿童提供更好的发展环境。

Abstract

Hearing loss has profound emotional impacts on children and their families

with many families undergoing a complex and prolonged grief process following a child's diagnosis. Grief is not only an emotional response but also a psychological adaptation process

where parents may experience the five stages proposed by Kübler-Ross: denial

anger

bargaining

depression

and acceptance. Person-centered hearing counseling

by addressing the emotional needs of family members and providing personalized support

effectively facilitates emotional adjustment and psychological recovery for families. This paper examines how person-centered hearing counseling

combined with the five stages of grief model

can help parents gradually adapt to their child's hearing loss

support family recovery

and create a better developmental environment for children with hearing loss.

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references

Kurtzer-White E , Luterman D . Families and children with hearing loss: grief and coping [J ] . Mental Retardation and Developmental Disabilities , 2003 , 9 ( 4 ): 232 - 235 .

Schmulian D , Lind C . Parental experiences of the diagnosis of permanent childhood hearing loss: A phenomenological study [J ] . International Journal of Audiology , 2020 , 59 ( 1 ): 54 - 60 .

冯定香 , 刘国益 , 彭惠融 , 编著. 以人为本的听力咨询与康复 [M ] . 重庆 : 重庆出版社 , 2024 . 4 - 47 .

Kübler-Ross E . On death and dying [M ] . London : Routledge , 1973 . 51 - 146 .

Greenhalgh K , Zimmer-Gembeck J , Shanley C , et al . Childhood hearing loss: An uncertain context for parenting [J ] . Deafness & Education International , 2023 , 25 ( 2 ): 121 - 139 .

Moeller P . Early Intervention and Language Development in Children Who Are Deaf and Hard of Hearing [J ] . Pediatrics , 2000 , 106 ( 3 ): e43 - e43 .

Dirks E , Rieffe C . Are You There for Me? Joint Engagement and Emotional Availability in Parent-Child Interactions for Toddlers With Moderate Hearing Loss [J ] . Ear and Hearing , 2019 , 40 ( 1 ): 18 - 26 .

Scarinci N , Erbasi E , Moore E , et al . The parents' perspective of the early diagnostic period of their child with hearing loss: information and support [J ] . International Journal of Audiology , 2018 , 57 ( sup2 ): S3 - S14 .

Åsberg K , Vogel J , Bowers A . Exploring correlates and predictors of stress in parents of children who are deaf: Implications of perceived social support and mode of communication [J ] . Journal of Child and Family Studies , 2008 , 17 ( 4 ): 486 - 499 .

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