Objective

2

To analyze the function and effect of family participation management under the guidance of shared decision in the speech rehabilitation training of children with hearing impairment.

Methods

2

31 children with hearing impairment who received family participation management under the guidance of shared decision in the speech rehabilitation training in the hospital from January 2019 to January 2020 were selected and included into the observation group

and according to gender

age matching selection principle

32 cases of children with hearing impairment who received routine speech rehabilitation training at the past period (from January 2018 to December 2019) in the hospital were selected and included into the control group. Auditory ability

language ability

psychosocial status and quality of life were compared between the two groups.

Results

2

Compared with those before the intervention

the auditory ability and language ability scores of the two groups significantly increased at 2

4 and 6 months after the intervention

and the auditory ability and language ability scores of the observation group were significantly higher than those of the control group at 2

4 and 6 months after the intervention (

P

<

0.05); After the intervention

fear of negative evaluation

social avoidance and distress

and total scores of Social Anxiety Scale of Children (SASC) significantly decreased in both groups compared with those before the intervention

(

P

<

0.05)

while fear of negative evaluation

social avoidance and distress

total scores of SASC in the observation group were significantly lower than those in the control group (

P

<

0.05); After the intervention

parents' expectation

family influence

children's quality of life and total scores of children using hearing implants quality of life (CuHIQol) in the two groups significantly increased compared with those before the intervention (

P

<

0.05)

while parents' expectation

family influence

children's quality of life and total scores in the observation group were significantly higher than those in the control group (

P

<

0.05).

Conclusion

2

Family participation management under the guidance of shared decision is more conducive to the improvement of children's hearing and language ability in the speech rehabilitation training of children with hearing impairment

and has more significant advantages in improving children's social psychological state and family life quality.