Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale

ZHU Li-guo; SHEN Min; YI Hai-yan

doi:10.3969/j.issn.1672-4933.2026.04.018

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Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale

Rehabilitation Education | 更新时间：2026-09-22

- Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 4, Pages: 421-426(2026)
- 作者机构：
  
  上海市特殊儿童康复中心上海 200127
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.04.018
  CLC： R764.5
- Received：03 October 2025，
  
  Revised：2026-03-05，
  
  Accepted：20 March 2026，
  
  Published：15 July 2026
- 稿件说明：
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朱立国,沈敏,易海燕.上海地区人工耳蜗植入儿童生活质量评估：基于Nijmegen量表的回顾性分析[J].中国听力语言康复科学杂志,2026,24(04):421-426.

ZHU Li-guo,SHEN Min,YI Hai-yan.Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):421-426.
朱立国,沈敏,易海燕.上海地区人工耳蜗植入儿童生活质量评估：基于Nijmegen量表的回顾性分析[J].中国听力语言康复科学杂志,2026,24(04):421-426. DOI： 10.3969/j.issn.1672-4933.2026.04.018.

ZHU Li-guo,SHEN Min,YI Hai-yan.Quality of Life Assessment of Children with Cochlear Implants in Shanghai: A Retrospective Analysis Based on the Nijmegen Scale[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):421-426. DOI： 10.3969/j.issn.1672-4933.2026.04.018.

摘要

目的

了解上海人工耳蜗植入儿童的生活质量现状及其影响因素。

方法

采用一般情况调查问卷和Nijmegen人工耳蜗植入量表（Nijmegen cochlear implant questionnaire，NCIQ）儿童版对2005～2023年323例人工耳蜗植入（CI）听障儿童父母进行调查。

结果

（1）CI儿童生活质量显著改善（总量表72.69±13.36），但社会交流、自信心维度面临巨大挑战。（2）不同康复教育处境下儿童总量表及各维度得分具有统计学意义（

=0.000

0.01），康复后普校就读儿童生活质量显著高于康复阶段和特校就读儿童（

0.05）。（3）植入方案在总量表（

=0.001

0.01）和各维度得分（

0.05）上具有统计学意义，同期双侧人工耳蜗植入（simultaneous bilateral cochlear implant，SiBCI）儿童生活质量得分最高。（4）家庭类型对总量表和除自信心外其他5个维度具有统计学意义（

0.05），核心家庭儿童生活质量得分最高。（5）植入年龄对生活质量呈显著负面影响（

0.01）。

结论

未来需关注以家庭为中心的个性化支持，构建整合医疗、康复与教育的生态支持系统，创造包容性学习环境，促进CI儿童的社会融入。

Abstract

Objective

To understand the quality of life and its influencing factors among children with cochlear implants in Shanghai.

Methods

A survey was conducted among parents of 323 hearing-impaired children under 18 years old who underwent cochlear implant (CI) between 2005 and 2023

using a general condition questionnaire and the Nijmegen Cochlear Implant Questionnaire (NCIQ) pediatric version.

Results

(1) The quality of li

fe of children with CI was significantly improved (total scale 72.69±13.36)

but they faced significant challenges in the dimensions of social communication and self-confidence. (2) The total scale and dimension scores of children under different rehabilitation education settings were statistically significant (

=0.000

0.01)

and the quality of life of children attending regular schools after rehabilitation was significantly higher than that of children in the rehabilitation stage and those attending special schools. (3) The implantation scheme was statistically significant in the total scale (

=0.001

0.01) and dimension scores (

0.05)

with children receiving SiBCI (simultaneous bilateral cochlear implant) having the highest quality of life scores.

Conclusion

In the future

attention should be paid to family-centered personalized support

building an ecological support system that integrates medical care

rehabilitation

and education

creating an inclusive learning environment

and promoting the social integration of children with CI.

关键词

Keywords

references

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