Abstract：
OBJECTIVE: To study outcome after cochlear implantation using the Cochlear Implant (CI) outcome assessment protocol based on the International Classification of Functioning, Disability and Health (ICF) model (CI-ICF).
METHODS: Raw data of a prospective, longitudinal, multicenter study was analyzed. Seventy-two CI candidates were assessed preoperatively and six months postoperatively using the CI-ICF protocol. Following tools were used: (1) Work Rehabilitation Questionnaire (WORQ), (2) Abbreviated Profile of Hearing Aid Benefit (APHAB), (3) Audio Processor Satisfaction Questionnaire (APSQ), (4) Speech, Spatial, and Qualities of Hearing Scale (SSQ12), (5) Hearing Implant Sound Quality Index (HISQUI19), (6) Nijmegen CI Questionnaire (NCIQ) (7) pure tone audiometry, (8) speech audiometry, (9) sound localization.
RESULTS: There was a significant improvement of speech discrimination in quiet (p = 0.015; p < 0.001) and in noise (p = 0.041; p < 0.001), sound detection (p < 0.001), tinnitus (p = 0.026), listening (p < 0.001), communicating with-receiving-spoken messages (p < 0.001), conversation (p < 0.001), family relationships (p < 0.001), community life (p = 0.019), NCIQ total score and all subdomain scores (p < 0.001). Subjective sound localization significantly improved (p < 0.001), while psychometric sound localization did not. There was no significant subjective deterioration of vestibular functioning and no substantial change in sound aversiveness. CI users reported a high level of implant satisfaction postoperatively.
CONCLUSIONS: This study highlights the positive impact of cochlear implantation on auditory performance, communication, and subjective well-being. The CI-ICF protocol provides a holistic and comprehensive view of the evolution of CI outcomes.
METHODS: Raw data of a prospective, longitudinal, multicenter study was analyzed. Seventy-two CI candidates were assessed preoperatively and six months postoperatively using the CI-ICF protocol. Following tools were used: (1) Work Rehabilitation Questionnaire (WORQ), (2) Abbreviated Profile of Hearing Aid Benefit (APHAB), (3) Audio Processor Satisfaction Questionnaire (APSQ), (4) Speech, Spatial, and Qualities of Hearing Scale (SSQ12), (5) Hearing Implant Sound Quality Index (HISQUI19), (6) Nijmegen CI Questionnaire (NCIQ) (7) pure tone audiometry, (8) speech audiometry, (9) sound localization.
RESULTS: There was a significant improvement of speech discrimination in quiet (p = 0.015; p < 0.001) and in noise (p = 0.041; p < 0.001), sound detection (p < 0.001), tinnitus (p = 0.026), listening (p < 0.001), communicating with-receiving-spoken messages (p < 0.001), conversation (p < 0.001), family relationships (p < 0.001), community life (p = 0.019), NCIQ total score and all subdomain scores (p < 0.001). Subjective sound localization significantly improved (p < 0.001), while psychometric sound localization did not. There was no significant subjective deterioration of vestibular functioning and no substantial change in sound aversiveness. CI users reported a high level of implant satisfaction postoperatively.
CONCLUSIONS: This study highlights the positive impact of cochlear implantation on auditory performance, communication, and subjective well-being. The CI-ICF protocol provides a holistic and comprehensive view of the evolution of CI outcomes.
摘要：
目的：使用基于国际功能分类的人工耳蜗植入（CI）结局评估方案研究人工耳蜗植入后的结局，残疾与健康(ICF)模型(CI-ICF)。
方法：前瞻性原始数据，纵向,分析了多中心研究。术前和术后6个月使用CI-ICF方案评估了72个oCI候选者。使用了以下工具：(1)工作康复问卷(WORQ)，(2)助听器福利(APHAB)的缩写简介，（3）音频处理器满意度问卷（APSQ），（4）演讲，Spatial,和听力质量量表(SQ12)，（5）听力植入物声质量指数（HISQUI19），（6）NijmegenCI问卷（NCIQ）（7）纯音测听，(8)言语测听,(9)声音定位。
结果：在安静（p=0.015；p<0.001）和噪音（p=0.041；p<0.001）中，语音辨别有了显着改善，声音检测(p<0.001)，耳鸣（p=0.026），听力（p<0.001），与接收语音消息通信(p<0.001)，对话(p<0.001)，家庭关系（p<0.001），社区生活(p=0.019)，NCIQ总分和所有子领域得分(p<0.001)。主观声音定位明显改善(p<0.001),而心理测量声音定位没有。前庭功能没有明显的主观恶化，声音厌恶性也没有实质性变化。CI使用者报告术后植入物满意度较高。
结论：这项研究强调了人工耳蜗植入对听觉表现的积极影响，通信,主观幸福感。CI-ICF协议提供了CI结果演变的整体和全面视图。
方法：前瞻性原始数据，纵向,分析了多中心研究。术前和术后6个月使用CI-ICF方案评估了72个oCI候选者。使用了以下工具：(1)工作康复问卷(WORQ)，(2)助听器福利(APHAB)的缩写简介，（3）音频处理器满意度问卷（APSQ），（4）演讲，Spatial,和听力质量量表(SQ12)，（5）听力植入物声质量指数（HISQUI19），（6）NijmegenCI问卷（NCIQ）（7）纯音测听，(8)言语测听,(9)声音定位。
结果：在安静（p=0.015；p<0.001）和噪音（p=0.041；p<0.001）中，语音辨别有了显着改善，声音检测(p<0.001)，耳鸣（p=0.026），听力（p<0.001），与接收语音消息通信(p<0.001)，对话(p<0.001)，家庭关系（p<0.001），社区生活(p=0.019)，NCIQ总分和所有子领域得分(p<0.001)。主观声音定位明显改善(p<0.001),而心理测量声音定位没有。前庭功能没有明显的主观恶化，声音厌恶性也没有实质性变化。CI使用者报告术后植入物满意度较高。
结论：这项研究强调了人工耳蜗植入对听觉表现的积极影响，通信,主观幸福感。CI-ICF协议提供了CI结果演变的整体和全面视图。
