Bedarfsanalyse für ein Selbsthilfetraining im Rahmen der Cochlea-Implantat-Rehabilitation

Zusammenfassung

Hintergrund

Trotz Cochlea-Implantation erleben CI-Träger*innen Schwierigkeiten in anspruchsvollen Hörsituationen. Im deutschsprachigen Raum gibt es keinerlei Interventionen zur Förderung von gezielten Bewältigungsstrategien für derartige Situationen. Die vorliegende Studie untersucht die nach Implantation fortbestehenden Alltagseinschränkungen sowie die Relevanz potenzieller Interventionsinhalte, um ein Selbsthilfeprogramm für die CI-Rehabilitation zu entwickeln.

Material und Methoden

Es wurden 56 CI-Träger*innen aus 3 deutschen CI-Zentren rekrutiert, die eine Online-Befragung zu demografischen Daten, zur Hörbiografie, zum Hörhandicap und zu potenziell relevanten Interventionsinhalten ausfüllten. Die präsentierten Interventionsinhalte umfassten dabei die folgenden Kategorien: medizinische Aspekte, Aspekte zur Kommunikationsverbesserung, psychosoziale Aspekte, technische Aspekte und spezifische Aspekte.

Ergebnisse

Das Hörhandicap war in der vorliegenden Stichprobe moderat bis schwerwiegend ausgeprägt. Die vorgestellten Inhaltskategorien für die Gestaltung eines Selbsthilfeprogramms wurden alle als „wichtig“ eingestuft. Die Dauer der CI-Versorgung korrelierte signifikant negativ mit der Einschätzung der Relevanz von psychosozialen Aspekten. Weitere signifikante Zusammenhänge konnten zwischen der Ausprägung des Hörhandicaps und der Einschätzung der Relevanz von Aspekten zur Kommunikationsverbesserung sowie psychosozialer und technischer Aspekte aufgezeigt werden.

Schlussfolgerung

Ein Selbsthilfeprogramm, das die untersuchten Inhalte berücksichtigt, könnte eine vielversprechende Unterstützung für den CI-Rehabilitationsprozess darstellen und soll im Folgenden entwickelt sowie evaluiert werden.

Abstract

Objective

Despite cochlear implantation, CI users experience difficulties in challenging listening situations. In German-speaking countries, there are no interventions to promote specific coping strategies for such situations. The present study examines persistent everyday limitations and the relevance of potential intervention content in order to develop a self-help program for CI rehabilitation.

Material and Methods

56 CI users from three German CI centers were recruited and completed an online survey on demographic data, hearing biography, hearing handicap and potentially relevant intervention content. The intervention content presented included the following categories: Medical Aspects, Communication Improvement Aspects, Psychosocial Aspects, Technical Aspects, Specific Aspects.

Results

The hearing handicap was moderate to severe in this sample. The content categories presented for the design of a self-help program were all rated as “important”. The duration of CI provision correlated significantly negatively with the assessment of the relevance of psychosocial aspects. Further significant correlations were found between the severity of the hearing handicap and the rating of the relevance of aspects for improving communication, psychosocial and technical aspects.

Conclusion

A self-help program that takes into account the contents examined could provide promising support for the CI rehabilitation process and will be developed and evaluated subsequently.

Schlüsselwörter

Cochlea Implantat - Rehabilitation - Selbsthilfe - Hörbehinderung - Wohlbefinden

Keywords

Cochlear Implant - Rehabilitation - self-management

Publikationsverlauf

Eingereicht: 08. Juli 2024

Angenommen nach Revision: 15. August 2024

Artikel online veröffentlicht:
03. September 2024

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