發(fā)布時(shí)間：2018-03-18 19:56

  本文選題：聾兒　切入點(diǎn)：人工耳蝸　出處：《吉林大學(xué)》2011年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：我國(guó)0~6歲聽(tīng)力殘疾兒童數(shù)量為13.7萬(wàn),每年還將新增加2.3萬(wàn)。人工耳蝸可以幫助患有重度、極重度耳聾的兒童重建聽(tīng)力,加以科學(xué)的康復(fù)訓(xùn)練,絕大部分聾兒能夠正常參與社會(huì)生活。然而目前我國(guó)聽(tīng)力殘疾兒童中70%生活在農(nóng)村地區(qū),那里經(jīng)濟(jì)發(fā)展水平、醫(yī)療衛(wèi)生條件和康復(fù)服務(wù)條件相對(duì)落后,許多家庭經(jīng)濟(jì)收入微薄,無(wú)力承擔(dān)購(gòu)人工耳蝸的昂貴費(fèi)用,因此錯(cuò)過(guò)了聾兒康復(fù)的最佳時(shí)期。 我國(guó)于2009年開(kāi)始實(shí)施“中國(guó)殘聯(lián)貧困聾兒人工耳蝸搶救性康復(fù)項(xiàng)目”。該項(xiàng)目計(jì)劃從2009年到2011年,為1500名1~5歲重度、極重度聾兒免費(fèi)植入人工耳蝸,并提供術(shù)后康復(fù)訓(xùn)練。 本文選取人工耳蝸?lái)?xiàng)目救助對(duì)象94名,對(duì)基本特征及其家庭情況進(jìn)行描述,收集接受人工耳蝸?lái)?xiàng)目聾兒及其家庭滿(mǎn)意度信息,并對(duì)項(xiàng)目服務(wù)滿(mǎn)意度影響因素進(jìn)行分析,對(duì)我國(guó)首次以政府行為為貧困聽(tīng)力殘疾兒童提供人工耳蝸植入及康復(fù)服務(wù)的公共服務(wù)項(xiàng)目的服務(wù)質(zhì)量作出評(píng)價(jià)。結(jié)果顯示,聾兒以農(nóng)村戶(hù)口居多,父母主要是初中文化程度。家庭年人均收入1400元左右,低于全國(guó)殘疾人2005年平均收入水平和全國(guó)平均收入水平�；純盒g(shù)后6個(gè)月平均最大言語(yǔ)識(shí)別率為63.29%,比術(shù)前提高40.03%;平均語(yǔ)言年齡為1.75歲,比術(shù)前提高1.09歲。項(xiàng)目服務(wù)的滿(mǎn)意度平均值為71.94%,其中醫(yī)院手術(shù)滿(mǎn)意度最高,為83%;康復(fù)機(jī)構(gòu)服務(wù)滿(mǎn)意度最低,為59.6%。性別、年齡、耳聾確診到申報(bào)時(shí)間、家庭期望值、術(shù)后調(diào)機(jī)次數(shù)、產(chǎn)品是否出現(xiàn)故障是貧困聾兒家庭項(xiàng)目服務(wù)滿(mǎn)意度的主要影響因素。 本文通過(guò)項(xiàng)目服務(wù)滿(mǎn)意度調(diào)查及影響因素分析,初步探索設(shè)立我國(guó)聽(tīng)力殘疾兒童救助項(xiàng)目績(jī)效評(píng)價(jià)中滿(mǎn)意度測(cè)評(píng)的指標(biāo)和標(biāo)準(zhǔn),并提出了服務(wù)改進(jìn)措施,為我國(guó)在聽(tīng)力殘疾兒童救助項(xiàng)目資金投入的可持續(xù)性提供科學(xué)依據(jù),以便更加合理的制定資源分配政策,逐步推動(dòng)殘疾兒童保障制度的建立。
[Abstract]:The number of children with hearing disabilities aged 0 to 6 in China is 137,000, and a new 23,000 will be added every year. Cochlear implants can help children with severe or extremely severe deafness to reconstruct their hearing and undergo scientific rehabilitation training. Most deaf children can participate in social life normally. However, at present, 70% of the children with hearing disabilities in our country live in rural areas, where the level of economic development, medical and health conditions and rehabilitation services are relatively backward, and many families have a meagre economic income. Unable to afford to buy cochlear implants, missed the best time for deaf children to recover. In 2009, China began to implement the "rescue rehabilitation project for cochlear implants of poor deaf children with disability in China". The project is planned from 2009 to 2011. The project provides free cochlear implant for 1,500 children with severe and extremely severe deafness aged 1 to 5 years, and provides postoperative rehabilitation training. In this paper, 94 cochlear implant recipients were selected to describe the basic characteristics and their families, to collect information on the satisfaction of deaf children and their families, and to analyze the influencing factors of project service satisfaction. This paper evaluates the service quality of the public service project which provides cochlear implant and rehabilitation services for poor hearing disabled children by government behavior for the first time in China. The results show that the majority of deaf children are rural hukou. The parents are mainly junior high school education. The annual per capita income of the family is about 1,400 yuan. It was lower than the average income level of the disabled in 2005 and the national average income level in 2005. The average maximum speech recognition rate in 6 months after operation was 63.29, which was 40.03% higher than that before operation, and the average language age was 1.75 years old. The average degree of satisfaction of the project service was 71.94 years higher than that of the pre-operation. The hospital had the highest satisfaction degree of operation with 830.The rehabilitation institution had the lowest satisfaction degree of 59.6. gender, age, the time to declare the hearing loss, family expectation, gender, age, hearing loss, the time to declare the deafness, and the expectation of the family. The frequency of postoperative machine adjustment and the failure of the product are the main factors influencing the service satisfaction of poor deaf children. Through the investigation of project service satisfaction and the analysis of influencing factors, this paper preliminarily explores the establishment of indicators and standards of satisfaction evaluation in the performance evaluation of hearing disabled children's rescue projects in China, and puts forward some service improvement measures. This paper provides a scientific basis for the sustainability of the funds invested in the project for the relief of children with hearing disabilities in China, so as to make a more reasonable policy of resource allocation and gradually promote the establishment of a guarantee system for children with disabilities.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類(lèi)號(hào)】：R764.43

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