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  Česky / Czech version Otorinolaryng. a Foniat. /Prague/, 52, 2003, č. 3, s. 133-138.
 
Influence of Additional Social Environment on the Performance of a Child with Cochlear Implant 
Groma M.**, Šimková Ľ.*, Profant M., Kabátová Z., Šimko Š.*, Seginko K. 

I. Otolaryngologická klinika LF UK, FN a SPAM, Bratislava, prednosta prof. MUDr. M. Profant, CSc.Foniatrické oddelenie FN, Bratislava,primár MUDr. Š. Šimko, CSc.*Pedagogická fakulta UK, Bratislava**
 


Summary:

       Majority of papers evaluate progress of children with cochlear implant according to the clinical presumptions (audiological, logopedical, psychological, age in time of cochlear implantation). Only few papers pay attention to wider sphere of factors that can have an influence on the performance of a child with cochlear implant. The goal of this paper is to define social aspects that may play a major role in the development of a child with cochlear implant. Forty two children operated in the Cochlear implant center Bratislava that use cochlear implant. Forty two children operated in the Cochlear implant center Bratislava that use cochlear implant at least one year have been observed. These children have been devided in two groups: 1. Children that fulfilled our expectation due to their clinical pressumptions (audiological, logopedical, psychological, age in time of Cochlear implantation), 2. Children that did not fulfil our expectation. In each group the following social and demographic characteristics have been evaluated: Completnes of the family, socio-cultural family status, involvement of the family in the rehabilitation process, educational style in the family, type of school attended, region in which the family with implanted child live. From the observed and evaluated data the most important influence on the performance of a child with cochlear implant have following social anddemographic factors: educational style in the family (especially consistency in education), socio-cultural family status (level of education, economical situation, social status, involvement of the family in rehabilitation process. Some social and demographic factors play as important role in the progress of a child with cochlear implant as clinical factors. These social and demographic factors should be observed and evaluated the selection of cochlear implant candidates to reach expected results.

        Key words: cochlear implantation, clinical presumptions of cochlear implantation, social and demographic characteristics.
       

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