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目的建立人工耳蜗植入术后影响因素的评估体系。方法应用Delphi法以问卷调查的形式,将评估表传送给全国各地70位受邀请的专家,对评估表的评估内容进行分析、判断、列序、权重,并对评估系统中的测试指标进行删改、补充。分析问卷回收率及专家们咨询意见集中程度、协调程度、权威程度,以及对指标的权重系数进行统计学分析。结果经过两轮专家咨询后,问卷的回收率分别为82.86%和93.10%,专家们的意见的集中程度和协调程度的在第二轮咨询时达到了较高的一致性(P<0.05),并得出了二级和三级指标的权重系数。结论本研究的评估内容得到了专家们的积极参与,并有很好的协调性,专家们达成了影响人工耳蜗植入术后患儿康复效果的因素的共识,且二级指标中手术前一般资料所占的权重系数最高,三级指标中人工耳蜗植入时年龄的权重系数最高。
Objective To establish an evaluation system of influencing factors after cochlear implantation. Methods Delphi method was used to send questionnaires to 70 invited experts in all parts of the country to analyze, judge, sort, weight and test the evaluation index of the evaluation system ,supplement. Analyze the questionnaire recovery rate and expert concentration of consultation advice, degree of coordination, authority, and the weight coefficient of indicators for statistical analysis. Results After two rounds of expert consultation, the questionnaire recovery rates were 82.86% and 93.10% respectively. The concentration and coordination degree of experts’ opinions reached a higher consistency (P <0.05) in the second round of consultation, And obtained the second and third level index weight coefficient. Conclusion The assessment of this study has been actively participated by experts and has good coordination. The experts reached consensus on the factors influencing the rehabilitation effect of children after cochlear implant surgery, and the secondary indicators of preoperative Data occupy the highest weight coefficient, and the weight coefficient of age at cochlear implants is the highest among the three indexes.