57 Jurnal Sains Kesihatan Malaysia 15(2) 2017: 57-70 DOI : http://dx.doi.org./10.17576/JSKM-2017-1502-08 Artikel Asli/Original Articles Pencapaian Auditori Kanak-kanak Pengguna Implan Koklea di bawah Program Implan Koklea Kebangsaan (Auditory Performance of Paediatric Cochlear Implant Users under the National Cochlear Implant Programme) JULIANA SAMSUDIN, CILA UMAT, SITI ZAMRATOL-MAI SARAH MUKARI & QUAR TIAN KAR ABSTRAK Implan koklea merupakan pilihan intervensi utama untuk mereka yang bermasalah pendengaran sensorineural pada tahap yang teruk dan sangat teruk. Kajian ini bertujuan untuk mengukur pencapaian auditori dalam kalangan kanak-kanak bermasalah pendengaran pralingual yang telah memakai alat implan koklea menggunakan pengukuran terus persepsi terhadap pertuturan (objektif) dan soal selidik ibu bapa (subjektif) serta mengenal pasti faktor demograi yang signiikan menyumbang kepada pencapaian mereka. Seramai 48 orang kanak-kanak daripada Program Implan Koklea di bawah Kementerian Kesihatan Malaysia (KKM) yang berumur pendengaran antara 12 hingga 89 bulan (min = 42.60 ± 19.46 bulan) terlibat dalam kajian ini. Ujian persepi pertuturan dijalankan menggunakan ujian-ujian yang dipilih daripada Evaluation of Auditory Response to Speech (EARS) versi Bahasa Melayu manakala penilaian ibu bapa terhadap pencapaian kanak-kanak dikumpulkan melalui soal selidik Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) versi Bahasa Melayu. Stimulus pertuturan terakam dipersembahkan kepada kanak-kanak dalam medan bebas pada kekuatan bunyi 65 dB SPL dalam bilik terawat bunyi. Keputusan ujian persepsi pertuturan kemudian dikategorikan menggunakan Indeks Kategori Pencapaian Auditori versi Bahasa Melayu (My-CAPI) yang mempunyai 10 kategori bermula daripada ‘0’ hingga ‘9’. Keputusan menunjukkan kebanyakan subjek (N = 20, 41.7%) berada pada kategori ‘2’ dalam tahap My-CAPI (persepsi pertuturan set tertutup yang terhad), manakala tiga orang subjek mencapai kategori maksimum ‘9’ (persepsi pertuturan set terbuka yang tinggi dalam situasi bising). Mod komunikasi adalah satu-satunya faktor demograi yang signiikan berkorelasi dengan My-CAPI dan skor PEACH (p < 0.01). Koeisyen korelasi Pearson menunjukkan perhubungan yang kuat di antara skor PEACH dan My-CAPI (p < 0.01; r = 0.71) mencadangkan soal selidik PEACH boleh memberikan indikasi prestasi auditori jika ujian pertuturan tidak dapat dijalankan. Dapatan kajian menunjukkan majoriti kanak-kanak implan koklea yang diuji belum mencapai prestasi auditori yang memberangsangkan dan penggunaan komunikasi lisan merupakan faktor utama yang dikaitkan dengan pencapaian auditori yang lebih baik. Kata kunci: Persepsi pertuturan; kanak-kanak; Implan koklea; Parents’ Evaluation of Aural/Oral Performance of Children (PEACH); Indeks Kategori Pencapaian Auditori (CAPI) ABSTRACT Cochlear implant (CI) is the main intervention option for people with severe and profound sensorineural hearing loss. The purpose of this study was to investigate the auditory performance of a group of prelingually deafened paediatric cochlear implant users using direct speech perception measures (objective) and a parental questionnaire (subjective) and to identify signiicant demographic factors that might contribute to their performance. A total of 48 children from the Cochlear Implant Program under the Malaysian Ministry of Health with hearing age of 12 to 89 months (mean = 42.60 ± 19.46 months) participated in this study. The speech perception test was conducted using selected tests from the Malay version of the Evaluation of Auditory Response to Speech (EARS) while parental views of the children’s performance were collected using the Malay version of the Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. The recorded speech stimuli were presented to the children in a free ield at approximately 65 dB SPL in a sound treated room. The speech perception test results were then categorized using the Malay version of the Categories of Auditory Performance Index (My-CAPI) with 10 categories ranging from ‘0’ to ‘9’. Results showed that most of the children (N = 20, 41.7%) were performing at category 2 of My-CAPI (limited closed set speech perception) with three children achieved the maximum category 9 (advanced open-set sentences in noise). Communication mode was the only demographic factor that signiicantly correlated with the My-CAPI and PEACH scores (p < 0.01). Pearson correlation coeficient showed a strong relationship between the PEACH scores and My-CAPI levels (p < 0.01; r = 0.71) suggesting that the PEACH questionnaire can be used as an indicator of the auditory performance if the speech perception tests cannot be performed. The indings suggest that the majority of the CI children tested in this study had not achieved satisfactory auditory performance and JSKM15(2) 8.indd 57 24/05/2017 09:24:01