Izhodišča: Ponavljajoča se vnetja srednjega ušesa in prevo-dna izguba sluha v zgodnjem predšolskem obdobju pogos-to povzročajo spreminjajoče se stanje sluha, ki pomembno vpliva na pravilen ...govorno-jezikovni razvoj otroka. Večje je tudi tveganje fonoloških motenj. Material, preiskovanci in metode: V pregledno raziskavo je bilo vključenih 206 otrok v starosti 4,04–5,06 leta, ki so se v obdobju od marca 2021 do avgusta 2021 udeležili preven-tivnega logopedskega pregleda petletnikov v zdravstvenih domovih v severovzhodni Sloveniji. Rezultati: Pojavnost vnetja srednjega ušesa pri otrocih je 55 %. Najpogostejše posledice vnetja srednjega ušesa so težave na področju fonologije, jezikovne težave in težave pri pragmatiki. Zaključki: Večkratne epizode vnetja srednjega ušesa, ki trajajo daljši čas, lahko pri otroku povzročijo fluktuacijo sluha oz. prevodno naglušnost, ki povzroča težave na govorno-jezikovnem področju.
To provide physicians and patients with the tools needed to evaluate patients' problems and health-related quality of life by cross-culturally adapting and validating the Chronic Otitis Media ...Questionnaire 12 (COMQ-12), the Dizziness Handicap Inventory (DHI), the Neuropsychological Vertigo Inventory (NVI) and the Tinnitus Handicap Inventory (THI).
COMQ-12, DHI, NVI and THI were translated into the Slovenian language and completed by patients treated at our department for chronic otitis media, vertigo or tinnitus. The control group for each questionnaire consisted of healthy volunteers. Internal consistency, test-retest reliability, discriminant validity, diagnostic accuracy and cut-off value were determined for each questionnaire.
Test-retest reliability was excellent for DHI (ICC A=0.946) and NVI (p=0.315, ICC A=0.975), good to excellent for COMQ-12 (p=0.680, ICC A=0.858) and satisfactory for THI (p=0.120). Discriminant validity was confirmed for each questionnaire (p>0.05) using the Mann-Whitney U test (COMQ-12, DHI, THI) or the Welch t-test (NVI). COMQ-12 had acceptable (α=0.796) and DHI (α=0.910), NVI (α=0.950) and THI (α=0.924) perfect internal consistency. COMQ-12 and DHI had excellent, NVI acceptable and THI perfect diagnostic accuracy (AUC=0.987, AUC=0.999, AUC=0.781 and AUC=1.000 respectively). Cut-off values determined by Youden's index were 7, 7, 9 and 56 for COMQ-12, THI, DHI and NVI, respectively.
Slovenian COMQ-12, DHI, NVI and THI are a valid and accurate tool for the diagnosis and measurement of health-related quality of life in patients with chronic otitis media, vertigo and tinnitus. They could aid general practitioners, occupational health specialists, neurologists and otorhinolaryngologists.
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