Die waarde van voorafopleiding deur die ouer vir pedo-oudiometrie by drie- en vierjarige kleuters

Abstract

OPSOMMINGDie verkryging van akkurate, betroubare inligting aangaande die gehoorvermoe van jong kinders is van besondere belang vir die oudioloog, maar word dikwels bemoeilik aangesien die kleuter nie goeie samewerking bied in die vreemde pedo-oudiometriese situasie nie. Die oplossing hiervoor is grootliks gelee in die opleiding van die kind voor formele gehoortoetsing en meer spesifiek opleiding tuis deur die ouer. Die doel van hierdie studie was om 'n voorbereidende program op te stel wat die ouer tuis met die kind kan uitvoer, voordat formele toetsing plaasvind. Die waarde en effek van hierdie program in die pedo-oudiometriese situasie is geevalueer by 'n groep drie-en vierjarige kleuters. Resultate dui daarop dat laer en meer akkurate drempels, 'n korter toetstydperk, verminderde angs en beter samewerking verkry is by die kleuters wat vooraf opleiding ontvang het. Die opleidingsprogram kan dus in die kliniese praktyk benut word as voorafopleiding vir pedo-oudiometrie. SUMMARYIt is of great importance to the audiologist to obtain accurate, reliable information concerning the hearing sensitivity of the young child but this is often hampered by the infant's poor co-operation in the strange audiometric situation. The solution lies in the training of the child before formal hearing evaluation and more specifically in training by the parent at home. The aim of this study was to compile a training programme which the parent carries out at home, before formal testing of the child. The value and effect of this programme in pediatirc audiometry was evaluated in a group of three and four year old children. Results showed that lower and more accurate thresholds, a short test time, reduced anxiety and better co-operation was obtained in infants that had received previous training. In clinical practice, the programme can be used for training of the infant before audiometry.