Satisfaction with Life among Mothers of Pediatric Cochlear Implant Candidates: The Impact of Implant Operation and Sociodemographic Factors

Abstract

OBJECTIVES:To evaluate the satisfaction with life among mothers of pediatric cochlear implant candidates regarding implant surgery and sociodemographic factors. MATERIALS and METHODS:Mothers of 160 pediatric patients with profound sensorineural hearing loss who underwent unilateral cochlear implant surgery were included. A questionnaire form with items on sociodemographic-familial characteristics and Satisfaction with Life Scale (SWLS) was employed via face-to-face interview method before and 12 months after the implant surgery. RESULTS:The SWLS scores significantly improved after the implant surgery [from 19.1 (7.0) to 28.9 (4.0), p<0.000]. Being unemployed vs. employed [17.9 (6.9) vs. 24.0 (5.3), p=0.000], having another child with hearing disability [13.5 (5.7) vs. 19.7 (6.9), p=0.001], younger (12-24 months) vs. older (>24 months) age of the child at the time of implant surgery [7.1 (0.4) vs. 19.7 (6.6), p=0.001], absence vs. presence of regular follow-up visits [13.0 (0.0) vs. 19.4 (7.1), p=0.002], and presence vs. absence of change in social life after the diagnosis of disease [17.3 (6.5) vs. 20.9 (7.1), p=0.001] were associated with significantly lower SWLS scores among mothers. SWLS scores were positively correlated with patient's age at the time of implant surgery (r=0.206, p=0.009), whereas negatively correlated with the number of household members (r=−0.406, p=0.000) and number of children (r=−0.310, p=0.000). CONCLUSION:In conclusion, our findings revealed the association of cochlear implantation with a significant increase in mother's life satisfaction, despite the unemployment, presence of another child with hearing disability, and crowded household. Our findings emphasize on the consideration of family systems with special attention to mother's emotional experiences and occupational competence in the intervention programs.

Single‐sided deafness and cochlear implantation in congenital and acquired hearing loss in children

“…According to previous studies, both bilateral CI and unilateral CI + HA groups achieved high rates of open‐set speech perception. Our findings emphasise on the consideration of family systems with special attention to mother's emotional experiences and occupational competence in the intervention programs, as it has been presented by other authors …”

Measuring psychological inflexibility in adult and child hearing loss

“…Caregivers of children with hearing loss may experience similar levels of distress. For example, in a study of 160 mothers of children with profound sensorineural hearing loss, mothers reported lower life satisfaction prior to their child's cochlear implantation and reported loneliness, guilt, fear, and panic (Yiğit, Edizer, Durna, Altay, & Yiğit, 2018). In a literature review of studies exploring the impact of childhood deafness on family life, Jackson and Turnbull (2004) found childhood deafness can impact family interactions (e.g., communication, relationships), family resources (e.g., finding alliances, getting information), parenting (e.g., finding parenting models, understanding how the child learns), and child support (e.g., access to support services, child inclusion).…”

Memlüklerde Mezâli̇m Mahkemeleri̇, Hukuk Ve Adli̇ye Teşki̇lâti

“…26 Yine dinî/şerî konularda fetva vermek üzere dârul'adl binasında bulunmaları istenmekteydi. 27 Emevîler'den itibaren varlığını sürdüren; genel ahlâk kurallarına uygun hareket edilmesini sağlamak ve günümüz belediye/zabıta hizmetlerinin önemli bir kısmını yürüten, adliye teşkilatının üst düzey bürokratik makamlarından biri olan nâzıru'l-hisbe/muhtesiplik, Memlükler'de bazen kadılıkla birlikte aynı kişiye verilen ve âlimler arasından seçilen müfettiş benzeri bir kadro idi. 28 Tıpkı Dâru'l-adl müftüleri gibi muhtesibin de Dâru'l-adl'e bağlı olarak çalışması zorunlu idi.…”