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일반초등학교에 통합된 인공와우이식 아동의 구어능력 및 관련변인 분석

Analysis of the Language Abilities for Children with Cochlear Implants in Mainstream Schools and Language Related Factors

안성우|허민정
한국특수아동학회 (Kacsn: Korean Association Of The Children With Special Need)|2011.03|특수아동교육연구 (The Journal of Special Children Education)|제13권 제1호|pp. 219-242|DOI 10.21075/kacsn.2011.13.1.219

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참고문헌

키워드

speech perceptionlanguage인공와우이식수술연령cochlear implantsage at implantation구어능력말소리 지각력
주제분류교육학

초록

본 연구의 목적은 학령기 인공와우이식 아동의 구어능력을 어휘 이해 및 표현과 구문으로 나누어서 생활연령에 근거한 구어능력과 청각연령에 근거한 구어능력을 알아보고, 구어능력에 대한 수술연령, 수술전 청각수행력, 인공와우 사용기간, 생활연령, 현재의 청각수행력의 관련성을 분석하여 학령기 인공와우이식 아동의 청각-언어 재활에 대한 기초적 자료를 제공하고, 언어 중재에 대한 시사점을 제시하고자 하는 것이다. 이를 위해 만 5세 이전에 인공와우이식을 받고 초등학교에 재학 중인 인공와우이식 아동 79명을 대상으로 어휘력 검사와 구문의미 이해력검사를 시행하여 생활연령에 근거한 표준점수와 청각연령에 근거한 표준점수를 산출하였고, 언어 영역간 점수 차이를 비교하였다. 인공와우이식 아동의 구어능력에 대한 수술연령, 수술전 청각수행력, 인공와우 사용기간, 생활연령, 말소리 지각력의 관련성을 알아보기 위해서 상관분석과 중다회귀분석을 시행하였다. 분석 결과, 인공와우이식 아동의 생활연령에 근거한 구어능력은 또래 건청 아동에 비해서 매우 낮은 것으로 나타났으며, 특히 형태구문능력에서 큰 결함이 있었다. 청각연령에 근거한 구어능력을 분석한 결과 어휘발달 속도에서 청각연령이 같은 건청 아동보다 빠른 발달을 보였고, 표준점수는 건청 아동의 정상범주에 해당하였다. 관련변인을 분석한 결과, 수술연령과 말소리 지각력이 유의한 영향을 미치는 것으로 나타났다.

Abstract

The purpose of this study were to investigate the oral language abilities of school-aged children with cochlear implants in terms of vocabulary and morpho-syntactic aspects, and to analyze the effects of child-related factors and speech perception on language abilities in these children. The subjects of this study were 79 children with cochlear implants who received the cochlear implantation under age of five and used oral communication, and 114 CA matched normal hearing children. Language abilities were evaluated using the REVT and KOSECT, and were calculated standard scores with reference to both chronological age and hearing age. The effects of child-related factors and speech perception on language abilities were analyzed using correlational analysis and multiple regression. Participants showed oral language delay in standard scores derived from CA, but not in standard scores derived from HA. Among three aspects of language, children with CIs had more difficulties in morpho-syntactics than in receptive and expressive vocabulary. The results of multiple regression revealed speech perception and age at implantation affected oral language abilities of school aged children with CIs. These results showed that continuous and intensive auditory-language education, especially focusing on grammar, is required for school years, and early implantation is helpful for reducing the language delay before implantation.

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