摘要
聽覺健康照護是一個全球重視的公共衛生課題，尤其對兒童而言更加重要，聽力篩檢（簡稱聽篩）乃是早期發現聽力損失（簡稱聽損）及後續早期介入的基本步驟。台灣於2012年開辦全面性新生兒聽力篩檢，並於2014年發布《2014台灣新生兒聽力篩檢與確診指引手冊》，可惜目前尚缺乏學前及學齡兒童的聽篩指引。因此，台灣聽力語言學會2019～2020年內部專案計畫「台灣學前及學齡兒童聽篩方案及工作指引」邀請專家學者組成指引編撰小組，首先回顧台灣現行的兒童聽篩政策，同時整理分析其他國家的兒童聽篩方案，最後提出本學會之兒童聽篩方案及實施建議。本指引針對年齡6個月以上至12歲的兒童，提出定期聽篩的具體時間表為：學步兒（2歲）、學前（4歲）及小學階段（一、三、五年級），並將兒童聽篩的作業程序依下列6個項目分別陳述之：適用年齡、測驗目的、設備需求、施測程序、轉介標準、篩檢流程分別陳述之。預期本指引可提供聽力師及其他聽篩人員一致性、標準化且符合專業要求的篩檢作業程序，除了希望能及早發現不同年齡層兒童的聽力問題，同時可以作為兒童聽力保健政策的參考依據，以強化兒童的聽覺健康照護，維護兒童的正常發展與福祉。
並列摘要
Hearing health care is a public health issue globally, and the first step is early detection of hearing loss by hearing screening, which is especially important for children. A comprehensive neonatal hearing screening was launched in 2012 and release as the Taiwan Neonatal Hearing Screening and Diagnosis Guidelines Manual in 2014. However, there is still a lacking of hearing screening guidelines for pre-school and school-age children. Therefore, the Speech-Language-Hearing Association, Taiwan (SLHA-T) supported a project ＂Hearing Screening Guidelines for Children in Preschool and Elementary School＂ in 2019. This project invited experts and scholars to form a compiling group to develop the guideline. This guideline is aimed at children between the age of six months to twelve years of age. The authors proposed the timeline for regular screening: toddlers (two years old), preschool children (four years old), and elementary school (grades 1, 3, and 5). The clinical procedure of the hearing screening is stated according to the include six items: age, test purpose, equipment requirements, test procedures, referral criterion, and flowchart of screening process. This document should provide an evidence-based practice guideline for audiologists and other screening personnel. This guideline can be used as an official document of the SLHA-T when advocating and/or optimizing the national screening program to ensure the normal development and well-being of children.
參考文獻
延伸閱讀
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