الفهرس 
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Abstract
Hearing impairment from birth or early infancy may have lifelong consequences for an individual’s social adjustment and mental well-being in terms of communication, education, identity and employment. A number of co-morbid conditions that often accompany this sensory impairment might contribute to the development of mental disorders encountered in deaf children. Specific environmental factors, including familial, social, cultural and educational influences, can be both the direct and the indirect basis for the development of the provision of education as a social welfare service serves as an effort to ensure that the hearing impaired do not feel limited in terms of privileges and opportunities to become productive, employable and have successful and independent future. Education is a tool to empower the hearing impaired to lead an independent life. Empowerment through education begins at the basic level where skills and essential knowledge are acquired through taught programs in aid of preparing students for a higher level of education. Progress from one level of education to another is dependent on the student’s academic performance. As a result, there is a greater need to emphasize the academic performance of all students, including SHIs (Elbeltagy et al., 2019).
Aim of the study:
The current study was conducted to assess health need and problem of primary school students with hearing impairment through:
- Assessing health status of primary school students with hearing impairment.
- Assessing health needs of primary school student regarding hearing impairment.
- Assessing the health problems of primary school students with hearing impairment.
- Assessing school environment of students (physical-educational-social and psychological).
Research question:
1- Is a relation between hearing impairment and health status of primary school students?
2- Is a relation between school environment and health problems of primary school students with hearing impairment?
The data collection tools were interview questionnaire sheet, health assessment form for school students and environment noise work sheet.
Research design:
Are described under the following four designs technical, operational, administrative and statistical.
Design: A descriptive design was utilized.
Setting : the study will be conducted at Bani Sueif governorate at four school of hearing impairment students this school serve large number of my target population that special school in Elwasta center, Elfashn center, Ehnasia center and Beba center.
Tools:
The following tools will be used for the data collection
First tool: An interviewing Questionnaire it was reviewing the related literature to assess the following:
Part I: Socio – demographic data for primary school students with hearing impairment; as regards name, age, education level, grade, etc.
Part II: Assessment of health needs of primary school students with hearing impairment related to physical psychological, social, educational and behavioral.
Part III: Assessment of health problems among primary school student with hearing impairment related to physical, social, psychological &behavioral and educational program.
Second tool: Assessment health status though medical record for every students in the health unit of school environment.
Third tool: Assessment of school environment (Noise Worksheet): developed by the investigator to assess physical, social, educational, psychological and behavioral environment.
The main results obtained from the present study were as follows:
• 64% of the studied students had high level of total health needs. Also, 22.7% of them had moderate level. While, 13.3% of them had low level.
• 66.7% of the studied students had severe social problems. Also, 25.3% of them had moderate level (school problem). While, 9.3% of them had mild level of personal problem.
• 43.4% of the studied students were usually enjoy listening to audio tapes. Also, 37.3 % of them were always interested in spoken conversations around other. Moreover, 54.7% of the studied students were always feel worrying about what will happen to them.
• 75% of the studied primary schools their tiles &75% of them adequate lighting &75% of them adequate ventilation and shows that 50 % of studied primary schools had moderate level of internal noise, also 25% of the studied primary schools their room location was noisy.
• There was highly statistically relation between health problems of the studied primary school students and hearing impairment.
• There was highly statistically positive correlation between health needs of the studied primary school students and their total health problems.
Conclusion : According to this study finding, it was conclude that, high percentage of studied students had high level of total health needs .high percentage of studied students had sever health problems .Also there was highly statistically significant relation between total health needs of primary school students and demographic characteristics .there was highly statistically positive correlation between health needs of primary school students and there total health problems of primary school students with hearing impairment.
According to study findings, it recommended that:
Improving cognitive skills for children with hearing impairment through educational program for teacher to provide training for student - for example, improving problem-solving skills, improving theory of mind, flexible thinking.
More researches for children with hearing impairment to early detected of any physical, social and psychological health problems.
Improve social skills and communication for student with peers, teachers and or others, improving sign of spoken language, emotional recognition.