Eadie Tanya L, Doyle Philip C
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington, USA.
Laryngoscope. 2004 Apr;114(4):753-9. doi: 10.1097/00005537-200404000-00030.
OBJECTIVES/HYPOTHESIS: The purposes of the study were to determine listeners' auditory-perceptual ratings of tracheoesophageal speakers, to determine quality of life in tracheoesophageal speakers, and to determine the potential relationship between listeners' ratings of speech and tracheoesophageal speakers' self-rated quality of life.
Twenty-eight laryngectomized individuals who used tracheoesophageal speech as their primary mode of communication were studied. Fifteen naïve listeners provided auditory-perceptual ratings.
Twenty-eight tracheoesophageal speakers (22 men and 6 women) completed a general information form, in addition to the University of Michigan Head and Neck Quality of Life (HNQOL) instrument; speakers also provided connected speech samples of a standard passage. Fifteen naïve listeners evaluated the tracheoesophageal speech samples for overall speech severity, naturalness, acceptability, and pleasantness using direct magnitude estimation procedures.
Listeners were able to discriminate among tracheoesophageal speech samples relative to the auditory-perceptual dimensions. Male tracheoesophageal speakers were judged as having significantly better, more acceptable, and more pleasant voices than women. Scores on the HNQOL instrument were determined to be higher among the group of tracheoesophageal speakers in the present study than those reported in previous studies. No significant differences were found among men and women for quality of life scores. Quality of life domains and auditory-perceptual judgments of tracheoesophageal speech were moderately correlated.
Women who use tracheoesophageal speech may be differentially penalized for dimensions related to voice quality. Limitations in voice did not necessarily translate into worse overall quality of life, indicating that auditory-perceptual evaluation and quality of life questionnaires are evaluating different aspects of function after laryngectomy.
目的/假设：本研究的目的是确定听众对气管食管发音者的听觉感知评分，确定气管食管发音者的生活质量，并确定听众的言语评分与气管食管发音者自评生活质量之间的潜在关系。
对28名使用气管食管言语作为主要交流方式的喉切除患者进行了研究。15名未受过训练的听众提供了听觉感知评分。
28名气管食管发音者（22名男性和6名女性）除了填写密歇根大学头颈生活质量（HNQOL）量表外，还填写了一份一般信息表；发音者还提供了一段标准段落的连贯言语样本。15名未受过训练的听众使用直接量级估计程序对气管食管言语样本的整体言语严重程度、自然度、可接受性和愉悦度进行评估。
听众能够根据听觉感知维度区分气管食管言语样本。男性气管食管发音者的声音被判定明显比女性更好、更可接受、更愉悦。本研究中气管食管发音者组的HNQOL量表得分高于先前研究报告的得分。在生活质量得分方面，男性和女性之间未发现显著差异。气管食管言语的生活质量领域与听觉感知判断呈中度相关。
使用气管食管言语的女性在与嗓音质量相关的维度上可能受到不同程度的不利影响。嗓音方面的局限性不一定会转化为更差的整体生活质量，这表明听觉感知评估和生活质量问卷评估的是喉切除术后功能的不同方面。
