Günther S, Rasch T, Klotz M, Hoppe U, Eysholdt U, Rosanowski F
Abteilung Phoniatrie und Pädaudiologie, Universitätsklinikum Erlangen.
HNO. 2005 Oct;53(10):895-900, 902-4. doi: 10.1007/s00106-004-1186-x.
The purpose of this study was to estimate the correlation between the voice handicap index (VHI) and the voice related quality of life (VRQOL) questionnaire with respect to gender and diagnosis (functional vs organic dysphonia).
A total of 52 German speaking patients aged 48.8+/-22.0 years suffering from dysphonia of different benign etiologies (functional dysphonia: 18 women, 9 men; organic dysphonia: 13 women, 12 men) completed German versions of both the VHI and the VRQOL questionnaire without prior information on their individual diagnosis. Another 52 individuals without voice complaints served as age and sex matched controls. Complete data sets of all participants were analyzed using the Microsoft Excel and MATLAB software packages.
The results of both questionnaires correlate at a significant level, both for total score (r=-0.9) and the subscores (r=-0.74-r=-0.84) with only slight differences when comparing women and men and patients with functional and organic voice disorders.
Both questionnaires provide very similar results. Thus, for clinical purposes, it seems justified to restrict oneself to using only one of the questionnaires. Whenever basic information on the patients' self perception of a voice disorder is required, the VRQOL questionnaire with only ten items may be easier to handle than the VHI questionnaire with 30 items.
本研究旨在评估嗓音障碍指数（VHI）与嗓音相关生活质量（VRQOL）问卷在性别和诊断（功能性与器质性发声障碍）方面的相关性。
共有52名年龄在48.8±22.0岁、讲德语、患有不同良性病因发声障碍的患者（功能性发声障碍：18名女性，9名男性；器质性发声障碍：13名女性，12名男性）在未被告知其个体诊断信息的情况下完成了德语版的VHI和VRQOL问卷。另外52名无嗓音问题的个体作为年龄和性别匹配的对照组。使用Microsoft Excel和MATLAB软件包对所有参与者的完整数据集进行分析。
两份问卷的结果在总分（r = -0.9）和各子分数（r = -0.74 - r = -0.84）方面均具有显著相关性，在比较男性和女性以及功能性和器质性嗓音障碍患者时仅有细微差异。
两份问卷提供了非常相似的结果。因此，出于临床目的，似乎仅使用其中一份问卷是合理的。每当需要患者对嗓音障碍自我认知的基本信息时，仅有十个条目的VRQOL问卷可能比有30个条目的VHI问卷更易于操作。
