Fletcher Helen M, Drinnan Michael J, Carding Paul N
Speech and Language Therapy Service, Dumfries and Galloway Royal Infirmary, Dumfries, Scotland.
J Voice. 2007 Jan;21(1):80-91. doi: 10.1016/j.jvoice.2005.09.002. Epub 2006 Jan 20.
An important clinical component in the prevention and treatment of voice disorders is voice care and hygiene. Research in voice care knowledge has mainly focussed on specific groups of professional voice users with limited reporting on the tool and evidence base used. In this study, a questionnaire to measure voice care knowledge was developed based on "best evidence." The questionnaire was validated by measuring specialist voice clinicians' agreement. Preliminary data are then presented using the voice care knowledge questionnaire with 17 subjects with nonorganic dysphonia and 17 with healthy voices. There was high (89%) agreement among the clinicians. There was a highly significant difference between the dysphonic and the healthy group scores (P = 0.00005). Furthermore, the dysphonic subjects (63% agreement) presented with less voice care knowledge than the subjects with healthy voices (72% agreement). The questionnaire provides a useful and valid tool to investigate voice care knowledge. The findings have implications for clinical intervention, voice therapy, and health prevention.
嗓音疾病防治中的一个重要临床组成部分是嗓音护理与保健。嗓音护理知识的研究主要集中在特定的职业嗓音使用者群体，而对所使用工具和证据基础的报道有限。在本研究中，基于“最佳证据”编制了一份用于测量嗓音护理知识的问卷。通过测量嗓音专科临床医生的认可度对该问卷进行了验证。然后使用该嗓音护理知识问卷展示了17名非器质性发声障碍受试者和17名嗓音健康受试者的初步数据。临床医生之间的认可度较高（89%）。发声障碍组与嗓音健康组的得分存在高度显著差异（P = 0.00005）。此外，发声障碍受试者（认可度63%）的嗓音护理知识少于嗓音健康受试者（认可度72%）。该问卷为调查嗓音护理知识提供了一个有用且有效的工具。这些发现对临床干预、嗓音治疗和健康预防具有启示意义。
