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嗓音健康行动:改善教师嗓音状况的建议

Actions in vocal health: a proposal for improving the vocal profile of teachers.

作者信息

Silverio Kelly Cristina Alves, Gonçalves Claudia Giglio de Oliveira, Penteado Regina Zanella, Vieira Tais Pichirilli Guilherme, Libardi Aline, Rossi Daniele

机构信息

Faculdade de Odontologia de Piracicaba, Universidade de Campinas, Brasil.

出版信息

Pro Fono. 2008 Jul-Sep;20(3):177-82. doi: 10.1590/s0104-56872008000300007.

Abstract

BACKGROUND

several authors have pointed to the urgent need of researches and actions involving teachers, in the school environment, that have a preventive and vocal health promotion character with the purpose of improving work conditions.

AIM

to analyze the vocal complaints, laryngeal symptoms, vocal habits and vocal profile of teachers of a public school before and after their participation in voice workshops.

METHOD

the study was divided in different steps: 1st step - closed interview, larynx and perceptive-auditory assessment in which 42 teachers were evaluated; 2nd step - voice workshops; 3rd step - perceptive-auditory reassessment in which 13 teachers were evaluated.

RESULTS

73% of the subjects presented vocal complaints; 57.14% presented mild to moderate hoarseness, 78.57% presented breathiness and 52.38% vocal tension. Evaluation of the larynx indicated that 75.86% of the subjects presented glottal gaps and 34.48% mucous thickening. After the voice workshops a significant difference was observed in the level of vocal tension, both in the analysis of the /e/ vowel and in the analysis of Spontaneous Speech (p = 0.0277 for p > 0.05 for both). Improvement was observed in vocal care and in the understanding of intervening and determinant factors for vocal alterations, which are present in the teaching environment.

CONCLUSION

health actions, such as voice workshops, are important to trigger changes in the work environment as well as in the health of teachers.

摘要

背景

多位作者指出,迫切需要在学校环境中开展涉及教师的研究和行动,这些研究和行动应具有预防和促进嗓音健康的性质,以改善工作条件。

目的

分析一所公立学校的教师在参加嗓音工作坊前后的嗓音问题、喉部症状、嗓音习惯和嗓音状况。

方法

该研究分为不同阶段:第一步——封闭式访谈、喉部及感知听觉评估,对42名教师进行评估;第二步——嗓音工作坊;第三步——感知听觉重新评估,对13名教师进行评估。

结果

73%的受试者存在嗓音问题;57.14%表现为轻度至中度嘶哑,78.57%表现为气息声,52.38%存在嗓音紧张。喉部评估表明,75.86%的受试者存在声门间隙,34.48%存在黏膜增厚。在嗓音工作坊之后,无论是在对/e/元音的分析还是在对自发语音的分析中,嗓音紧张程度均观察到显著差异(两者p均为0.0277,p>0.05)。在嗓音护理以及对教学环境中存在的嗓音改变的干预和决定因素的理解方面均观察到改善。

结论

诸如嗓音工作坊之类的健康行动对于引发工作环境以及教师健康方面的变化很重要。

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