Gama Ana Cristina Côrtes, Alves Cláudia Fernanda Tolentino, Cerceau Janaína da Silva Berto, Teixeira Letícia Caldas
Departamento de Fonoaudiologia da Universidade Federal de Minas Gerais.
Pro Fono. 2009 Apr-Jun;21(2):125-30. doi: 10.1590/s0104-56872009000200007.
vocal quality and voice-related quality of life in elderly women
to assess the vocal quality and voice-related quality of life in elderly women, as well as verify if the presence of dysphonia has an influence on the life quality of these women.
one hundred and three elderly women, with ages ranging from 60 to 103 years, were recruited. The V-RQOL was answered by the participants and their voices were registered and analyzed perceptually by five experienced speech pathologists, using the GRBASI scale. After the intra-rater reliability analysis, three speech pathologists were selected with whom a single GRBASI scale was built for each of the participant's voice. Later, this single assessment was compared to the physical, socio-emotional and total V-RQOL scores.
most of the elderly women presented V-RQOL total scores between 70 and 100. They also presented a mild to moderate vocal disorder in the overall scores related to dysphonia, roughness, breathiness and instability in the GRBASI scale and did not present scores related to asthenia or strain. The G, R, B and I parameters of the GRBASI scale were statistically correlated to the physical and total V-RQOL scores.
although most of the elderly women presented some level of dysphonia, the vocal disorders did not have an influence on their life quality. However, the physical and total V-RQOL scores were correlated to dysphonia severity, indicating that the more sever the dysphonia, the lower the voice-related quality of life.
老年女性的嗓音质量及与嗓音相关的生活质量
评估老年女性的嗓音质量及与嗓音相关的生活质量,并验证发声障碍的存在是否会对这些女性的生活质量产生影响。
招募了103名年龄在60至103岁之间的老年女性。参与者回答了嗓音相关生活质量问卷(V-RQOL),并由五名经验丰富的言语病理学家对她们的嗓音进行记录和感知分析,使用GRBASI量表。在进行评分者内部信度分析后,挑选出三名言语病理学家,为每位参与者的嗓音构建单一的GRBASI量表。随后,将这一单一评估结果与身体、社会情感及V-RQOL总分进行比较。
大多数老年女性的V-RQOL总分在70至100之间。她们在GRBASI量表中与发声障碍、粗糙、气息声和不稳定性相关的总体评分中也表现出轻度至中度的嗓音障碍,且未表现出与无力或紧张相关的评分。GRBASI量表的G、R、B和I参数与身体及V-RQOL总分在统计学上具有相关性。
尽管大多数老年女性存在一定程度的发声障碍,但嗓音障碍并未对她们的生活质量产生影响。然而,身体及V-RQOL总分与发声障碍严重程度相关,表明发声障碍越严重,与嗓音相关的生活质量越低。