Kuzańska Anna, Niebudek-Bogusz Ewa, Woźnicka Ewelina, Kopczyńska Jerzy, Sliwińska-Kowalska Mariola
Instytut Medycyny Pracy im. prof. J. Nofera, Klinika Audiologii i Foniatrii, Lódź.
Med Pr. 2009;60(4):283-8.
The aim of this study was to assess the application of Voice Handicap Index (VHI) in the diagnosis of occupational voice disorders in teachers as compared with the dysphonic non-teachers population.
The subjective assessment of voice by VHI was performed in 105 teachers with dysphonia and 60 dysphonic subjects whose jobs did not involve vocal effort. The control group comprised 65 healthy individuals with normal voice.
The results of total VHI score and each of its subscales, functional, emotional and physical, were significantly worse in the study groups (I and II) than in the control group (p < 0.001). The analysis of VHI-score distribution showed that the highest percentage of subjects in groups I and II self-assessed their own voice problems as moderate disability (67% and 57%), while 20% of teachers and 16% of non-teachers reported severe voice disability. All individuals in the control group assessed their voice problems as minor, their results fell within the range of the lowest level of VHI score.
This study confirmed that VHI as a tool for self-assessment of voice can significantly contribute to the diagnosis of occupational and non-occupational dysphonia.
本研究旨在评估嗓音障碍指数(VHI)在诊断教师职业性嗓音障碍方面的应用,并与发声困难的非教师人群进行比较。
对105名发声困难的教师和60名工作不涉及发声用力的发声困难受试者进行了VHI嗓音主观评估。对照组包括65名嗓音正常的健康个体。
研究组(I组和II组)的VHI总分及其功能、情感和身体各子量表的结果均显著差于对照组(p < 0.001)。VHI评分分布分析表明,I组和II组中最高比例的受试者将自己的嗓音问题自我评估为中度残疾(分别为67%和57%),而20%的教师和16%的非教师报告有严重嗓音残疾。对照组的所有个体将自己的嗓音问题评估为轻微,其结果落在VHI评分最低水平范围内。
本研究证实,VHI作为一种嗓音自我评估工具,可显著有助于职业性和非职业性发声困难的诊断。