Dragone Maria Lúcia Suzigan
Universitary Centre of Araraquara - UNIARA, Araraquara, Brazil.
Folia Phoniatr Logop. 2011;63(1):49-54. doi: 10.1159/000316324. Epub 2010 Oct 6.
To investigate the perception of voice impairment in professional and social contexts, to correlate these data with existing data in the literature, and to explore the perception of voice problems and the adherence to vocal health programs.
502 Brazilian educators working in municipal public schools responded to the Voice Activity and Participation Profile (VAPP) questionnaire. Then a correlation was made with previous results in the literature dealing with a dysphonic and a nondysphonic group.
The VAPP data showed that self-perception of voice problems had a higher vocal impact on daily communication and lower scores for activity limitation and participation restriction. The educators' scores were closer to those of the nondysphonic group with regard to daily and social communication, and emotional and activity limitation, but perception of the voice problem was closest to that of the dysphonic group. Nevertheless, the opposite was the case for participation restriction.
The educators perceive vocal problems but do not perceive participation restriction to the same extent. This may explain the decreasing participation in the Vocal Health Program. It probably occurs because adults voluntarily apply for training when they feel that their work performance needs to improve so that they can carry out their job properly.
调查在职业和社交背景下对嗓音障碍的认知，将这些数据与文献中的现有数据进行关联，并探索对嗓音问题的认知以及对嗓音健康计划的依从性。
502名在市立公立学校工作的巴西教育工作者对嗓音活动与参与概况（VAPP）问卷进行了回应。然后将其与文献中先前关于嗓音障碍组和无嗓音障碍组的结果进行了关联。
VAPP数据显示，对嗓音问题的自我认知对日常交流的嗓音影响更大，而活动受限和参与受限的得分更低。在日常和社交交流、情感以及活动受限方面，教育工作者的得分更接近无嗓音障碍组，但对嗓音问题的认知最接近嗓音障碍组。然而，在参与受限方面情况则相反。
教育工作者察觉到了嗓音问题，但在相同程度上并未察觉到参与受限。这可能解释了参与嗓音健康计划的人数减少的原因。这可能是因为成年人在觉得自己的工作表现需要改进以便能正确履行工作职责时会自愿申请培训。
