Department of Speech Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Voice. 2013 Sep;27(5):617-21. doi: 10.1016/j.jvoice.2013.02.003. Epub 2013 Apr 13.
The present study analyzed if aspects of voice-related quality of life (VRQOL) were associated with adherence to voice therapy in teachers.
Retrospective survey in which the medical records of 179 dysphonic teachers (62, abandonment group and 114, discharge group) who underwent speech therapy at the Speech Therapy Clinic at the Hospital das Clínicas of the Universidade Federal de Minas Gerais (AV-HCUFMG) were analyzed.
Female teachers with dysphonia referred by Gerência de Saúde e Perícia Médica (Department of Health and Medical Analysis) of Belo Horizonte City Hall were included. The variables of interest were: age, number of voice therapy sessions attended (attendance), number of sessions missed (absence), type of dysphonia, and Vocal Activity and Protocol Profile (VAPP) scores administered during the first therapy session as a component of voice assessment. The chi-square test was used to assess categorical variables. For continuous variables, the Mann-Whitney test, a nonparametric test for independent samples, was used.
The groups differed with regard to the type of dysphonia as well as the several parameters of the VAPP: vocal self-perception, effects at work, effects on daily communication, effects on emotion, and the total VAPP score.
Individuals with less favorable VRQOL scores were less adherent to voice therapy compared with subjects with more favorable VRQOL.
本研究分析了嗓音相关生活质量（VRQOL）的各个方面是否与教师对嗓音治疗的依从性相关。
回顾性调查，分析了在米纳斯吉拉斯联邦大学附属医院（AV-HCUFMG）语音治疗诊所接受语音治疗的 179 名发音障碍教师（62 名，放弃组和 114 名，出院组）的病历。
包括由贝洛奥里藏特市卫生局（Gerência de Saúde e Perícia Médica）转介的女性发音障碍教师。感兴趣的变量包括：年龄、参加语音治疗的次数（出席）、错过的次数（缺席）、嗓音障碍类型，以及在第一次治疗期间进行的嗓音评估中的 Vocal Activity and Protocol Profile（VAPP）评分。卡方检验用于评估分类变量。对于连续变量，使用非参数检验 Mann-Whitney 检验进行独立样本检验。
两组在嗓音障碍类型以及 VAPP 的多个参数上存在差异：嗓音自我感知、工作影响、日常交流影响、情绪影响以及 VAPP 总分。
与 VRQOL 评分更有利的受试者相比，VRQOL 评分较低的个体对嗓音治疗的依从性较低。
