将嗓音障碍指数（VHI）-30改编并验证为塞尔维亚语版本。
Adaptation and Validation of the Voice Handicap Index (VHI)-30 into Serbian.
作者信息
Sotirović Jelena, Grgurević Anita, Mumović Gordana, Grgurević Uglješa, Pavićević Ljubomir, Perić Aleksandar, Erdoglija Milan, Milojević Milanko
机构信息
Clinic for Otorhinolaryngology, Military Medical Academy, Belgrade, Serbia.
Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
出版信息
J Voice. 2016 Nov;30(6):758.e1-758.e6. doi: 10.1016/j.jvoice.2015.09.002. Epub 2015 Dec 10.
OBJECTIVES
To evaluate the internal consistency, test-retest reliability, and clinical validity of the Serbian version of the self-administered Voice Handicap Index (VHI)-30.
STUDY DESIGN
Cross-sectional study.
METHODS
The English version of VHI-30 was translated into Serbian and then back-translated into English. The Serbian VHI-30 was administered to 91 patients divided into four groups according to voice pathology: structural, inflammatory, neurologic, and functional groups. The control group included 90 subjects with no voice problems. The internal consistency (Cronbach's alpha coefficient α), test-retest reliability (interclass correlation coefficient) of VHI-30, comparison of patient's and control's VHI-30 scores (Mann-Whitney U test; Kruskal-Wallis test), and correlation with overall severity of dysphonia (Spearman correlation coefficient, ρ) were calculated.
RESULTS
In the patient group, we observed excellent internal consistency for the Serbian VHI-30 (α = 0.95) and good internal consistency for all VHI-30 subscales: physical (α = 0.88), functional (α = 0.88), and emotional (α = 0.88). The interclass correlation coefficient indicated strong test-retest reliability for patients (0.99) and controls (0.84). The mean scores of all 30 items in dysphonic participants were significantly higher than in controls (P < 0.001). Good correlation was obtained between the total scores of VHI-30 and patients' self-perceived overall severity of dysphonia (ρ = 0.748, P < 0.001). Within the patient group, the female participants displayed significantly higher VHI-30 scores than male participants (Mann-Whitney U test, P < 0.001). The VHI-30 scores showed strong correlation within different patient groups and controls (Spearman correlation coefficient: structural, 0.942; inflammatory, 0.756; neurologic, 0.888; functional, 0.982; controls, 0.882).
CONCLUSIONS
The Serbian VHI-30 is a useful and valuable tool for the evaluation of patients with vocal disorders and for making subsequent clinical decisions.
目的
评估自填式嗓音障碍指数（VHI）-30塞尔维亚语版本的内部一致性、重测信度和临床效度。
研究设计
横断面研究。
方法
VHI-30英文版本被翻译成塞尔维亚语，然后再回译成英文。将塞尔维亚语版VHI-30应用于91例患者，这些患者根据嗓音病理学分为四组：结构组、炎症组、神经组和功能组。对照组包括90名无嗓音问题的受试者。计算VHI-30的内部一致性（Cronbach's α系数）、重测信度（组内相关系数），比较患者和对照组的VHI-30得分（Mann-Whitney U检验；Kruskal-Wallis检验），以及与嗓音障碍总体严重程度的相关性（Spearman相关系数，ρ）。
结果
在患者组中，我们观察到塞尔维亚语版VHI-30具有出色的内部一致性（α = 0.95），所有VHI-30子量表也具有良好的内部一致性：生理（α = 0.88）、功能（α = 0.88）和情感（α = 0.88）。组内相关系数表明患者（0.99）和对照组（0.84）具有较强的重测信度。嗓音障碍参与者所有30项的平均得分显著高于对照组（P < 0.001）。VHI-30总分与患者自我感知的嗓音障碍总体严重程度之间具有良好的相关性（ρ = 0.748，P < 0.001）。在患者组中，女性参与者的VHI-30得分显著高于男性参与者（Mann-Whitney U检验，P < 0.001）。VHI-30得分在不同患者组和对照组之间显示出很强的相关性（Spearman相关系数：结构组，0.942；炎症组，0.756；神经组，0.888；功能组，0.982；对照组，0.882）。
结论
塞尔维亚语版VHI-30是评估嗓音障碍患者及做出后续临床决策的有用且有价值的工具。
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