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本文引用的文献

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Communication dysfunction, body image, and symptom severity in postoperative head and neck cancer patients: factors associated with the amount of speaking after treatment.头颈癌术后患者的沟通功能、身体形象与症状严重程度：与治疗后说话量相关的因素
Support Care Cancer. 2015 Aug;23(8):2375-82. doi: 10.1007/s00520-014-2587-3. Epub 2015 Jan 16.
2
Communicative participation and quality of life in head and neck cancer.头颈癌患者的交流参与和生活质量
Ann Otol Rhinol Laryngol. 2014 Apr;123(4):257-64. doi: 10.1177/0003489414525020.
3
The Communicative Participation Item Bank (CPIB): item bank calibration and development of a disorder-generic short form.交际参与项库（CPIB）：项库校准和通用障碍简式的开发。
J Speech Lang Hear Res. 2013 Aug;56(4):1190-208. doi: 10.1044/1092-4388(2012/12-0140). Epub 2013 Jul 1.
4
Auditory-perceptual speech outcomes and quality of life after total laryngectomy.全喉切除术后的听觉感知言语结局和生活质量。
Otolaryngol Head Neck Surg. 2013 Jan;148(1):82-8. doi: 10.1177/0194599812461755. Epub 2012 Sep 24.
5
A descriptive analysis of the relationship between quality of life and distress in individuals with head and neck cancer.头颈部癌症患者生活质量与痛苦关系的描述性分析。
Support Care Cancer. 2012 Sep;20(9):2157-65. doi: 10.1007/s00520-011-1326-2. Epub 2011 Nov 30.
6
A qualitative study of interference with communicative participation across communication disorders in adults.成人沟通障碍对交流参与的干扰的定性研究。
Am J Speech Lang Pathol. 2011 Nov;20(4):269-87. doi: 10.1044/1058-0360(2011/10-0084). Epub 2011 Aug 3.
7
Vocal handicap and quality of life after treatment of advanced squamous carcinoma of the larynx and/or hypopharynx.喉和/或下咽晚期鳞状细胞癌治疗后嗓音障碍和生活质量。
J Voice. 2012 Mar;26(2):e63-71. doi: 10.1016/j.jvoice.2011.02.007. Epub 2011 Jul 2.
8
Voice, swallowing, and quality of life after total laryngectomy: results of the west of Scotland laryngectomy audit.全喉切除术后的嗓音、吞咽和生活质量：苏格兰西部喉切除术审计的结果。
Head Neck. 2012 Jan;34(1):59-65. doi: 10.1002/hed.21692. Epub 2011 Mar 17.
9
Post laryngectomy speech and voice rehabilitation: past, present and future.喉切除术后言语和嗓音康复：过去、现在与未来
ANZ J Surg. 2010 Nov;80(11):770-1. doi: 10.1111/j.1445-2197.2010.05500.x.
10
Voice-related quality of life (V-RQOL) outcomes in laryngectomees.喉切除患者的嗓音相关生活质量（V-RQOL）结局。
Head Neck. 2011 Jan;33(1):31-6. doi: 10.1002/hed.21409.

喉切除术后交流参与度与言语结果之间的关系。

The relationship between communicative participation and postlaryngectomy speech outcomes.

作者信息

Eadie Tanya L, Otero Devon, Cox Steven, Johnson Jordan, Baylor Carolyn R, Yorkston Kathryn M, Doyle Philip C

机构信息

Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.

Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.

出版信息

Head Neck. 2016 Apr;38 Suppl 1(Suppl 1):E1955-61. doi: 10.1002/hed.24353. Epub 2015 Dec 29.

DOI:10.1002/hed.24353
PMID:26714043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4844835/
Abstract

BACKGROUND

The purpose of this study was to examine relationships between communicative participation and postlaryngectomy speech outcomes, including listener-rated speech intelligibility and acceptability, and patient-rated speech acceptability and voice handicap.

METHODS

Thirty-six laryngectomized individuals completed the Communicative Participation Item Bank (CPIB) short form and the Voice Handicap Index-10 (VHI-10). They provided recordings from the Sentence Intelligibility Test (SIT) and a reading passage, and rated their own speech acceptability. Forty-eight inexperienced listeners transcribed the SIT sentences to derive intelligibility scores. Eighteen additional listeners judged the speech acceptability using the rating scales.

RESULTS

Listeners judged tracheoesophageal speakers as significantly more intelligible and acceptable than electrolaryngeal speakers (p < .05). Speech acceptability was significantly more acceptable to speakers than listeners (p < .05). Weak, nonsignificant relationships were found between communicative participation and listener-rated outcomes. Stronger, significant relationships were found between communicative participation and self-rated speech acceptability and voice handicap (p < .05).

CONCLUSION

Patient-reported communication outcomes are complementary to listener-rated outcomes. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1955-E1961, 2016.

摘要

背景

本研究旨在探讨喉切除术后的交流参与度与言语结果之间的关系，包括听众评定的言语清晰度和可接受性，以及患者自评的言语可接受性和嗓音障碍。

方法

36名喉切除患者完成了交流参与项目库（CPIB）简表和嗓音障碍指数-10（VHI-10）。他们提供了句子清晰度测试（SIT）和一篇阅读文章的录音，并对自己的言语可接受性进行评分。48名无经验的听众转录SIT句子以得出清晰度得分。另外18名听众使用评分量表判断言语可接受性。

结果

听众认为气管食管发音者的言语清晰度和可接受性明显高于电子喉发音者（p < .05）。言语可接受性方面，患者自评的可接受性明显高于听众评定的（p < .05）。交流参与度与听众评定结果之间存在微弱的、不显著的关系。交流参与度与自评言语可接受性和嗓音障碍之间存在更强的、显著的关系（p < .05）。

结论

患者报告的交流结果与听众评定的结果互为补充。© 2015威利期刊公司。头颈外科38: E1955 - E1961，2016年。