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.
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.
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。
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