Dehqan Ali, Yadegari Fariba, Scherer Ronald C, Asgari Ali, Dabirmoghadam Payman
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Voice. 2017 Sep;31(5):576-582. doi: 10.1016/j.jvoice.2017.01.001. Epub 2017 Feb 9.
An important domain in health-related quality of life evaluations is quality of life perceptions due to having a voice disorder. The objective of this study was to examine the factor structure of the Iranian Voice Quality of Life Profile (IVQLP) based on Exploratory Factor Analysis and confirmatory factor analysis.
The study sample consisted of 280 patients (174 males and 106 females) diagnosed with MTD, benign organic disorders such as polyps and nodules, and unilateral vocal fold paralysis and cancer. To evaluate the different dimensions of the IVQLP, a principal component analysis (PCA) was conducted. Confirmatory factor analysis (CFA) was used to investigate the fitting of extracted dimensions and construct validity of the IVQLP.
The results showed that the IVQLP has a 4-factor structure. The first factor has 17 items and refers to Emotions. The second factor has 12 items and refers to Individual/Social Relations. The third factor with 6 items refers to Occupation, and the forth with 5 items relates to Psychosomatic characteristics.
The conclusion of this study is that the concept of quality of life in Iranian patients with voice disorders is somewhat different from that of Western patients. This difference can be seen in. the large number of items related to an Emotional factor and the identification of a Psychosomatic factor.
在与健康相关的生活质量评估中,一个重要领域是因嗓音障碍而产生的生活质量认知。本研究的目的是基于探索性因子分析和验证性因子分析来检验伊朗嗓音生活质量量表(IVQLP)的因子结构。
研究样本包括280名被诊断患有肌肉紧张性发声障碍(MTD)、息肉和结节等良性器质性疾病、单侧声带麻痹和癌症的患者(174名男性和106名女性)。为了评估IVQLP的不同维度,进行了主成分分析(PCA)。使用验证性因子分析(CFA)来研究提取维度的拟合情况以及IVQLP的结构效度。
结果表明,IVQLP具有四因子结构。第一个因子有17个项目,涉及情绪。第二个因子有12个项目,涉及个人/社会关系。第三个因子有6个项目,涉及职业,第四个因子有5个项目,涉及身心特征。
本研究的结论是,伊朗嗓音障碍患者的生活质量概念与西方患者的有所不同。这种差异体现在与情绪因子相关的大量项目以及身心因子的识别上。