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有声障碍和无声障碍教师嗓音相关生活质量的嗓音相关生活质量(V-RQOL)与嗓音活动及参与概况(VAPP)的比较与相关性研究

A comparative and correlative study of the Voice-Related Quality of Life (V-RQOL) and the Voice Activity and Participation Profile (VAPP) for voice-related quality of life among teachers with and without voice disorders.

作者信息

Yu Lingyu, Lu Dan, Yang Hui, Zou Jian, Wang Haiyang, Zheng Meijun, Hu Juanjuan

机构信息

Department of Otolaryngology-Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

出版信息

Medicine (Baltimore). 2019 Mar;98(9):e14491. doi: 10.1097/MD.0000000000014491.

Abstract

The aim of this study was to investigate the difference and correlation between the Voice-Related Quality of Life (V-RQOL) and the Voice Activity and Participation Profile (VAPP) among teachers.The participants were 672 teachers (218 males and 454 females, male-to-female ratio = 0.48:1) whose vocal cords were examined using a Strobolaryngoscope. Questionnaire results were obtained for both the V-RQOL and the VAPP.Of the 672 participants, 322 teachers had voice disorders while 350 teachers did not. The most common voice complaint was hoarseness (n = 250), and the most common throat complaint was foreign body sensation (n = 129) in teachers with voice disorders. Chronic laryngitis (n = 162, 50.3%), vocal cord polyps (n = 92, 28.6%), and vocal cord nodules (n = 43.13.4%) were the most frequent diagnoses in teachers with voice disorders. Significant differences were seen on the V-RQOL and the VAPP scores between teachers with and without voice disorders, and between female and male teachers. Differences were also observed among teachers from different grades, and among different types of voice-related diseases. Moderate-to-strong correlations were observed between the VAPP total score and those for all the subscales of the VAPP and between the VAPP total score and the V-RQOL score (P < .001).Teachers with voice disorders have a significantly poorer voice-related quality of life than those without voice disorders, as do female teachers compared with male teachers. Different groups of voice disorders have different effects on teachers' voice-related quality of life, and primary school teachers suffer from a poorer voice-related quality of life than do high school teachers. A moderate-to-strong correlation was found between the results of the V-RQOL and the VAPP scores.

摘要

本研究旨在调查教师群体中嗓音相关生活质量(V-RQOL)与嗓音活动及参与情况量表(VAPP)之间的差异及相关性。研究对象为672名教师(男性218名,女性454名,男女比例为0.48:1),使用动态喉镜对其声带进行检查,并获取了V-RQOL和VAPP的问卷调查结果。672名参与者中,322名教师存在嗓音障碍,350名教师无嗓音障碍。嗓音障碍教师中最常见的嗓音问题是声音嘶哑(n = 250),最常见的咽喉问题是异物感(n = 129)。慢性喉炎(n = 162,50.3%)、声带息肉(n = 92,28.6%)和声带小结(n = 43,13.4%)是嗓音障碍教师中最常见的诊断结果。有嗓音障碍和无嗓音障碍的教师之间,以及男女教师之间,在V-RQOL和VAPP得分上存在显著差异。不同年级的教师之间以及不同类型嗓音相关疾病的教师之间也观察到了差异。VAPP总分与VAPP所有子量表得分之间,以及VAPP总分与V-RQOL得分之间均观察到中度至高度相关性(P <.001)。有嗓音障碍的教师在嗓音相关生活质量方面明显比无嗓音障碍的教师差,女教师相较于男教师也是如此。不同组别的嗓音障碍对教师的嗓音相关生活质量有不同影响,小学教师的嗓音相关生活质量比高中教师更差。V-RQOL和VAPP得分结果之间存在中度至高度相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1fc/6831341/d5714a15a854/medi-98-e14491-g004.jpg

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