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一项针对幼儿园和小学教师样本应用嗓音障碍指数的横断面研究。

A cross sectional study on the vocal handicap index applied to a sample of teachers in nurseries and primary school.

作者信息

Lia L, De Francesco S, Mannocci A, Di Nucci V, La Torre G

机构信息

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Local Health Unit Roma 5, Rome, Italy.

出版信息

Ann Ig. 2019 May-Jun;31(3):230-235. doi: 10.7416/ai.2019.2285.

Abstract

BACKGROUND

Acoustic pollution is generally analysed in relation to the risks for the hearing apparatus, omitting the extra-auditory effects, such as the damage that the noise can cause to the speaker's voice and listening to the learning of the vocal message. These damages are mainly found in school environments among teachers.

OBJECTIVE

A cross-sectional study was carried out to verify the influence that the noise of the classrooms can have on the physical and mental health of the teachers examined.

METHODS

This study involved four schools of Rome, for a total of 60 teachers, who were interviewed via online questionnaires, which consisted of a socio-demographic data section and 3 other sections: Vocal Handicap Index (VHI), SF-12, Job Content Questionnaire.

RESULTS

50 responses were received. 68% of teachers exceeded the normative value of 2.83 and perceived a disorder of the voice, and only 32% had a value lower than the standard considered (mean=7.34; median=5). The medians of MCS12 and PCS12 scores (52.9 and 54.2) were very close to those of the general population, as well as the distribution of the scores obtained from the Job Content Questionnaire. Furthermore, there was a direct association between the VHI-10 score and the age (B=0.321 p=0.016), the marital status (B=0.345 p= 0.009), and an indirect association with the MCS12 (B=-0.283 p=0.033).

CONCLUSIONS

In general, the teachers examined are exposed in the classrooms to a high acoustic climate (median=75 dB) and, consequently, to a vocal effort during the didactic activities. Although it has not been possible to verify whether teachers with a high vocal disturbance were in the classrooms with a worse acoustic climate, the descriptive analyses provide a solid basis for further studies on the association between noise pollution and vocal effort.

摘要

背景

通常对声污染的分析是围绕其对听力器官的风险展开的,而忽略了听觉外的影响,比如噪音可能对说话者的嗓音造成的损害以及对语音信息学习的影响。这些损害主要出现在学校环境中的教师群体中。

目的

开展一项横断面研究,以验证教室噪音对所调查教师身心健康的影响。

方法

本研究涉及罗马的四所学校,共60名教师,通过在线问卷进行访谈,问卷包括社会人口统计学数据部分以及其他三个部分:嗓音障碍指数(VHI)、SF-12、工作内容问卷。

结果

收到50份回复。68%的教师超过了2.83的标准值,感觉嗓音有紊乱情况,只有32%的教师的值低于所考虑的标准(均值 = 7.34;中位数 = 5)。MCS12和PCS12分数的中位数(52.9和54.2)与普通人群的中位数非常接近,从工作内容问卷获得的分数分布也是如此。此外,VHI-10分数与年龄(B = 0.321,p = 0.016)、婚姻状况(B = 0.345,p = 0.009)之间存在直接关联,与MCS12存在间接关联(B = -0.283,p = 0.033)。

结论

总体而言,接受调查的教师在教室中面临高声环境(中位数 = 75分贝),因此在教学活动中需要付出嗓音方面的努力。尽管无法核实嗓音干扰大的教师是否处于声学环境更差的教室,但描述性分析为进一步研究噪音污染与嗓音努力之间的关联提供了坚实基础。

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