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评估嗓音障碍患者的疼痛:一项定性研究。

Determining pain in patients with voice disorders: a qualitative study.

机构信息

Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.

English Language Teaching Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Logoped Phoniatr Vocol. 2021 Dec;46(4):155-162. doi: 10.1080/14015439.2020.1791249. Epub 2020 Jul 13.

Abstract

AIM

The present study aimed to determine pain in patients with voice disorders (PWVDs).

PATIENTS AND METHODS

A total number of 28 patients with a range of voice disorders and without any other diseases participated in the study. To gain maximum variation, purposive sampling method was used. Moreover, semi-structured interviews were employed for data collection. The interviews were then continued until data saturation was reached, and the data were subsequently recorded and transcribed verbatim. Qualitative content analysis was utilized for data analysis.

RESULTS

Data analysis of the interviews emerged three themes about pain experienced by PWVDs. The emerged themes included location of pain, type of pain, and time of pain occurrence. In this respect, PWVDs reported pain in different locations on their body including head, ears, anterior neck, posterior neck, larynx, temporomandibular joint, submandibular area, shoulders, and upper back. Furthermore, chronic, acute, severe, and mild were the most common types of pain reported by PWVDs. The PWVDs also stated that they had experienced pain at different times, i.e. during speaking, after long-time speaking, after voice use, during swallowing, during palpation, and all the time (even at rest).

CONCLUSIONS

One of the physical discomforts experienced by PWVDs is pain. According to the results of the present study, pain should properly be considered in the assessment and treatment of PWVDs in clinical practices. Also, our study suggested that a specific scale is needed to measure pain in voice disorders.

摘要

目的

本研究旨在确定嗓音障碍患者(PWVD)的疼痛情况。

患者和方法

共有 28 名患有各种嗓音障碍且无其他疾病的患者参与了这项研究。为了获得最大的变异性,采用了目的性抽样法。此外,还采用了半结构式访谈进行数据收集。访谈会继续进行,直到达到数据饱和,然后将数据记录并逐字转录。采用定性内容分析法进行数据分析。

结果

对访谈的数据分析得出了 PWVD 经历疼痛的三个主题。出现的主题包括疼痛的位置、疼痛的类型和疼痛发生的时间。在这方面,PWVD 报告了身体不同部位的疼痛,包括头部、耳朵、前颈部、后颈部、喉部、颞下颌关节、颌下区域、肩部和上背部。此外,慢性、急性、剧烈和轻度是 PWVD 报告的最常见类型的疼痛。PWVD 还表示,他们在不同时间经历过疼痛,即在说话时、长时间说话后、使用声音后、吞咽时、触诊时以及一直(即使在休息时)。

结论

PWVD 经历的身体不适之一是疼痛。根据本研究的结果,在临床实践中评估和治疗 PWVD 时,应适当考虑疼痛。此外,我们的研究表明,需要一种专门的量表来测量嗓音障碍中的疼痛。

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