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慢性阻塞性肺疾病患者声音质量的预测因素。

Quality of Life Predictors in Voice of Individuals With Chronic Obstructive Pulmonary Disease.

机构信息

Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.

Institutional Psychopedagogy at Centro Universitário Internacional, Curitiba, Paraná, Brazil.

出版信息

J Voice. 2024 Nov;38(6):1530.e7-1530.e13. doi: 10.1016/j.jvoice.2022.05.017. Epub 2022 Jul 11.

Abstract

OBJECTIVE

To investigate whether there is a relationship between voice-related quality of life, pulmonary function, risk of dysphagia, symptoms of dyspnea, and the different degrees of Chronic Obstructive Pulmonary Disease, and to verify which factors may be associated to voice-related quality of life.

METHODS

Complete records of 37 individuals diagnosed with Chronic Obstructive Pulmonary Disease, of both sexes, aged between 35 and 89, assessed using the Voice-Related Quality of Life Questionnaire, Questionnaire for Dysphagia Screening, Modified Medical Research Council, Index of Body Mass, Peak Expiratory Flow, COPD Assessment Test and Global Initiative for Chronic Obstructive Lung Disease classification.

RESULTS

There was a significant, moderate, and negative correlation between the total scores and the physical domain scores of the Voice-Related Quality of Life as a COPD Assessment Test. In the multivariate linear regression analysis, the coefficient of determination explained 51.1% of the relationship between the total Voice-Related Quality of Life score and the independent variables: Peak Expiratory Flow and Questionnaire for Dysphagia Screening.

CONCLUSION

In the analyzed group, voice-related quality of life was negatively influenced by Chronic Obstructive Pulmonary Disease, risk of dysphagia, and changes in Peak Expiratory Flow.

摘要

目的

研究嗓音相关生活质量与肺功能、吞咽困难风险、呼吸困难症状以及慢性阻塞性肺疾病严重程度之间是否存在关系,并验证哪些因素可能与嗓音相关生活质量相关。

方法

对 37 名年龄在 35 岁至 89 岁之间的慢性阻塞性肺疾病患者进行了全面评估,使用嗓音相关生活质量问卷、吞咽困难筛查问卷、改良医学研究委员会呼吸困难指数、体重指数、呼气峰流速、慢性阻塞性肺疾病评估测试和全球慢性阻塞性肺疾病倡议分类进行评估。

结果

在慢性阻塞性肺疾病评估测试中,嗓音相关生活质量问卷的总分和生理领域得分与 COPD 评估测试呈显著、中度负相关。在多元线性回归分析中,决定系数解释了总嗓音相关生活质量评分与独立变量之间 51.1%的关系:呼气峰流速和吞咽困难筛查问卷。

结论

在分析组中,嗓音相关生活质量受到慢性阻塞性肺疾病、吞咽困难风险和呼气峰流速变化的负面影响。

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