成都市某区小学教师嗓音相关生活质量调查分析

Quality of life analysis of teachers in a primary school in Chengdu

目的:探讨成都市某区小学教师嗓音疾病的患病情况、心理、生活质量状况,对嗓音相关生活质量量表的相关性进行分析。方法:抽样调查成都市某区389名小学教师,填写一般健康量表(GHQ-12)、嗓音障碍指数量表-10(VHI-10)及嗓音相关生活质量检测(V-RQOL)量表,并行咽喉部常规检查及频闪喉镜检查。结果:189名教师患嗓音疾病(嗓音疾病组),200名教师无明显嗓音疾病(无嗓音疾病组);2V-RQOL总分、VHI-10总分及其功能(F)和情感(E)维度在2组间差异有统计学意义(P<0.05);但GHQ-12总分差异无统计学意义(P>0.05);GHQ-12总分与VHI-10总分呈正相关(r=0.194,P<0.05);V-RQOL与GHQ-12、VHI-10总分呈负相关(r=-0.209、-0.586,P<0.05)。结论:嗓音疾病可对教师的心理状况及生活质量造成影响,VHI-10和VRQOL虽有相关性,但其相关性不强,因此建议在评估嗓音疾病时联合使用VHI-10及V-RQOL。

Objective：To investigate the prevalence of voice disorder and quality of life in the primary school teachers in a certain district of Chengduand examine the correlation between two voice-specific questionnaires. Method：Random sampling survey included 389 teachers from a certain district of Chengdu. Twelve item general health questionnaire（GHQ-12）, voice handicap inde-10 （VHI-10） and voice-related quality of life （V-RQOL） were investigated and outine examination of throat with electronic fiber laryngoscopy were carried out for teach- ers. Result： There were 189 teachers who had voice disorders（voice disorders group）, and 200 teachers who did not have voice disorders（control group）. ②The total score ＇s difference of V-RQOL and VHI-10, functional（F） and emotion（E） dimensions in VHI-10 between two groups were statistically significant（P〈0.05） ,however,there were no statistically significant difference of GHQ-12 between two groups. The total score of GHQ-12 was positively correlated with VHI-10（r=0. 194,P〈0.05）, while the total score of V-RQOL was negatively correlated with GHQ-12（r=-0. 209,P〈0.05） and VHI-10 （r= 0. 586,P〈0. 05）. Conclusion：Voice disorders can affect teachers＇ psychology and voice related quality of life. Although the VHI-10 and V-RQOL had correlation, the correlation is not strong. So it is recommended combine VHi-10 and V-RQOL when the quality of life of voice disorders is evaluated.