The application of parental version of pediatric voice-related quality of life in children with voice disorders
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摘要: 目的:通过嗓音相关生活质量(pVRQOL)量表评估嗓音疾病对儿童生活质量的影响。方法:2017-08-2018-12共纳入386例儿童,根据嗓音状况分为嗓音疾病组(214例)及无嗓音疾病组(172例),由家长填写含pVRQOL量表。根据数据特征,运用Mann-Whitney U检验及Pearson相关性检验进行统计学分析。结果:①声带小结是最常见的儿童嗓音疾病(68.2%),患嗓音疾病的男孩(71.5%)较女孩(28.5%)多;②通过pVRQOL量表评估,嗓音疾病组中总分(91.40±8.63、97.94±4.23),功能生理(87.55±10.98、96.99±6.10)及社会情感(98.86±3.29、99.73±1.08)维度均低于无嗓音疾病组,均差异有统计学意义(P<0.01);③在嗓音疾病组,家长总体评价目前孩子的嗓音状况的视觉模拟量表评分与pVRQOL量表间存在相关性:与pVRQOL量表总分呈中等负相关(r=-0.398,P<0.01);与功能生理维度呈中等负相关(r=-0.448,P<0.01),与社会情感维度呈负的弱相关(r=-0.125,P<0.05)。结论:嗓音疾病可对儿童的嗓音相关生活质量造成负面影响,pVRQOL量表可应用于儿童嗓音相关疾病对生活质量影响程度的评估。Abstract: Objective: To evaluate the influence of voice disorders on children's quality of life through the parental version of pediatric voice-related quality of life(pVRQOL). Method: Three hundred and eighty-six children from August 2017 to December 2018 were enrolled in this study. A total of 214 parents of children had voice disorders(dysphonic group), and 172 parents of children were without voice disorders(control group). Both groups were filled out the questionnaire containing the parental version of pVRQOL. Result: ① The most common disease in children with voice disorder was vocal fold nodule, and boys were more susceptible to voice disorder than girls(71.5%, 28.5%); ②In dysphonic group, the scores of total(91.40±8.63, 97.94±4.23), physiology and function(87.55±10.98, 96.99±6.10), social emotion(98.86 ±3.29, 99.73±1.08) were lower than those in control group(P<0.01); ③In dysphonic group, there was a correlation between the parents' overall evaluation of the children's voice quality and the three dimensions of the parental version of pVRQOL(total: r=-0.398, P<0.01, physical function: r=-0.448, P<0.01, social-emotion: r=-0.125, P<0.05).Conclusion: Voice disorders could cause a negative impact on children's voice related quality of life. pVRQOL could be applied to assess the voice-related quality of life in children with voice disorders.
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Key words:
- child /
- voice disorders /
- voice-related quality of life /
- quality of life
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