摘要
目的:研究渐进性发声训练联合放松训练对声带息肉术后患者嗓音康复、心理负担和嗓音障碍指数(VHI)评分的影响。方法:研究对象为81例2021年2月-2023年8月在某院行声带息肉术治疗的患者,根据干预方式分为对照组(n=41,采用常规护理干预)和观察组(n=40,在对照组基础上采用渐进性发声训练联合放松训练干预),比较两组患者的嗓音康复情况、心理负担[心理弹性量表(CD-RISC)]、嗓音障碍情况及声带恢复情况。结果:干预后,两组患者基频微扰、振幅微扰、VHI量表中情感、功能及生理方面的评分均降低,且观察组较对照组低(t=3.238,3.928,3.507,3.182,3.983;P<0.05),最长发声时间、CD-RISC量表中坚韧、自强及乐观方面的评分均升高,且观察组较对照组高(t=3.482,2.974,3.702,3.240;P<0.05);干预后,观察组患者声带恢复总有效率(95.00%)高于对照组(80.49%)(χ^(2)=3.940,P<0.05)。结论:采用渐进性发声联合放松训练干预可促进声带息肉患者术后嗓音及声带康复,同时减轻其心理负担,改善其嗓音障碍情况。
Objective:To study the influence of progressive vocalization training combined with relaxation training on voice rehabilitation,psychological burden and Voice Handicap Index(VHI)scores in patients after vocal cord polyp surgery.Methods:The study subjects were 81 patients who received vocal cord polyp surgery in the hospital from February 2021 to August 2023,and were divided into control group(n=41,routine nursing intervention)and observation group(n=40,progressive vocalization training combined with relaxation training intervention on the basis of control group)based on the intervention method.The voice rehabilitation status,psychological burden[Connor-Davidson Resilience Scale(CD-RISC)],voice handicap status and vocal cord recovery status were compared between groups.Results:After intervention,the Jitter,Shimmer and scores of emotion,function and physiology of VHI in the two groups were decreased,and the indicators in observation group were lower than those in control group(t=3.238,3.928,3.507,3.182,3.983;P<0.05).The maximum phonation time and scores of tenacity,self-reliance and optimism of CD-RISC were increased,and the observation group had higher indicators than those in control group(t=3.482,2.974,3.702,3.240;P<0.05).The total effective rate of vocal cord recovery in observation group(95.00%)after intervention was higher than that in control group(80.49%)(χ^(2)=3.940,P<0.05).Conclusion:Progressive vocalization combined with relaxation training intervention can promote the postoperative voice rehabilitation of patients with vocal cord polyp,reduce the psychological burden,improve the voice handicap status,and promote the vocal cord recovery.
作者
马青青
王淑云
高静
吴楠楠
MA Qingqing;WANG Shuyun;GAO Jing;WU Nannan(Department of Pharyngology,Head and Neck Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
2024年第10期1515-1519,共5页
China Journal of Health Psychology
基金
郑州市科技局基础研究与应用基础研究立项(编号:2024ZZJCYJ054)。
关键词
渐进性发声训练
放松训练
声带息肉术
嗓音康复
心理负担
Progressive vocalization training
Relaxation training
Vocal cord polyp surgery
Voice rehabilitation
Psychological burden
