患者報告 対 術後の声の休息時の声の使用の楽器測定
Marianna Rubino1, Ruiqing 'Stephanie' Fan2, Paulina A Kulesz3
1Department of Communication Sciences and Disorders, The University of Tulsa, Tulsa, Oklahoma, USA.
The Laryngoscope
|February 16, 2026
まとめ
患者は手術後の声の使い方を過小評価することが多い. 声の静止状態の遵守に関する主観的な報告は,客観的な用量計の読み値と著しく異なるため,患者の記憶に依存する際には注意を払う必要があります.
科学分野:
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
- 言語言語病理学 言語言語病理学 言語言語病理学
- バイオメディカルエンジニアリング
背景:
- フォノミクロ外科手術後の声の休息は極めて重要です.
- 患者の自己報告は,声の休息遵守を測定する主な方法である.
- 主観的なアデランス測定の精度は,ほとんど知られていない.
研究 の 目的:
- 患者の報告した声の使用を,客観的な楽器による測定と比較する.
- 術後の音声患者における主観的なアデレンス報告の妥当性を評価する.
- 完全音声休憩プロトコルと相対音声休憩プロトコルとの間の音声使用の違いを評価する.
主な方法:
- 16人の女性と7人の男性は,声帯の良性病変のためにマイクロフラップフォノ手術を受けた.
- 参加者は,手術後の7日間,完全または相対的な声の休息にランダムに割り当てられました.
- 声のアクティビティは,VocaLog2 Vocal Activity Monitorを使用して監視され,同時に視覚アナログスケールによる主観的なアデレンス評価が行われました.
主要な成果:
- 患者によって報告された声の使用 (毎日および全体) は,ドシメーターの測定値と有意に異なる (p=0.04 両方).
- 主観的な推定値は,標準化された単位79~83単位で,楽器データより一貫して低かった.
- 完全および相対的な声の休憩グループでは,音声使用時間の有意な違いは見つかりませんでした.
結論:
- 客観的なデータとの不一致のために,声の休息遵守に関する主観的な患者の報告は,慎重に解釈する必要があります.
- インストゥルメンタルモニタリングは,自己報告と比較して,音声使用のより正確な測定を提供します.
- 声の休息の種類 (完全または相対) は,この研究における声の使用期間に影響を与えませんでした.
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