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首页> 外文期刊>Journal of voice: official journal of the Voice Foundation >Patient factors related to voice therapy attendance and outcomes.
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Patient factors related to voice therapy attendance and outcomes.

机译：与语音治疗的出勤率和结果有关的患者因素。

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摘要

Limited information is available concerning factors that may be associated with attendance and outcomes among patients referred for voice therapy. The purpose of this study was to determine whether patient-related factors could be identified which distinguished patients who attended voice therapy and had positive voice change from those who did not. This retrospective study included medical record information for 100 patients seen at a major urban, academic medical center. The attendance/outcomes of voice therapy resulted in patient division into five groups, those who (1) were successfully discharged from therapy, (2) attended a few sessions, had voices that improved to normal or were near normal and then stopped attending therapy, (3) attended many sessions with some voice gain, (4) failed to improve despite attending voice therapy, or (5) failed to attend voice therapy as recommended. Outcomes for groups 1-3 (53% of patients) were considered successful (positive voice change), whereas outcomes for groups 4 and 5 (47% of patients) were considered unsuccessful. A high percentage of patients (44%) essentially did not attend therapy. Patients having successful outcomes were more likely to be female, younger, employed, with fewer laryngeal diagnoses and medical problems, a less severe voice disorder and lower Voice Handicap Index (VHI) scores at the start of therapy. Patients with more complex laryngeal diagnoses, more perceived vocal severity, occupational issues, more health issues, and higher VHI scores at the time of the initial voice evaluation may be at greater risk for failing to attend voice therapy sessions.
机译：对于涉及语音治疗的患者中可能与出勤率和结果相关的因素，可获得的信息有限。这项研究的目的是确定是否可以识别出与患者相关的因素，从而将参加语音治疗的患者与没有进行语音治疗的患者区别开来。这项回顾性研究包括在城市主要学术医疗中心就诊的100名患者的病历信息。语音治疗的出席率/结果将患者分为五组，其中（1）成功退出治疗;（2）参加了几次会议;声音恢复到正常或接近正常，然后停止参加治疗; （3）参加了许多会议并获得了一定的声音增益;（4）尽管参加了语音治疗，但仍未能改善;或（5）没有按照建议参加语音治疗。 1-3组的结果（占患者的53％）被认为是成功的（语音改变为阳性），而4和5组的结果（占患者的47％）被认为是不成功的。很大一部分患者（44％）基本上没有参加治疗。具有成功结果的患者更有可能是女性，年轻，受雇，喉部诊断和医疗问题较少，治疗开始时较轻的语音障碍和较低的语音障碍指数（VHI）得分。在初次语音评估时，喉部诊断更为复杂，嗓音严重度，职业问题，健康问题更多，VHI评分更高的患者可能会更有可能无法参加语音治疗。

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