Dil ve Konuşma Terapistlerinin Ses Yorgunluk Düzeylerinin ve Sesle İlgili Yaşam Kalitelerinin İncelenmesi

Year 2024, Volume: 7 Issue: 3, 277 - 298, 31.12.2024

Aylin Başaran , Sude Bilgen , Şeyma Çokşen

https://doi.org/10.58563/dkyad-2024.73.2

Abstract

Amaç: Ses yorgunluğu profesyonel ses kullanıcılarında yaşam kalitesini olumsuz yönde etkileyen yaygın bir problemdir. Dil ve konuşma terapistlerini (DKT) de kapsayan profesyonel ses kullanıcıları iş hayatlarında seslerini aktif ve yoğun olarak kullanırlar. Bu yoğun mesleki faaliyetlerinden dolayı DKT’lerin ses yorgunluğu yaşama risklerinin yüksek olduğu düşünülmektedir. Ulusal alanyazında DKT’lerle bu konuda yapılmış bir çalışmaya ulaşılamaması bu çalışmanın çıkış noktasını oluşturmaktadır. Bu araştırmada Türkiye’de çalışan DKT’lerin ses yorgunluğu düzeylerini ve sesle ilgili yaşam kalitelerini belirlemek amaçlanmıştır.

Yöntem: Çalışmada betimsel araştırma türlerinden tarama modeli kullanılmıştır. Çalışmaya Türkiye’de çalışan 106’sı kadın, 19’u erkek toplam 125 DKT katılmıştır. Çalışmanın verilerinin toplanmasında araştırmacıların hazırladığı Demografik Bilgi Formu, Ses Yorgunluğu Ölçeği (SYÖ), Ses Handikap Endeksi (SHE) ve Sesle İlgili Yaşam Kalitesi Ölçeği (SİYKÖ) kullanılmıştır. Çalışmanın verileri Google Forms aracılığıyla çevrimiçi olarak toplanmıştır. Verilerin analizinde Mann Whitney U, Kruskal Wallis testleri ve Spearman Korelasyon Analizi kullanılmıştır.

Bulgular: SYÖ puanlarının kadın ve rehabilitasyon merkezinde çalışan DKT’lerde daha yüksek, 1-10 saat arası ortalama seans süresine sahip DKT’lerde ise daha düşük olduğu görülmüştür. Rehabilitasyon merkezlerinde çalışan DKT’lerin SİYKÖ toplam puanları diğer kurumlarda çalışanlara göre daha düşük bulunmuştur. Ancak DKT’lerin cinsiyet, mesleki deneyim süresi, haftalık ortalama seans süresi ve çalıştığı kuruma göre SYÖ ve SİYKÖ toplam puanları arasında istatistiksel olarak anlamlı bir fark bulunamamıştır. Ölçeklerin birbirleriyle ilişkilerine bakıldığında SİYKÖ puanları ile SYÖ ve SHE puanlarının birbirleriyle arasında istatistiksel olarak anlamlı, negatif yönlü; SYÖ ve SHE puanları arasında anlamlı, pozitif yönlü ilişki olduğu görülmüştür.

Sonuç: Çalışmanın sonucunda DKT’lerin ses yorgunluğu düzeylerinin düşük olduğu ancak ses yorgunluğu düzeyleri arttıkça sesle ilgili yaşam kalitelerinin olumsuz yönde etkilendiği görülmüştür.

Keywords

dil ve konuşma terapisti, ses, ses yorgunluğu, sesle ilgili yaşam kalitesi, ses handikap endeksi

Ethical Statement

Bu çalışma için Üsküdar Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan 28/11/2022 tarihli, 61351342/KASIM 2022-42 sayılı Etik Kurul İzni, 12 no’lu toplantı kararı ile alınmıştır.

Investigation of Voice Fatigue Levels and Voice-Related Quality of Life of Speech and Language Therapists

Abstract

Purpose: Voice disorders, which are very common, may have symptoms such as changing voice quality, laryngeal discomfort, hoarseness, shortness of breath, dry throat, more effort than usual during speaking, and vocal fatigue. Vocal fatigue is a common problem that negatively affects the quality of life of professional voice users, including speech and language therapists (SLT), who actively and intensively use their voices in their work lives. Due to their intensive professional activities, it is thought that SLTs are at high risk of experiencing vocal fatigue. The lack of a study on this issue with SLTs in the national literature in Türkiye constitutes the starting point of this study. The aim of this research is to determine the levels of vocal fatigue and voice-related quality of life among SLTs working in Türkiye.

Method: The study utilized a descriptive research design employing a survey model. A total of 125 participants took part in the study, consisting of 106 females and 19 males working in Türkiye. The data was collected using a Demographic Information Form, Voice Fatigue Index (VFI), Voice Handicap Index (VHI), and Voice-Related Quality of Life Scale (VRQOL). The data was collected online through Google Forms. Mann Whitney U Test, Kruskal-Wallis Test, and Spearman Correlation Analysis were used to analyze the data.

Results: The VFI scores of female participants were higher than male participants, and the VFI scores of participants working in rehabilitation centers were higher than those working in other institutions. Additionally, participants with session durations ranging from 1 to 10 hours had lower total VFI scores than participants with longer session durations. The total VRQOL scores of speech and language therapists working in rehabilitation centers were found to be lower than those working in other institutions. However, there was no statistically significant difference between the total scores of VFI and VRQOL according to the participants' gender, duration of professional experience, average weekly session duration, and the institution they work for. When the relations between the scales are examined, there is a statistically significant negative correlation between the VRQOL scores and the VFI and VHI scores. It was observed that there was a significant and positive relationship between VFI and VHI scores.

Conclusion: The results of the study revealed that the levels of vocal fatigue among speech and language therapists were low, but as vocal fatigue levels increased, their voice-related quality of life was negatively affected.

Keywords

speech language therapist, voice, vocal fatigue, voice-related quality of life, voice handicap index

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