Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://repositorio.pucsp.br/jspui/handle/handle/24268 |
Resumo: | Introduction: the Technical Section of Speech Therapy. of the Hospital do Servidor Público Municipal de São Paulo (HSPM) receives an approximate number of 30 people / month, with reports of vocal changes. This search, which has been taking place for 29 years, resulted in the creation of a Voice Program at the institution. held every six months, in five groups composed of up to 15 teachers with a duration of 15 meetings / weekly. Objective: to analyze the effects of group speech therapy on self-reported vocal symptoms and the self-report of teachers with voice disorders. Method: this intervention analysis study (pre and post) was approved by the Ethics Committee of PUC-SP (CAAEnº 18756319.0.0000.5482) and of the Hospital do Servidor Público Municipal de São Paulo (CAEE nº 18756319.0.3001.5442) and counted with teachers, with voice disorders seen in the Voice Program of the referred hospital (second semester of 2019). After the inclusion criteria were established, 23 teachers were analyzed by means of otorhinolaryngological (diagnosis) and speech-language evaluation of the voice (survey of health and treatment aspects, GRBASI scale, pitch, loudness, resonance, respiratory type and pneumophonoarticulatory coordination) and responses Vocal Handicap Index (IDV), Voice Disorder Screening Index (ITDV), Teacher Vocal Production Conditions (CPV-P), ITDV, Vocal Fatigue Index (IFV), Self-Report on Voice (ARSV- Initial and ARSV-Final). Descriptive record presented the effects according to the participants' selfreport and the statistical analysis compared the scores of the ITDV and IFV instruments before and after the intervention. Results: the group, entirely female, had a median age of 45 years, 6 to 10 hours / day of workload, working in two schools / periods. The participants presented changes in the larynx and voice. They made reference to factors that interfere in vocal production, arising from the environment and work organization. All of these data led teachers to register vocal handicap. When comparing the pre and post data, the ITDV registered a statistically significant difference with a decrease in the total of mentioned symptoms (mean from 10 to 7.6 = p <0.001), and for the occurrence of clearing, dry cough, cough with secretion and pain when swallowing (p <0.050). However, no difference was found when considering the clinical cutoff point determined by the instrument (≥ 5 symptoms). The score referring to the general mean of the IFV domains was lower at the moment after the intervention (significant difference), with emphasis on the positive and statistically significant reduction (p <0.005) for the variables “I have to work hard to produce the voice after I spoke a little more ”,“ I have difficulty projecting my voice while I speak ”,“ When I speak a lot I feel pain to speak ”and“ When I speak my throat hurts ”presented The analysis of self-reports showed that most teachers, when finalize the program, said he observed changes in his voice, mentioning aspects related to his habits / care with the voice (60.9%; n = 14), but they said there was a need to establish discipline to put the worked content into practice (56.5%; n = 13) Conclusion: the record of reduction in vocal symptoms, especially those related to vocal fatigue, accompanied by a positive self-report regarding the change in habits were recorded after the completion of the Voice Program. The managers of that Program must be attentive to establish the possibility of continuing the process with actions that may help teachers to actually incorporate the practices learned in their daily lives |
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Ferreira, Leslie Piccolottohttp://lattes.cnpq.br/6606091691004002http://lattes.cnpq.br/7519518230308800Pereira, Mariane Maião2022-02-02T18:49:49Z2022-02-02T18:49:49Z2021-05-06Pereira, Mariane Maião. Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz. 2021. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia da Pontifícia Universidade Católica de São Paulo, São Paulo, 2021.https://repositorio.pucsp.br/jspui/handle/handle/24268Introduction: the Technical Section of Speech Therapy. of the Hospital do Servidor Público Municipal de São Paulo (HSPM) receives an approximate number of 30 people / month, with reports of vocal changes. This search, which has been taking place for 29 years, resulted in the creation of a Voice Program at the institution. held every six months, in five groups composed of up to 15 teachers with a duration of 15 meetings / weekly. Objective: to analyze the effects of group speech therapy on self-reported vocal symptoms and the self-report of teachers with voice disorders. Method: this intervention analysis study (pre and post) was approved by the Ethics Committee of PUC-SP (CAAEnº 18756319.0.0000.5482) and of the Hospital do Servidor Público Municipal de São Paulo (CAEE nº 18756319.0.3001.5442) and counted with teachers, with voice disorders seen in the Voice Program of the referred hospital (second semester of 2019). After the inclusion criteria were established, 23 teachers were analyzed by means of otorhinolaryngological (diagnosis) and speech-language evaluation of the voice (survey of health and treatment aspects, GRBASI scale, pitch, loudness, resonance, respiratory type and pneumophonoarticulatory coordination) and responses Vocal Handicap Index (IDV), Voice Disorder Screening Index (ITDV), Teacher Vocal Production Conditions (CPV-P), ITDV, Vocal Fatigue Index (IFV), Self-Report on Voice (ARSV- Initial and ARSV-Final). Descriptive record presented the effects according to the participants' selfreport and the statistical analysis compared the scores of the ITDV and IFV instruments before and after the intervention. Results: the group, entirely female, had a median age of 45 years, 6 to 10 hours / day of workload, working in two schools / periods. The participants presented changes in the larynx and voice. They made reference to factors that interfere in vocal production, arising from the environment and work organization. All of these data led teachers to register vocal handicap. When comparing the pre and post data, the ITDV registered a statistically significant difference with a decrease in the total of mentioned symptoms (mean from 10 to 7.6 = p <0.001), and for the occurrence of clearing, dry cough, cough with secretion and pain when swallowing (p <0.050). However, no difference was found when considering the clinical cutoff point determined by the instrument (≥ 5 symptoms). The score referring to the general mean of the IFV domains was lower at the moment after the intervention (significant difference), with emphasis on the positive and statistically significant reduction (p <0.005) for the variables “I have to work hard to produce the voice after I spoke a little more ”,“ I have difficulty projecting my voice while I speak ”,“ When I speak a lot I feel pain to speak ”and“ When I speak my throat hurts ”presented The analysis of self-reports showed that most teachers, when finalize the program, said he observed changes in his voice, mentioning aspects related to his habits / care with the voice (60.9%; n = 14), but they said there was a need to establish discipline to put the worked content into practice (56.5%; n = 13) Conclusion: the record of reduction in vocal symptoms, especially those related to vocal fatigue, accompanied by a positive self-report regarding the change in habits were recorded after the completion of the Voice Program. The managers of that Program must be attentive to establish the possibility of continuing the process with actions that may help teachers to actually incorporate the practices learned in their daily livesIntrodução: a Seção Técnica de Fonoaudiologia.do Hospital do Servidor Público Municipal de São Paulo (HSPM) recebe um número aproximado de 30 pessoas/mês, com relato de alterações vocais. Tal procura, que acontece há 29 aos, resultou na elaboração de um Programa de Voz na instituição. realizado semestralmente, em cinco grupos compostos por até 15 professores com duração de 15 encontros/semanais. Objetivo: analisar os efeitos da terapia fonoaudiológica em grupo nos sintomas vocais autorreferidos e no autorrelato de professores com distúrbio de voz. Método: este estudo de análise de intervenção (pré e pós) foi aprovado pelo Comitê de Ética da PUCSP (CAAE-nº 18756319.0.0000.5482) e do Hospital do Servidor Público Municipal de São Paulo (CAEE nº 18756319.0.3001.5442) e contou com professoras, com distúrbio de voz atendidas no Programa de Voz do referido hospital (segundo semestre de 2019). Após estabelecidos os critérios de inclusão, 23 professoras foram analisadas por meio de avaliação otorrinolaringológica (diagnóstico) e fonoaudiológica da voz (levantamento de aspectos referentes a saúde e tratamentos, escala GRBASI, pitch, loudness, ressonância, tipo respiratório e coordenação pneumofonoarticulatória) e respostas aos instrumentos Índice de Desvantagem Vocal (IDV), Índice de Triagem de Distúrbio de Voz (ITDV), Condições de Produção Vocal do Professor (CPV-P), ITDV, Índice de Fadiga Vocal (IFV), Autorrelato sobre a voz (ARSV-Inicial e ARSV-Final). Registro descritivo apresentou os efeitos segundo autorrelato dos participantes e a análise estatística comparou os escores dos instrumentos ITDV e IFV antes e após a intervenção. Resultados: o grupo, totalmente feminino, apresentou idade mediana de 45 anos, 6 a 10 horas/dia de carga horária de trabalho, atuando em duas escolas/períodos. As participantes apresentaram alteração de laringe e de voz. Fizeram referência a fatores que interferem na produção vocal, advindos do ambiente e da organização do trabalho. Todos esses dados levaram as professoras a registrarem desvantagem vocal. Ao se comparar os dados pré e pós, o ITDV registrou diferença estatisticamente significativa com diminuição do total de sintomas mencionados (média de 10 para 7,6 = p<0,001), e para a ocorrência de pigarro, tosse seca, tosse com secreção e dor ao engolir (p<0.050). Não foi constatada, contudo, diferença quando se considerou o ponto de corte clínico determinado pelo instrumento (≥ 5 sintomas). O escore referente a média geral dos domínios do IFV, foi menor no momento pós intervenção (diferença significativa), com destaque a redução positiva e estatisticamente significativa (p<0.005) para as variáveis “Tenho que fazer força para produzir a voz depois que falei um pouco mais”, “Tenho dificuldade para projetar a minha voz enquanto falo”, "Quando eu falo muito sinto dor para falar” e “Quando eu falo minha garganta dói” apresentaram A análise dos auto relatos evidenciou que a maioria das professoras, ao finalizar o programa, disse ter observado mudanças na sua voz, com menção a aspectos relacionados a seus hábitos/cuidados com a voz (60.9%;n=14). Disseram, porém, haver necessidade de estabelecer disciplina para colocar em prática o conteúdo trabalhado (56.5%; n=13). Conclusão: o registro de redução de sintomas vocais, em especial os relacionados à fadiga vocal, acompanhado de autorrelato positivo quanto a mudança de hábitos foram registrados após a finalização do Programa de Voz. Os gestores do referido Programa devem estar atentos para estabelecer a possibilidade de darem continuidade ao processo com ações que possam vir a auxiliar os professores a de fato incorporarem as práticas aprendidas em seu dia a diaporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBrasilFaculdade de Ciências Humanas e da SaúdeCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIADistúrbios da VozProfessores escolaresTreinamento da vozVoice DisordersSchool TeachersVoice TrainingEfeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de vozinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPORIGINALMariane Maião Pereira.pdfapplication/pdf1029341https://repositorio.pucsp.br/xmlui/bitstream/handle/24268/1/Mariane%20Mai%c3%a3o%20Pereira.pdf1a9ecafb81aecc556e494ad707d51380MD51TEXTMariane Maião Pereira.pdf.txtMariane Maião Pereira.pdf.txtExtracted texttext/plain142007https://repositorio.pucsp.br/xmlui/bitstream/handle/24268/2/Mariane%20Mai%c3%a3o%20Pereira.pdf.txtfdd121ddbc45185ba2bc83dd7e720263MD52THUMBNAILMariane Maião Pereira.pdf.jpgMariane Maião Pereira.pdf.jpgGenerated Thumbnailimage/jpeg1132https://repositorio.pucsp.br/xmlui/bitstream/handle/24268/3/Mariane%20Mai%c3%a3o%20Pereira.pdf.jpgb4a44f113039e7a64cae62e533f44248MD53handle/242682023-11-24 13:17:51.351oai:repositorio.pucsp.br:handle/24268Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-11-24T16:17:51Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.pt_BR.fl_str_mv |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
title |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
spellingShingle |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz Pereira, Mariane Maião CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA Distúrbios da Voz Professores escolares Treinamento da voz Voice Disorders School Teachers Voice Training |
title_short |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
title_full |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
title_fullStr |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
title_full_unstemmed |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
title_sort |
Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz |
author |
Pereira, Mariane Maião |
author_facet |
Pereira, Mariane Maião |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ferreira, Leslie Piccolotto |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6606091691004002 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7519518230308800 |
dc.contributor.author.fl_str_mv |
Pereira, Mariane Maião |
contributor_str_mv |
Ferreira, Leslie Piccolotto |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
topic |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA Distúrbios da Voz Professores escolares Treinamento da voz Voice Disorders School Teachers Voice Training |
dc.subject.por.fl_str_mv |
Distúrbios da Voz Professores escolares Treinamento da voz |
dc.subject.eng.fl_str_mv |
Voice Disorders School Teachers Voice Training |
description |
Introduction: the Technical Section of Speech Therapy. of the Hospital do Servidor Público Municipal de São Paulo (HSPM) receives an approximate number of 30 people / month, with reports of vocal changes. This search, which has been taking place for 29 years, resulted in the creation of a Voice Program at the institution. held every six months, in five groups composed of up to 15 teachers with a duration of 15 meetings / weekly. Objective: to analyze the effects of group speech therapy on self-reported vocal symptoms and the self-report of teachers with voice disorders. Method: this intervention analysis study (pre and post) was approved by the Ethics Committee of PUC-SP (CAAEnº 18756319.0.0000.5482) and of the Hospital do Servidor Público Municipal de São Paulo (CAEE nº 18756319.0.3001.5442) and counted with teachers, with voice disorders seen in the Voice Program of the referred hospital (second semester of 2019). After the inclusion criteria were established, 23 teachers were analyzed by means of otorhinolaryngological (diagnosis) and speech-language evaluation of the voice (survey of health and treatment aspects, GRBASI scale, pitch, loudness, resonance, respiratory type and pneumophonoarticulatory coordination) and responses Vocal Handicap Index (IDV), Voice Disorder Screening Index (ITDV), Teacher Vocal Production Conditions (CPV-P), ITDV, Vocal Fatigue Index (IFV), Self-Report on Voice (ARSV- Initial and ARSV-Final). Descriptive record presented the effects according to the participants' selfreport and the statistical analysis compared the scores of the ITDV and IFV instruments before and after the intervention. Results: the group, entirely female, had a median age of 45 years, 6 to 10 hours / day of workload, working in two schools / periods. The participants presented changes in the larynx and voice. They made reference to factors that interfere in vocal production, arising from the environment and work organization. All of these data led teachers to register vocal handicap. When comparing the pre and post data, the ITDV registered a statistically significant difference with a decrease in the total of mentioned symptoms (mean from 10 to 7.6 = p <0.001), and for the occurrence of clearing, dry cough, cough with secretion and pain when swallowing (p <0.050). However, no difference was found when considering the clinical cutoff point determined by the instrument (≥ 5 symptoms). The score referring to the general mean of the IFV domains was lower at the moment after the intervention (significant difference), with emphasis on the positive and statistically significant reduction (p <0.005) for the variables “I have to work hard to produce the voice after I spoke a little more ”,“ I have difficulty projecting my voice while I speak ”,“ When I speak a lot I feel pain to speak ”and“ When I speak my throat hurts ”presented The analysis of self-reports showed that most teachers, when finalize the program, said he observed changes in his voice, mentioning aspects related to his habits / care with the voice (60.9%; n = 14), but they said there was a need to establish discipline to put the worked content into practice (56.5%; n = 13) Conclusion: the record of reduction in vocal symptoms, especially those related to vocal fatigue, accompanied by a positive self-report regarding the change in habits were recorded after the completion of the Voice Program. The managers of that Program must be attentive to establish the possibility of continuing the process with actions that may help teachers to actually incorporate the practices learned in their daily lives |
publishDate |
2021 |
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2021-05-06 |
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2022-02-02T18:49:49Z |
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2022-02-02T18:49:49Z |
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Pereira, Mariane Maião. Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz. 2021. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia da Pontifícia Universidade Católica de São Paulo, São Paulo, 2021. |
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https://repositorio.pucsp.br/jspui/handle/handle/24268 |
identifier_str_mv |
Pereira, Mariane Maião. Efeitos de uma terapia fonoaudiológica em grupo de professores com distúrbio de voz. 2021. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia da Pontifícia Universidade Católica de São Paulo, São Paulo, 2021. |
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Brasil |
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Faculdade de Ciências Humanas e da Saúde |
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Pontifícia Universidade Católica de São Paulo |
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