성별에 따른 정상 및 음성장애 노인 화자의 음성관련 삶의질 비교: 노인성 음성지수-한국어판(Aging Voice Index-Korean version, AVI-KR)을 이용하여

Abstract

Objectives The present study was performed to investigate the effect of voice problems on voice related quality of life in the elderly with, without voice disorders, according to genders by using the Aging Voice Index-Korean version (AVI-KR). Methods The AVI-KR, a translated original version of the Aging Voice Index (AVI) into Korean and verified for reliability and validity, was implemented with 50 elderly people without voice disorders (normal group) and 76 elderly people with voice disorders (patient group). Statistical difference according to the group (normal and patient group) and gender (male and female) were analyzed by using a 2-way ANOVA. Results The mean total score of the AVI-KR of the normal group was significantly higher than that of the patient group. All of the normal group participants showed under 11.00, the cut-off score of AVI-KR, but 17.1% of the patient group appeared under the cut-off score. The female group showed higher scores than the male group, but the difference was not significant. Also, the gender difference of patient groups did not show a statistical significance. Conclusion The voice-related quality of life in elderly people showed significant difference according to presence/absence of pathological vocal fold status, but the gender difference due to aging did not cause a difference in voice-related quality of life. Even pathological status of vocal fold did not guarantee a bad influence on voice-related quality of life. Therefore, the assessment of elderly people’s voice problems should be carried out not only with an examiner or expert-centered objective tools; but also patient-centered ones, including self-reporting questionnaires and evaluation tools specialized for the elderly, should be developed continuously.