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DOI: 10.1055/a-1727-6012
Vokaltraktbeschwerden und Gesundheitserleben von Pflegenden in Senioreneinrichtungen in der Pandemie
Vocal tract discomfort and wellbeing of caregivers for the elderly during the pandemic
Zusammenfassung
Die SARS-CoV-2-Pandemie bedeutet für Berufstätige im Gesundheitswesen eine besondere Belastung in mehreren Bereichen, u.a. durch das Tragen einer Mund-Nasen-Bedeckung und damit veränderter Kommunikation. In einer prospektiven Studie wurde die Belastung des Vokaltrakts und das psychisch-körperliche Wohlbefinden hier am Beispiel von Tätigen in der Altenpflege mittels Fragebogen erfasst.
Methoden In 2 Altenpflegeeinrichtungen wurden die standardisierten Fragebogen Symptom-Checkliste 90 in der Kurzversion (Mini-SCL) und die Vocal Tract Discomfort Scale (VTDS) in deutscher Übersetzung eingesetzt, kombiniert mit Fragen zu Alter, Komorbidität, Stimme und bereits erfolgter SARS-CoV-2-Infektion.
Ergebnis Bei einer Rückmeldung von 67 von 100 ausgeteilten Fragebogen zeigten sich bei den teilnehmenden Mitarbeitern (56 Frauen und 11 Männer, 45,2 ± 11,5 Jahre alt) erhöhte Werte für beide Fragebogen. Im Mini-SCL wiesen in der Skala Depressivität 23,8% erhöhte Werte auf, in der Skala Ängstlichkeit 49,3%, in der Skala Somatisierung 55,2% und in der Gesamtskala 44,7%. Bei 52% der Teilnehmer ergaben sich erhöhte Werte im VTDS. Zwischen dem VTDS und den Einzelskalen des Mini-SCL sowie zu Stimmbeschwerden bestand jeweils ein signifikanter Zusammenhang.
Diskussion In der Altenpflege Tätige leiden während der Pandemie vermehrt unter psychischen und physischen Beschwerden. Es bestehen Zusammenhänge zwischen Missempfindungen im Vokaltrakt und Stimmsymptomen sowie dem emotionalen und körperlichen Wohlbefinden. Stimmhygienische Schulungen können bei den aktuell erhöhten kommunikativen Anforderungen hilfreich sein.
Abstract
Background During the SARS-CoV2-pandemic, people working in healthcare such as caregives for the elderly face additional burden, e.g. by the use of face masks.
Methods In a prospective study, the emotional and physical wellbeing as well as the vocal tract discomfort of caregivers of two municipal homes for the elderly were assessed by questionnaires, the Mini-SCL and the Vocal Tract Discomfort Scale (VTDS), and one on personal data (sex, age, lung disease, previous SARS-CoV2-infection) and on voice symptoms.
Results 67% of the questionnaires were answered by 56 women and 11 men aged 45.2 ± 11.5. In the Mini-SCL, increased scores were found in depression in 23.8%, anxiety in 49.3%, somatization in 55.2% and in the global score in 44.7%. 52% showed increased scores in the VTDS. Significant correlations were found in between the subscales of the Mini-SCL and the VTDS as well as to dysphonia symptoms.
Discussion Psychological problems, somatization and vocal tract discomfort is more frequently reported by caregivers for the elderly than in the normal population. The VTDS, voice symptoms and the Mini-SCL scales are significantly related. Training on vocal hygiene should be included in workplace health promotion during the pandemic.
Schlüsselwörter
Altenpflege - SARS-CoV2-Pandemie - Vokaltraktbeschwerden - psychische und somatische Beschwerden - Mund-Nase-MaskeKeywords
vocal tract discomfort - emotional wellbeing - caregivers for the elderly - SARS-CoV2-pandemic - facial maskPublication History
Received: 16 October 2021
Accepted: 20 December 2021
Article published online:
11 January 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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