Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Farklı Meslek Gruplarında, Maske Kullanma Süresinin Ses Üzerindeki Etkisinin Karşılaştırılması: Kesitsel Araştırma
Comparison of the Effect of Mask Use on Voice in Different Professional Groups: Cross Sectional Study
Damla KABLANa , Ceren SÖĞÜTa
aÜsküdar Üniversitesi Sağlık Bilimleri Fakültesi, Dil ve Konuşma Terapisi Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(4):584-92
doi: 10.5336/healthsci.2023-96766
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, günlük maske kullanım süresinin meslek gruplarına göre nasıl değiştiğini; maske kullanımının ve kullanım süresinin sesin algısal özellikleri üzerindeki etkilerini saptamaktır. Gereç ve Yöntemler: Çalışmaya maske kullanım sürelerine göre sınıflandırılmış meslek gruplarından 52 katılımcı dâhil edilmiştir. Gruplar; sağlık çalışanı, öğretmen, serbest meslek, ev hanımı- pandemi süresince çevrim içi çalışan olmak üzere 4 grup olarak sınıflandırılmıştır. Verilerin toplanabilmesi amacı ile Ses Yolu Rahatsızlığı Ölçeği (SYRÖ), Ses Handikap Endeksi (SHE) ve Sesle İlgili Yaşam Kalitesi Ölçeği (SİYKÖ) kullanılmıştır. Her bir meslek grubunun ortalama ölçek puanları için sıklık ve yüzde değerleri hesaplanmıştır. Bu ortalama ölçek puanlarının meslek gruplarına göre farklılaşıp farklılaşmadığını belirlemek için varyans analizi testi ve anlamlı şekilde farklılaşan grubu belirlemek için ''post hoc'' analizleri kullanılmıştır. Bulgular: Çalışma sonucunda, maske kullanım süresi ortalama 6 saatten az ve fazla olan meslek grupları arasında sesin algısal özellikleri boyutunda anlamlı olarak farklılıklar görülmüştür (SHE-10 için p=0,023, SİYKÖ için p=0,017, SYRÖ için p=0,000). Katılımcıların meslekleri ile ses şikâyetlerinin mevcudiyeti arasında istatistiksel olarak anlamlı farklılıklar görülmüştür (F=13,233, p=0,000). Sonuç: Elde edilen veriler, maske kullanım süresi yüksek olan meslek gruplarının sesin algısal boyutlarında daha fazla etkilendiğini göstermektedir. Bireylerin ses sağlığını koruyabilmeleri adına maske-ses etkileşimine ve ses hijyeni kurallarına dair bilinçlendirilmesi önerilmektedir.

Anahtar Kelimeler: Pandemi; koronavirüs; maske; ses; ses bozukluğu
ABSTRACT
 Objective: The purpose of this study is to identify the occupational groups with varying lengths of mask use, which became a part of daily life with the pandemic, as well as the impact of mask use on the perceptual characteristics of voice. Material and Methods: The study included 52 participants from occupational groups classified according to the duration of mask use. The groups were categorized into 4; healthcare worker, teacher, self-employed, housewife-online employee during the pandemic. Data were gathered using the Vocal Tract Discomfort Scale (VTD), Voice Handicap Index (VHI), and Voice Related Quality of Life Scale (V-RQQL). The mean scale scores for each occupational group were determined using frequency and percentage statistics. These mean scale scores were compared among occupational categories using the analysis of variance test, and the group with the most significant differences was determined using post-hoc analyses. Results: As a result of the study, there were significant differences in the dimension of perceptual characteristics of voice between occupational groups with less than or more than 6 hours of mask use (p=0.023 for VHI-10, p=0.017 for V-RQQL, p=0.000 for VTD). Statistically significant differences were observed between the occupations of the participants and the presence of voice complaints (F=13.233, p=0.000). Conclusion: The results show that occupational groups with a high duration of mask use are more affected in the perceptual dimensions of voice. It is recommended that individuals should be made aware of the mask-voice interaction and voice hygiene rules in order to protect their vocal health.

Keywords: Pandemic; coronavirus; mask; voice; voice disorder
REFERENCES:
  1. World Health Organization [Internet]. © 2022 WHO [Cited: July 25, 2022]. Coronavirus disease (COVID-19). Available from: [Link] 
  2. Goldin-Meadow S. How gesture works to change our minds. Trends Neurosci Educ. 2014;3(1):4-6. [Crossref]  [PubMed]  [PMC] 
  3. Okkay İ, Bal F. COVID-19 sürecinde yüz maskesi kullanımının yüz yüze iletişime yansımaları [Reflections of face-to-face communication of using face masks during the COVID-19]. The Journal of Social Science. 2016;5(9):260-8. [Crossref] 
  4. Karagkouni O. The effects of the use of protective face mask on the voice and its relation to self-perceived voice changes. J Voice. 2023;37(5):802.e1-2.e14. [Crossref]  [PubMed] 
  5. Ribeiro VV, Dassie-Leite AP, Pereira EC, Santos ADN, Martins P, Irineu RA. Effect of wearing a face mask on vocal self-perception during a pandemic. J Voice. 2022;36(6):878.e1. [Crossref]  [PubMed]  [PMC] 
  6. Shekaraiah S, Suresh K. Effect of face mask on voice production during COVID-19 pandemic: a systematic review. J Voice. 2021:S0892-1997(21)00327-1. [Crossref]  [PubMed]  [PMC] 
  7. Nguyen DD, McCabe P, Thomas D, Purcell A, Doble M, Novakovic D, et al. Acoustic voice characteristics with and without wearing a facemask. Sci Rep. 2021;11(1):5651. [Crossref]  [PubMed]  [PMC] 
  8. Fiorella ML, Cavallaro G, Di Nicola V, Quaranta N. Voice differences when wearing and not wearing a surgical mask. J Voice. 2023;37(3):467.e1. [Crossref]  [PubMed] 
  9. Mohamed MM, Nessiem MA, Batliner A, Bergler C, Hantke S, Schmitt M, et al. Face mask recognition from audio: The MASC database and an overview on the mask challenge. Pattern Recognit. 2022;122:108361. [Crossref]  [PubMed]  [PMC] 
  10. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, Newman CW. The voice handicap index (VHI) development and validation. American Journal of Speech-Language Pathology. 1997;6(3):66-70. [Crossref] 
  11. Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114(9):1549-56. [Crossref]  [PubMed] 
  12. Kılıç MA, Okur E, Yıldırım I, Öğüt F, Denizoğlu I, Kızılay A, et al. Ses handikap endeksi (Voice Handicap Index) Türkçe versiyonunun güvenilirliği ve geçerliliği [Reliability and validity of the Turkish version of the Voice Handicap Index]. Kulak Burun Boğaz İhtisas Dergisi. 2008;18(3):139-47. [Link] 
  13. Mathieson L, Hirani SP, Epstein R, Baken RJ, Wood G, Rubin JS. Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia. J Voice. 2009;23(3):353-66. [Crossref]  [PubMed] 
  14. Irklı FA. Ses yolu rahatsızlığı ölçeğinin Türkçeye uyarlanması geçerlilik ve güvenilirliği [Yüksek lisans tezi]. İstanbul: İstinye Üniversitesi; 2021. [Erişim tarihi: 25 Temmuz 2022]. Erişim linki: [Link] 
  15. Hogikyan ND, Sethuraman G. Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice. 1999;13(4):557-69. [Crossref]  [PubMed] 
  16. Tezcaner ZÇ, Aksoy S. Reliability and validity of the Turkish version of the voice-related quality of life measure. J Voice. 2017;31(2):262.e7-262.e11. [Crossref]  [PubMed] 
  17. Magee M, Lewis C, Noffs G, Reece H, Chan JCS, Zaga CJ, et al. Effects of face masks on acoustic analysis and speech perception: Implications for peri-pandemic protocols. J Acoust Soc Am. 2020;148(6):3562. [Crossref]  [PubMed]  [PMC] 
  18. Koseoglu S, Cakıcı K, Demirtaş M, Gokdogan O, Ucuncu H. ENT symptoms of mask-wearing in the coronavirus disease 2019 era. J Laryngol Otol. 2022;136(7):645-8. [Crossref]  [PubMed]  [PMC] 
  19. Heider CA, Álvarez ML, Fuentes-López E, González CA, León NI, Verástegui DC, et al. Prevalence of voice disorders in healthcare workers in the universal masking COVID-19 era. Laryngoscope. 2021;131(4):E1227-E33. [Crossref]  [PubMed]  [PMC] 

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