Kvaliteta života promukle djece u Srbiji mjerena upitnikom Pediatric Voice-Related Quality of Life (PVRQOL)

Hoarseness occurs in children of both genders, from the earliest age and beyond, and is caused by improper use or overuse of vocal apparatus. The study included 91 hoarse children aged 6-12 (study group) and 243 healthy children (control group) of the same age. The study group underwent detailed medical history, phoniatric examination, larynx fiber endoscopy, allergy treatment, audiologic treatment, and pulmonary treatment. Pediatric Voice-Related Quality of Life questionnaire, Serbian version (PVRQOL) was completed by parents of both groups of children. We did not find statistically significant differences in the hoarse children based on diagnosis (muscle tension disorder and vocal fold nodules) and age in physical domain, socio-emotional and global domain score (p>0.01). The results showed that parents did not recognize hoarseness as a health problem in children. There were significant gender differences in the group of children with hoarseness, i.e. parents in all three PVRQOL questionnaire domains recognized hoarseness as a significant health problem in girls, but not in boys. The presence of hoarseness impairs the quality of life in pediatric population. Social and emotional domains indicated greater impact in boys.Promuklost se javlja kod djece oba spola, od najmlađe dobi i kasnije, a uzrokovana je nepravilnom upotrebom ili zloupotrebom vokalnog aparata. Ova studija obuhvatila je 91 promuklo dijete u dobi od 6-12 godina (ispitivana skupina) i 243 zdrave djece iste dobi (kontrolna skupina). U ispitivanoj skupini učinjena je detaljna anamneza, fonijatrijski pregled, fiberendoskopija larinksa, alergološki tretman, audiološki tretman i pulmološki tretman. Roditelji djece obiju skupina odgovorili su na upitnik Pediatric Voice-Related Quality of Life (PVRQOL) na srpskom jeziku. Nije pronađena statistički značajna razlika kod promukle djece na osnovi dijagnoze (hiperkinetska disfonija i noduli glasnica) i dobi u fizičkoj domeni, u socio-emocionalnoj domeni i u globalnoj domeni (p>0,01). Rezultati su pokazali da roditelji nisu prepoznali promuklost kao zdravstveni problem kod djece. Postoje značajne spolne razlike u skupini promukle djece, tj. roditelji su prepoznali promuklost kao značajan zdravstveni problem u sve tri domene upitnika PVRQOL kod djevojčica, ali ne i kod dječaka. Prisutnost promuklosti smanjuje kvalitetu života u pedijatrijskoj populaciji. Socijalna i emocionalna domena imale su veći utjecaj kod dječaka