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研究生:洪雅婷
研究生(外文):YA-Ting Hung
論文名稱:以修訂之溝通品質量表研究口吃對台灣口吃成人之影響
論文名稱(外文):Impact of Stuttering on People Who Stutter in Taiwan: the Adapted Qualtity of Communication Scale
指導教授:童寶娟
指導教授(外文):Alex Johnson
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:聽語障礙科學研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:83
中文關鍵詞:口吃溝通品質口吃嚴重度口吃者生活品質跨文化修改流程溝通品質量表
外文關鍵詞:StutteringCross-cultural adaptation processQuality of communication scaleQuality of lifeQuality of communicationPeople who stutterSeverity of stuttering
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口吃研究大部分都著重在研究口吃不流暢,但是,對於口吃帶給口吃者生活上的影響之研究則寮寮無幾,口吃不僅僅只是不流暢,而更是與口吃者的生活息息相關,若僅止於關注口吃不流暢的部份,而忽略掉口吃對生活影響的了解, 將會使口吃治療的療效大大減低,因此關注口吃對於功能性溝通及生活品質的影響將是非常重要且刻不容緩的。本研究之研究目的為以溝通品質量表作文化上的修改來適於臺灣人使用,並以此量表來了解口吃對於口吃者的生活影響並修改此量表切於臨床使用。
研究方法分兩個階段,第一個階段為進行跨文化修改流程(cross-cultural adaptation process)使此量表適於臺灣人使用,第二階段之研究對象為 10 位口吃者,收集對話及閱讀之語料,並以修定之溝通品質量表為工具,來探討口吃對口吃者之生活影響。
研究結果顯示,第一、在一般成人中,教育水準此變項為主要影響生活滿意度及溝通品質的因素。第二、與一般成人做比較,口吃者在生活滿意度、溝通品質、及不同情境下之溝通困難度皆較差。第三、在生活滿意度評估中,口吃者對溝通能力最不滿意,且認為最困難的溝通情境為學校及工作場合,最困難的溝通狀況為在一大群陌生人中演講。第四、在此研究中,口吃嚴重度與口吃對生活之影響在統計上沒有顯著相關。
In this study we investigated quality of life and functional communication activities in a sample of typical Taiwanese communicators and people who stutter (PWS) using an adapted version of the Quality of Communication Scale. In the first phase of this investigation we adapted the Quality of Communication Scale for the Taiwanese population. In the second phase we collected data on typical communicators and on 10 people who stutter. Our data demonstrated that, stuttering has significant impact on PWS’ life satisfaction, quality of communication, and difficulty degree of communication in daily situations. People who stutter feel least satisfied in their general ability to communicate with others at work or school, and the most difficult communication activity is giving a speech to a large group of strangers. Interestingly, the severity of stuttering and life satisfaction, quality of communication, and difficulty with communication in daily situations were not significantly related.
Table of Content
CHAPTER I Introduction 1
CHAPTER II Literature Review 4
2.1 The definition of stuttering 4
2.2 The importance of doing research on activities and participation 6
2.3 Research on activities and participation of PWS 9
2.4 Quality of communication scale 10
2.5 Cross-cultural adaptation process 13
2.6 Research Purpose 14
2.7 Research Questions 15
CHAPTER III Method 16
3.1 Research Design 16
3.1.1 First phase of research design 16
3.1.2 Second phase of research design 24
3.2 Statistical Analysis 28
CHAPTER IV Result 30
4.1 In normal population, do these three variables, age, gender, and education level make difference on life satisfaction, overall rating of quality of communication, difficulty degree of communication in daily communication? 30
4.2 Is there any difference between life satisfaction, overall rating of quality of communication and difficulty degree of communication in daily situations of PWS and normal population? 37
4.3 Which part of life do People who stutter feel least satisfied and which communication situation do they feel most difficult? 40
4.4 Is the severity degree of stuttering related to life satisfaction, overall rating of quality of communication and difficulty degree of communication in daily situations? 43
CHAPTER V Discussion 48
Cross-cultual adaptation process 48
Normal population: adapted Quality of communication scale 49
Normal population v.s. PWS on adapted Quality of communication scale 49
Least satisfied item of life v.s. most difficult situation and activity of PWS 50
Severity of stuttering v.s. adapted quality of communication 52
Clinical implication 53
Limitation and Suggestions 53
REFERENCES 55
Appendix 1 59
Appendix 2 68
Appendix 3 69
Appendix 4 70
Appendix 5 74
Appendix 6 78
Appendix 7 79
Appendix 8 80
Appendix 9 81
Appendix 10 82
Appendix 11 83
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