臺灣博碩士論文加值系統

背景：與急性腦中風相比較，急性創傷性腦損傷病人通常年紀較輕、慢性病較少、整體身體機能較佳，病人也常常需擔負家庭經濟的重要支柱角色，一旦發生急性創傷性腦損傷導致失能等情形發生，應把握前六個月神經恢復之黃金復健期，若能持續維持復健動機，身體功能恢復的機會較大，將可降低失能的發生。
研究目的：參考國外腦損傷復健動機量表及腦中風維持動機量表，發展中文版急性創傷性腦損傷病人維持復健動機量表，並測試其信、效度。
研究方法：本研究採橫斷式研究設計，先經兩位專家將英文版腦損傷復健動機量表及腦中風維持動機量表修改，合併為中文版急性創傷性腦損傷病人維持復健動機量表，再邀請另一位專家將中文反翻譯成英文確認中文版初稿內容，聘請五位專家以德菲法進行內容效度檢測並修改內容，先進行10位個案之前驅測試，再招募北部某三家醫院符合條件之67位個案，期間同時進行間隔兩周之重測信度個案9位；利用SPSS針對各研究構面進行項目分析、探索式因素分析、內容效度指數分析、Cronbach's α係數分析和重測信度分析。
結果：本研究建立的國內創傷性腦損傷病人維持復健動機量表由四個構面組成合計25項，分別為正向活力7項.、增強關鍵3項、動機剝削11項和支持系統4項。本量表Cronbach’s α 值為.949，KMO為.866，重測信度為.609。
結論：本研究發展出中文版急性創傷性腦損傷病人維持復健動機量表，在項目分析及探索性因素分析上具有良好信效度，本研究最大限制在於個案數不足，期望未來個案數增加，並進而作為臨床評估急性創傷性腦損傷病人維持復健動機之適當量表，以便能提供精準適當的介入措施，增進病人持續續執行復健，恢復身體的健康。

Background: The patients who suffered acute traumatic brain injury are usually younger, have less chronic diseases and better physical function as compared with those suffering stroke. Most of the patients are also breadwinners in their family. The important goal is to help the patients with acute traumatic brain injury to recover from the trauma and gain their physical functions as before. Continuous rehabilitation especially during the first six months is the key to recover their health. If they could keep the motivation for rehabilitation, they have more chances to recover physical function and reduce the occurrence of disability.
Aim: The study purpose was to develop a Chinese-version Motivation for Traumatic Brain Injury Rehabilitation Scale through modifying the Motivation for Stroke Rehabi-litation Scale in other countries and to test the reliability and validity of the new scale.
Methods: This is a cross-sectional study to test a translating scale and revise the scale for traumatic brain injury rehabilitation. First, two experts modified and integrate the English versions of the Motivation for Traumatic Brain Injury Rehabilitation Questio-nnaire and the Stroke Rehabilitation Motivation Scale into the Chinese-version Moti-vation for Traumatic Brain Injury Rehabilitation Scale Then another expert was invited to confirm the first draft in Chinese by translating it from Chinese to English. Other five experts were invited to test its validity with delphi method and modify its content through the pilot study with ten cases before recruiting 67 eligible cases from three hospitals in the northern Taiwan. Nine cases were tested two weeks apart for the test-retest reliability. The data were analyzed using SPSS 23.0 for item analysis, explora-tory factor analysis. Pearson Correlation was used to analyze the test-retest reliability.
Results: This study results suggest that the Chinese-version Motivation for Traumatic Brain Injury Rehabilitation Scale with 25 items and four subscales, including 7items on positive vitality, 3 items on enhancement factors, 11 items on motivation exploitation, and 4 items on the support system. The Cronbach’s α of the scale is .949, .866, KMO (Kaiser-Meyer-Olkin) is test-retest reliability is .609.
Conclusion: The Chinese-version Traumatic Brain Injury Rehabilitation Motivation Scale demonstrate acceptable reliability and validity in item analysis and exploratory factor analysis. The study is expected to increase the number of samples and continue to test the reliability and validity of the Traumatic Brain Injury Rehabilitation Motivation Scale to encourage the patients with acute traumatic brain injury to of patients to maintain rehabilitation motivation.

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中文摘要
英文摘要

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