臺灣博碩士論文加值系統

目的： 台灣缺乏評量兩歲半以前兒童詞彙發展的工具，因此本研究將MacArthur 溝通發展量表（MacArthur Communicative Developmental Inventory）的CDI--WS版本加以修訂，成為一份具有信度與效度且符合測量台灣南部兒童詞彙的MacArthur溝通發展量表中文版，以此量表為工具比較早產兒與足月產兒在詞彙發展上的差異。
受試者與方法： 研究對象為2000年12月至2001年8月於嘉義基督教醫院或嘉義聖馬爾定醫院出生或住院的早產兒，早產兒的選取標準為懷孕週數小於34週，調整後年齡為18至24個月大。依出生體重將早產兒分為低出生體重早產兒（LBW）14人（生理年齡：21.21±1.37個月；平均懷孕週數：32.57±1.09週；平均出生體重：1800.93±261.13公克），極低出生體重早產兒（VLBW）6名（生理年齡：21.5±1.38個月；平均懷孕週數：28.33±2.88週；平均出生體重：1099.5±201.11公克）及足月產兒童21名（生理年齡：21.14±1.96個月；平均懷孕週數：38.42±1.17週；平均出生體重：3121.67±367.58公克）。利用貝萊氏嬰幼兒發展測驗（Bayley Scale）來瞭解早產兒的動作發展指標（PDI）與心智發展指標（MDI），與利用MacArthur溝通發展量表中文版比較三組兒童詞彙發展的差異，並以MDI當共變項來瞭解早產兒的詞彙發展狀況。
結果： 在貝萊氏嬰幼兒發展測驗的分析比較結果，VLBW在PDI、MDI、通過的認知題數和通過的語言題數皆顯著落後於足月產兒童，而LBW僅在MDI與通過的認知題數上顯著落後於足月產兒童，VLBW與LBW在貝萊氏嬰幼兒發展測驗上的表現沒有顯著性差異。在MacArthur溝通發展量表中文版的分析比較結果，不論是總詞彙量、將詞彙分類為一般性名詞、述詞和相關的類別詞彙和21個類別詞彙量的比較，三組兒童皆沒有顯著性差異。
結論： 本研究發現VLBW在貝萊氏嬰幼兒發展測驗上的所有測量皆顯著低於足月產兒童，而LBW僅在MDI與通過的認知題數上顯著落後於足月產兒童。雖在MacArthur溝通發展量表中文版的比較，三組兒童統計上的差異，但足月產兒童的總詞彙量多於所有的早產兒童，LBW早產兒的總詞彙量又多於VLBW早產兒，且由早產兒童與足月產兒童在MacArthur溝通發展量表中文版的各類別表現，可知雖早產兒童的詞彙量低於足月產兒童，但他們詞彙增長的趨勢與足月產兒童相似。

第一章 緒論………………………………………………………1
第二章 文獻探討…………………………………………………3
第一節 早產兒的定義與發展……………………………………3
一、 早產兒的定義……………………………………………3
二、 早產兒的神經發展狀況…………………………………5
第二節 一般兒童的語言發展……………………………………7
一、 非語言的發展……………………………………………7
二、 語言發展…………………………………………………7
第三節 早產兒語言與認知能力的發展…………………………12
一、 早產兒的語言發展………………………………………12
二、 早產兒認知發展的追蹤…………………………………15
第四節 MacArthur溝通發展量表的發展……………………… 18
一、 MacArthur溝通發展量表簡介………………………… 18
二、 不同語言的MacArthur溝通發展量表使用情形……… 21
三、 MacArthur溝通發展量表在臨床上的使用情形……… 22
研究目的…………………………………………………………… 25
第三章 研究方法…………………………………………………26
第四章 結果………………………………………………………34
第五章 討論與結論………………………………………………45
參考文獻…………………………………………………………… 50

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