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題 名 | 臺灣無喉者溝通與生活品質調查研究=Communication Related Quality of Life among Laryngectomees in Taiwan |
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作 者 | 王南梅; 王秋鈴; 黃國祐; 曾淑芬; | 書刊名 | 臺灣聽力語言學會雜誌 |
卷 期 | 22 2009.01[民98.01] |
頁 次 | 頁1-24 |
分類號 | 416.896 |
關鍵詞 | 全喉切除術; 無喉者; 人工助講器; 溝通模式與效率; 溝通與生活品質; Total laryngectomy; Laryngectomee; Artificial earynx device; Communication mode & function; Communication related quality of life; |
語 文 | 中文(Chinese) |
中文摘要 | 研究背景與目的:本篇研究目的是調查國內無喉者之溝通模式、人工助講器使用狀況、經費補助現況、生活品質現況、及溝通與說話滿意度等,提供社會大眾與專家學者對無喉者溝通、生活、輔具使用現況瞭解,並對政府輔具政策提供進一步建言。研究方法:本研究採問卷調查研究方法,問卷題目依據研究目的及國外文獻,成立無喉者復聲領域專家學者、無喉者進行題目建議與修訂,並進行問卷預試與重測。問卷題目共分兩部份:基本資料,含無喉者基本資料、生活近況、溝通方式、輔具使用等選項;第二部份之溝通、說話與生活滿意度調查,採用非常滿意至非常不滿意之四點量表、無意見等五選一選項勾選,由無喉者、或家屬填答。無喉者樣本選自中華民國無喉者協會推薦名單,並以電話聯繫參與調查之意願,共計264名,再以問卷進行問卷填答,而回收問卷為184份,回收率為70%,但可用之有效樣本共計152份。結果:問卷樣本資料分析結果顯示,68.5%無喉者年齡在50-80歲之間,81.6%無喉者使用人工助講器為其主要溝通工具,其中62.5%使用國人自製氣動式口內型人工助講器、18.4%無喉者使用食道語、10.5%使用人工發聲瓣膜、其中11%無喉者使用兩種溝通方式。57.2%無喉者的助講器經費來自政府補助,平均補助款項是每年兩千元。40%無喉者不滿意目前的生活、健康狀況、溝通模式、人際互動與家人溝通,及社交的參與性。而且對目前的溝通方式與助講器的功能不滿意者比滿意者多。30%無喉填答者滿意其目前溝通方式的清晰度、音量、流暢性、音韻特質、及氣流運用;而25%無喉者表示不滿意。結論:本研究結果提供國內無喉者溝通模式與效率、補助、及生活品質等現況,人工助講器雖由政府補助但其使用效率與促進其溝通功能有待進一步關切與追蹤,而無喉者的溝通與生活品質受全喉切除術的嚴重影響,並反應在身心、溝通、與社會參與性等健康層面!未來復健資源需考量無喉者生理、心理、情緒、溝通、社會參與、輔具、生活、個性、年齡等多面向,而政府、民間、醫療、社會福利等需更統整相關資源以協助並提升無喉者的健康與生活品質。而未來研究需進一步發展國內無喉者生活與健康品質指標常模的工具,以提供手術前後、手術類型、復健資源、或社會福利等服務的成效評比。 |
英文摘要 | Background/purpose: The objective of this study was to investigate communication mode, communication related quality of life (QOL), and artificial larynx device use among laryngectomees in Taiwan. Methods: A self-administered questionnaire of communication related QOL was sent to 264 laryngectomized individuals and with a return rate 70%. Only 152 respondents provided valid data for this study. A survey research design investigated the objectives of the study. Results: The results showed that 68.5% of laryngectomees were within the age range of 50-80 years and 81.6% of laryngectomees used artificial larynx devices as their main communication modes. Respondents reported 62.5% used a locally manufactured artificial, pneumatic intra-oral laryngeal device, 18.4% used esophageal speech, and 10.5% used tracheoesophageal (TE) speech aids. 11% of the subjects used at least two different communication modes. Data also indicated that 57.2% of speech devices were reimbursed by the Government with an average reimbursement fee of $2000NT annually. Over 40% of respondents reported they were "not satisfied" with their current living, health, communication mode, social interaction with family, and social participation. A greater number of unsatisfactory than satisfactory responses were found regarding to the communication function of mode and assistive speech devices. Questions related to overall speech clarity indicated that more than 30% of respondents were satisfied with their loudness, speech intelligibility, fluency, prosody, Chinese lexical tones, rate, and air intake used in their communication modes; however, 25% of respondents rated these items as unsatisfactory. Conclusion: These findings indicate that communication-related QOL of Taiwanese laryngectomees was adversely affected by total laryngectomy. Data suggests rehabilitation efforts should be directed to improve communication, particularly as it relates to social interactions with family and community. The preliminary data support a need to develop a population specific instrument of health and communication-related QOL of individuals receiving total laryngectomy. |
本系統中英文摘要資訊取自各篇刊載內容。