第五章 討論與結論
第六節 後續研究與建議
本節根據上述的研究結果及討論，提出未來研究的建議以及臨床上語言治療 的建議。分為兩部分依序說明如下：
一、 未來研究建議 1. 研究對象
本研究樣本數少，兩組總共只收了29位孩童，使統計檢定力低，在數值的比 較上不易達到統計上的顯著差異。且本研究沒有就孩童的構音音韻錯誤音類型做配 對分組，僅以聲母正確百分比考慮嚴重程度，如此無法顯示出各種錯誤音類型的特 性，建議未來研究可以增加收案樣本數，且以錯誤音類型做配對，以提高研究結果
的代表性。
2. 研究方法及材料
（1） 語音聽辨測驗材料
本研究所使用的研究材料雖為臨床資料統計出來最常聽辨錯誤的語音，但沒 有針對各個孩童的錯誤語音做設計，且呈現方式沒有包含孩童的語音，大幅度降低 了聽辨作業的難度，所以結果上不易有鑑別度。建議未來在聽辨測驗的設計上，可 以針對孩童的語音錯誤類型做設計，且呈現上包含孩童自己說錯的語音，以期能有 效的測量出孩童的語音聽辨能力。
（2） 聲韻覺識測驗
國內缺乏一套針對學前孩童的聲韻覺識能力測驗，聲韻覺識能力的發展不僅 和語音及音韻發展息息相關，也關係著未來孩童的讀寫能力，所以研發一套學齡前 孩童適用的聲韻覺識測驗，可以幫助早期的發現問題及介入治療，以利兒童的語言 發展。
二、 臨床語言治療的建議
本研究結果發現聲韻覺識能力和構音音韻治療成效的相關性，且在基礎線組中 進步程度受一開始基礎能力的影響，所以在治療師選擇治療介入模式時，應考慮到 孩童的聲韻覺識能力、語音聽辨能力及基本的語言能力，若發現能力較差的孩童，
則應避免選擇單純以動作技巧為主的治療模式，但若發孩童的基本能力佳，則可運 用單純動作技巧為主的治療或加入音韻治療都會有不錯的進步程度。
此外，本研究也發現以動作技巧為主的治療模式，也能達到一定的進步程度，所以 建議臨床的語言治療師，在介入構音音韻異常時，可運用音韻治療搭配動作技巧的 練習，除了幫助孩童建立音韻系統概念外，也藉由練習動作技巧建構動作基模，讓 孩童能熟悉動作模式，以促進治療效果。
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附錄一 家長同意書
親愛的家長:您好!
我是國立台北護理健康大學聽語障礙科學研究所的研究生，也是前台安雙十分 院復健科的語言治療師及板橋板英醫院的語言治療師，由於語言是我們溝通的重要 工具，說話不清楚會使我們自信心受挫、社交上受到影響等；目前欲針對造成兒童 說話不清晰的相關原因作深入的研究，因此，懇請惠允貴子弟參加我的研究計畫，
我將針對構音情形、語言能力、語音聽辨及聲韻覺識能力等進行評估，再針對孩子 的構音問題，做八次免費的直接治療與訓練，屆時請家長回家做大量的練習，希望 孩子能改善說話不清楚的情形。在評估的過程中因顧及研究的信效度必須錄音及錄 影，所以需先獲得您的首肯。所有研究的相關資料僅作為本研究論文及學術研究參 考，絕不作為其他用途，敬請放心。
感謝您的支持!
國立台北護理健康大學聽語障礙科學研究所 指導老師 張顯達教授 研究生 林佳儒 敬上
研究同意書
本人同意讓我的子女參與此項研究。
本人已被告知研究者不會對外公開子女的基本資料，並同意將研究所蒐集的資 料提供給學術使用。
幼兒姓名:
立書同意人簽名:
日期: 年 月 日
附錄二 個案基本資料表
個案基本資料
填表人: 填表日期:
一、基本資料
姓名: 性別: 出生日期: 年 月 日 日常使用語言: 主要照顧者:
連絡電話:
家中慣用語:□國語 □台語 □客語 □其他 就學情形:就讀托兒所/幼稚園 班 □未就讀
出生狀況:□良好 □異常:
曾經有過的疾病:□中耳炎 □唇顎裂 □過敏 □頭部外傷 □其他 動作發展:大約 歲 月會爬，大約 歲 月會走，大約 歲 月會
叫爸爸媽媽
聽力狀況：□曾做過聽力檢查: 歲 結果□正常 □異常左耳 右耳 □未曾做過聽力檢查 （□一般觀察正常 □看電視要很大聲）
二、家長及照顧者資料
父親年齡: 職業:□公教□工□農□商□電子□服務業□其他 母親年齡: 職業:□公教□工□農□商□電子□服務業□其他 兄弟姐妹:
三、親屬中有無下列語言障礙（稱謂、年齡、目前狀況）
構音異常: 聲音異常:
口吃:
語言發展遲緩:
（原因:腦性麻痺、智能不足、腦傷、唇顎裂、聽覺障礙、自閉症、學習障礙、
唐氏症、其他）