本研究結果發現，雖然聲學判斷重度至極重度聽損者以及聽力正常者，朗讀時 吸氣位置的適當停頓時長閾值皆為200 ms；但是使用聲學方式判斷重度至極重度聽 損者朗讀時吸氣位置的偵測力，大於聽力正常者。顯示聽損者可能因說話呼吸控制 不佳，導致語句間所需的換氣準備時間較長，使得平均呼吸群間停頓時長較聽力正 常者長，較能正確排除低於200 ms的非實際吸氣位置，具有較高的特異度，使其 聲學判斷偵測力大於聽力正常者。據此推論，聽損所造成之言語障礙，反而可能造 成聽損者的朗讀短文言語作業，比聽力正常者較適合以聲學測量方式作為判斷吸氣 的位置。然而，即使所設定的停頓時長閾值為適當之停頓時長閾值，其正確率依然
無法到達90 %以上，仍會出現偽陰性或偽陽性，無法正確地分割呼吸群。因此，
聲學測量較適合作為粗略的大樣本組間差異比較性研究的吸氣位置判斷方式，較能 提高資料分析的效率，但若欲得到較為嚴謹的研究結果，建議以氣動學儀器或是呼 吸動力學的訊號判斷吸氣位置為較佳的方法。
53
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二、中文部分
謝雯華（2008）。小腦萎縮症患者在閱讀時之說話呼吸型態研究，未出版之碩士論 文。國立台北護理學院，台北市。
車微純（2006）。習語前重度到極重度聽損者聽知覺判斷吸氣位置之信效度和呼吸 群分析，未出版之碩士論文。國立台北護理學院，台北市。
65
附錄
附錄一 國立陽明大學人體試驗審查通過證明書（採自車微純，2006）
北風與太陽
附錄二 受試者基本資料表（採自車微純，2006）
聽損組 控制組
個案 性別 年齡
(yr) 教育程度 PTA
(dB HL) 聽損程度 溝通模式 清晰度 個案 性別 年齡 教育程度 清晰度
H01 F 16.0 高中 72 重度 全口語 63 C01 F 16.8 高中 99
H02 F 18.2 高中 82 重度 口語加手語 41 C02 F 18.2 高中 99
H03 F 19.0 高中 82 重度 口語加筆談 30 C03 F 19.6 高中 99
H04 F 16.2 高中 85 重度 口語加手語 63 C04 F 16.6 高中 100
H05 F 16.7 高中 87 重度 口語加筆談 49 C05 F 16.1 高中 99
H06 F 19.7 大學 87 重度 全口語 78 C06 F 23.0 研究所 100
H07 F 17.1 高中 92 極重度 口語加筆談 53 C07 F 18.1 高中 100
H08 F 22.2 大學 93 極重度 全口語 77 C08 F 25.0 研究所 100
H09 F 17.1 高中 102 極重度 全口語 98 C09 F 18.1 高中 99
H10 M 17.7 高中 70 重度 全口語 89 C10 M 18.9 高中 99
H11 M 16.3 高中 72 重度 全口語 83 C11 M 16.7 高中 99
H12 M 17.3 高中 77 重度 口語加手語 80 C12 M 17.1 高中 100
H13 M 17.4 高中 82 重度 全口語 87 C13 M 18.0 高中 99
H14 M 25.8 大學 83 重度 口語加手語 40 C14 M 21.6 大學 100
H15 M 17.2 高中 85 重度 全口語 92 C15 M 16.5 大學 100
H16 M 17.6 高中 88 重度 全口語 82 C16 M 18.2 高中 96
H17 M 21.4 高中 93 極重度 全口語 89 C17 M 20.8 大學 99
H18 M 18.3 高中 98 極重度 全口語 21 C18 M 17.1 高中 99
H19 M 21.5 大學 102 極重度 口語、手勢動作、筆談 20 C19 M 21.5 大學 100
H20 M 19.3 大學 103 極重度 口語、手勢動作、筆談 20 C20 M 19.2 大學 100
67
附錄三 朗讀短文 (採自車微純，2006)
北風與太陽
北風和太陽比賽，約好誰能先讓路人脫下外套，誰就贏了。北風用力的吹，想 把路人的衣服吹掉。誰知道，路人覺得冷，就把外套緊緊扣上。北風終於承認失敗，
只好換太陽試試看。太陽照射溫暖的陽光，路人覺得熱，就把扣子解開。太陽又再 散發全身的光和熱，路人熱得脫去上衣，跳到河裡游泳。北風說：「溫暖的力量果 然更能影響人。」
68
機智的公雞
狗和公雞是好朋友，牠們相約去旅行，說好一路上都要彼此照顧、保護對方。
有一天晚上，他們在一棵大樹休息，公雞睡在樹上，狗睡在樹下。天一亮，公雞就 喔喔的啼叫起來。這時，樹林裡的狐狸聽見雞叫聲，想要把公雞騙下樹來，當做早 餐吃。狐狸就到樹下對公雞說：「你叫的真好聽！我最喜歡結交愛唱歌的朋友了。
你快下來，我們一起合唱。」公雞很聰明，他回答說：「好啊！不過樹下有隻狗，
你得先幫我把狗叫醒，趕走牠，我才能下去！」狐狸真的去把狗叫起來，結果被兇 巴巴的狗趕出樹林！
69
國語短文
我聽到有人敲門，懶懶的說了一聲，請進來。門開了，我看見一個年輕人，瘦 長的身體，明亮的眼睛，還有一張誠懇的臉。看他臉上的表情，以及嚴肅的態度，
真像有什麼事情要我幫助。
70
附錄四 以聽知覺判斷聽損組朗讀時之信號偵測理論分析結果表
判斷者 反應 實際吸氣位置 TPR FPR 特異度 正確性 d-prime
Yes No
J1 Yes 936 72 0.81 0.14 0.86 0.82 1.95
No 225 446
J2 Yes 986 73 0.85 0.14 0.86 0.85 2.11
No 175 445
J3 Yes 864 67 0.74 0.13 0.87 0.78 1.79
No 297 451
2J/3J Yes 964 60 0.83 0.12 0.88 0.85 2.15
No 197 458
3J Yes 782 124 0.67 0.24 0.76 0.70 1.16
No 379 394
註：J1=第一位判斷者；J2=第二位判斷者；J3=第三位判斷者；2J/3J=三位判斷者當 中二位判斷者一致判斷之結果；3J=三位判斷者一致判斷之結果。整理自車微純
（2006）(p.45-46)。
71
附錄五 以聽知覺判斷聽力正常組朗讀時之信號偵測理論分析結果表
判斷者 反應 實際吸氣位置 TPR FPR 特異度 正確性 d-prime
Yes No
J1 Yes 582 14 0.82 0.09 0.91 0.83 2.23
No 128 134
J2 Yes 590 30 0.83 0.20 0.80 0.83 1.79
No 120 118
J3 Yes 551 3 0.78 0.02 0.98 0.81 2.81
No 159 145
2J/3J Yes 580 8 0.82 0.06 0.94 0.84 2.51
No 130 140
3J Yes 496 2 0.70 0.01 0.99 0.75 2.73
No 214 146
註：J1=第一位判斷者；J2=第二位判斷者；J3=第三位判斷者；2J/3J=三位判斷者當 中二位判斷者一致判斷之結果；3J=三位判斷者一致判斷之結果。整理自車微純
（2006）(p.45-46)。
72
附錄六 以聽知覺判斷聽損組朗讀時之信號偵測理論分析結果ROC曲線圖（整理自 車微純，2006）
J1 J2
J3 2
3
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 FPR (1-specificity)
TPR (sensitivity)