CAJ | 학술논문

目的探讨中文版言语可懂度分级标准（speech intelligibility rating ，SIR）对汉语为母语的听力障碍儿童言语可懂度的评估作用，并检验问卷的评分者信度。方法由听障儿童家长和语训教师各1名分别用研译的中文版言语可懂度分级标准对50例佩戴人工耳蜗或助听器的儿童进行评估。通过Spearman等级相关、Kendall和谐系数及Kappa一致性系数来检验问卷的评分者信度。结果50例中，家长和语训教师评分完全一致者34例（68．0％，34/50），二者相差1级者14例（28．0％，14/50），二者相差2级者2例（4．0％，2/50）。Spearman相关系数为0．885，Kendall和谐系数为0．801，Kappa一致性系数为0．593，结果均有统计学意义（P＜0．001），说明不同评估者的评定结果具有很好的一致性。结论中文版言语可懂度分级标准具有良好的评分者信度，该问卷有助于评估听力障碍儿童在日常生活中的汉语言语产生能力。
목적탐토중문판언어가동도분급표준（speech intelligibility rating ，SIR）대한어위모어적은력장애인동언어가동도적평고작용，병검험문권적평분자신도。방법유은장인동가장화어훈교사각1명분별용연역적중문판언어가동도분급표준대50례패대인공이와혹조은기적인동진행평고。통과Spearman등급상관、Kendall화해계수급Kappa일치성계수래검험문권적평분자신도。결과50례중，가장화어훈교사평분완전일치자34례（68．0％，34/50），이자상차1급자14례（28．0％，14/50），이자상차2급자2례（4．0％，2/50）。Spearman상관계수위0．885，Kendall화해계수위0．801，Kappa일치성계수위0．593，결과균유통계학의의（P＜0．001），설명불동평고자적평정결과구유흔호적일치성。결론중문판언어가동도분급표준구유량호적평분자신도，해문권유조우평고은력장애인동재일상생활중적한어언어산생능력。
Objective To discuss the application of Chinese version of Speech intelligibility rating (SIR) in e-valuating the speech intelligibility of Chinese children with hearing disorder ,and analyze its scorer reliability .Meth-ods 50 children with cochlear implants or hearing aids were interviewed using SRI Chinese version .Each child was rated by a parent and a speech and language therapist .The reliability of scores was analyzed with Spearman correla-tion coefficient ,Kendall's coefficient of concordance and Kappa coefficient .Results The complete agreement was foud in 34 cases(68% ) ,with a disagreement of one category in 14 cases(28% ) ,and a disagreement of 2 categories was found in 2 cases (4% ) .Spearman correlation coefficient was 0 .885 ,Kendall's coefficient of concordance was 0 .801 ,Kappa coeffi-cient was 0 .593 ,the result was statistically significant (P<0 .001) .Conclusion SRI Chinese version has good reliability and is helpful in evaluating Chinese speech producing ability of children with hearing disorder in everyday life .