CAJ | 학술논문

目的研究维吾尔语失语症检查法(ABU)的信度和效度.方法把汉语失语症检查法(ABC)翻译成维吾尔语,根据维吾尔语语言特点在某些方面进行适当改动(如复述、听字辨认和书写),但总体结构不变.应用专家评议法对ABU进行3轮评议和修订,经语言调适和预测试,并进行维汉回译.然后将它用于检测104例维吾尔族脑卒中后失语患者的语言功能,语言功能评定由一位维吾尔族语言治疗师于患者入院时进行评定,其中30例患者于l周后,再次对其语言功能进行评定.汇总数据运用因子分析法、Spearman秩相关性分析等方法检验ABU的结构效度、内在信度、重测信度和分半信度.结果维汉回译后,与ABC的差异率小于10％.结构效度:KMO(Kaiser-Meyer-Olkin)值为0.917,巴特利球形检验(Barlett test of sphericity)的P值小于0.005,说明适合因子分析,以主成分分析法及最大方差正交旋转法,提取了3个公因子,分别命名为阅读因子、书写因子,听理解因子,共解释了81.03％的方差.内在信度:口语表达、听理解、阅读和书写的Cronbachα分别为0.969、0.922、0.966和0.924,总Cronbach α系数为0.978.重测信度:除书写方面的2个项α的相关系数低于0.7外,量表其余22项的重测相关系数都大于0.8.维吾尔语失语症检测量表的分半信度为0.906.结论 ABU具有良好的效度、信度;能对维吾尔语失语症进行诊断和分类,定量地反映维吾尔语失语症患者的语言功能状况.
목적 연구유오이어실어증검사법(ABU)적신도화효도.방법 파한어실어증검사법(ABC)번역성유오이어,근거유오이어어언특점재모사방면진행괄당개동(여복술、은자변인화서사),단총체결구불변.응용전가평의법대ABU진행3륜평의화수정,경어언조괄화예측시,병진행유한회역.연후장타용우검측104례유오이족뇌졸중후실어환자적어언공능,어언공능평정유일위유오이족어언치료사우환자입원시진행평정,기중30례환자우l주후,재차대기어언공능진행평정.회총수거운용인자분석법、Spearman질상관성분석등방법검험ABU적결구효도、내재신도、중측신도화분반신도.결과 유한회역후,여ABC적차이솔소우10％.결구효도:KMO(Kaiser-Meyer-Olkin)치위0.917,파특리구형검험(Barlett test of sphericity)적P치소우0.005,설명괄합인자분석,이주성분분석법급최대방차정교선전법,제취료3개공인자,분별명명위열독인자、서사인자,은리해인자,공해석료81.03％적방차.내재신도:구어표체、은리해、열독화서사적Cronbachα분별위0.969、0.922、0.966화0.924,총Cronbach α계수위0.978.중측신도:제서사방면적2개항α적상관계수저우0.7외,량표기여22항적중측상관계수도대우0.8.유오이어실어증검측량표적분반신도위0.906.결론 ABU구유량호적효도、신도;능대유오이어실어증진행진단화분류,정량지반영유오이어실어증환자적어언공능상황.
Objective To study the reliability and validity of an aphasia battery of Uighur (ABU).Methods The Chinese Aphasia Battery (ABC) was translated into Uighur.Appropriate adaptation was made according to the features of Uyghur language,but the overall structure was unchanged.Three rounds of comments and revisions were conducted by experts and the ABU was back-translated into Chinese after language adjustment and pretesting.The ABU was then applied to evaluating 104 cases of stroke aphasia among Uighur speakers,among which 30 cases were retested one week later.The construct validity,internal reliability,retest reliability and splithalf reliability of the scale were tested using factor analysis and Spearman rank correlation analysis.Results The discrepancy between the original and back-translated ABC was less than 10％.The Kaiser-Meyer-Olkin value was 0.917 and the p value of the Bartlett's test for sphericity was ≤0.005.Three common factors were extracted using principal component analysis with a varimax orthogonal rotation:a writing factor;and a listening comprehension factor.Together they explained a total of 81％ of the variance.The Cronbach's α of the components were 0.969 for oral expression,0.922 for listening comprehension,0.966 for reading and 0.924 for writing,giving a total α coefficient of 0.978.The test-retest correlation coefficients of 22 items were greater than 0.8,with only another two below 0.7.The split-half reliability of the scale was 0.906.Conclusions The aphasia battery in Uighur has good validity and reliability,and can quantitatively reflect the functional status and language changes among Uighur's with stroke aphasia.It may also be suitable for application in the clinical rehabilitation of other sorts of Uighurspeaking aphasics.