中文版言语可懂度分级标准的建立及其信度检验  

The Reliability Analysis of the Chinese Version of Speech Intelligibility Rate(SIR)

作　　者：王宇[1] 潘滔[1] 米思 马芙蓉[1] 

机构地区：[1]北京大学第三医院耳鼻咽喉头颈外科,北京100191 [2]北京市通州区人工耳蜗培训学校

出　　处：《听力学及言语疾病杂志》2013年第5期465-468,共4页Journal of Audiology and Speech Pathology

基　　金：2009首都医学发展科研基金(2009-1040);2011年北京大学第三医院临床学科重点项目(62450-06)资助

摘　　要：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。Objective To discuss the application of Chinese version of Speech intelligibility rating（SIR） in evaluating the speech intelligibility of Chinese children with hearing disorder, and analyze its scorer reliability. Methods 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 loud 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 coefficient 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.

关 键 词：言语可懂度 听力障碍 儿童 信度 

分 类 号：H018.4[语言文字—语言学]