成人失語症功能性溝通評估工具之常模編制與影響因素探討

本研究的目的是建立「成人失語症功能性溝通評估工具」的常模並探討失語症相關因子對於「成人失語症功能性溝通評估工具」分數的影響。研究納入30位健康成人及50位失語症個案進行「成人失語症功能性溝通評估工具」的測驗。研究者依據健康成人的功能性溝通數據資料將「成人失語症功能性溝通評估工具」的切截分數訂定為72分，再以失語症個案之「成人失語症功能性溝通評估工具」分數建立該工具的百分等級常模。失語症相關因子分析顯示，失語症嚴重度越嚴重的個案，功能性溝通分數顯著較失語症嚴重度較輕微的個案低，此外，在失語症類型方面也發現說話流暢的失語症個案之功能性溝通分數較說話不流暢失語症個案高。然而，發病時長大於六個月和發病時長小於六個月的失語症個案在功能性溝通分數未達顯著差異。總結來說，本研究建立的「成人失語症功能性溝通評估工具」可以作為未來評估本土失語症個案功能性溝通能力的對照依據，評估人員能更快速地了解失語症個案在團體中的相對位置，另外，透過失語症相關因子的分析能更深入了解可能影響失語症個案日常溝通的因素。

The purpose of this study was to establish the norm of the "Functional Communication Assessment for Adults with Aphasia" and explore the impact of aphasia-related factors on the scores of the "Functional Communication Assessment for Adults with Aphasia". The study included 30 healthy adults and 50 individuals with aphasia to take the test of the "Functional Communication Assessment for Adults with Aphasia". The researchers set the cut-off score of the "Functional Communication Assessment for Adults with Aphasia" at 72 points based on the functional communication scores of healthy adults, and then established the norm based on the "Functional Communication Assessment for Adults with Aphasia" scores of individuals with aphasia. Results indicated that the functional communication scores of individuals with severe aphasia were significantly lower than those with mild aphasia. In addition, it was also found that the functional communication scores of the fluent aphasia group was significantly higher than the non-fluent aphasia group. However, there was no significant difference on functional communication scores between aphasic adults with an onset period of more than six months and aphasic adults with an onset period of less than six months.In summary, the norm of "Functional Communication Assessment for Adults with Aphasia" established in this study can be used as a reference for future evaluation of the functional communication ability of individuals with aphasia. Evaluators can more quickly understand the relative position of individuals with aphasia in the group. In addition, through the analysis of aphasia-related factors, we had a deeper understanding of the factors that may affect the daily communication of individuals with aphasia.