循證理念視域下聽障兒童言語康復方法研究

Evidence-Based Research on the Methods of Hearing-Impaired Children's Speech-Language Rehabilitation

言語作為最重要的學習、溝通工具，在兒童的認知與思維發展中起著不可替代的作用。近年來，隨著學界對聽障兒童聽力言語康復越發重視，不同學者在研究中嘗試了大量的聽障兒童言語訓練方法，部分方法的科學性與有效性仍有待商榷。文章將最先來源於醫學領域的循證理念引入特殊教育領域，以期探索聽障兒童言語康復訓練的最佳方法，即干預訓練的“黃金標準”，以促進聽障兒童言語的發展。筆者利用自編量表、Markov鏈等資料分析方法對檢索出的文獻進行分析，分別對個案研究和多物件研究的文獻進行評價,個案研究分析顯示基礎訓練與針對訓練相結合的言語康復方法為聽障兒童康復訓練的最佳途徑；在群體實驗研究方面，聽覺口語法為穩定性較好的聽障兒童言語康復方法。

As the most important learning and communication tools, language plays the irreplaceable role incognitive development of children. In recent decades, with more attentions paid to thespeech-language rehabilitation, many researchers tried different methods of speech-language trainingfor hearing-impaired children, and some of the methods are questionable because of theirscientificity and effectiveness. Therefore , this research applies Evidence-Based methods into thefield of special education to explore the best way of speech-language rehabilitation training for thehearing-impaired children, which is also called the “Gold Standard” of interventions, to helphearing-impaired children develop their speech-language ability. The author uses data analysismethod (scales, Markov chains, etc.) to analyze documents which are retrieved and finallyrespectively comes to two conclusions according to case studies and multi object studies. Casestudies analysis shows that the best way is the specific articulation training. The multi object studiesby Markov chains obtain a strong stability recovery model of hearing-impaired children :Auditory-Verbal approach.