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系統識別號 U0007-2306201122232100
論文名稱(中文) 中文版酒精依賴量表於酒癮患者之信效度研究
論文名稱(英文) Reliability and Validity of the Chinese Version of Alcohol Dependence Questionnaires for Patients with Alcoholism
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 99
學期 2
出版年 100
研究生(中文) 薛聿榮
研究生(英文) Yu-Jung Hsueh
學號 G455096015
學位類別 碩士
語文別 中文
口試日期 2011-05-03
論文頁數 94頁
口試委員 指導教授-周桂如
委員-周元華
委員-張玉坤
中文關鍵字 酒精依賴  信度  效度  中文版酒精依賴篩檢量表 
英文關鍵字 Alcohol dependence  reliability  validity  Chinese Version MAST (MAST-C) 
學科別分類
中文摘要 本研究在發展中文版酒精依賴篩檢量表(MAST),並檢定其信效度。本研究為橫斷式的描述性研究設計,採結構式問卷進行調查,以立意取樣的方式於北部區域教學醫院以上住院和門診之酒精濫用/ 依賴個案、物質濫用/依賴個案為對象,共收集酒精濫用/依賴個案110位及物質濫用/ 依賴個案102位。研究工具有:中文版酒精依賴篩檢量表(MAST)、中文版終生精神疾病診斷晤談手冊「Schedule for Affective Disorder and Schizophrenia-life time (SADS-L) 」。中文版酒精依賴篩檢量表信度檢定採內在一致性KR-21及再測信度,效度檢定包含: 專家內容效度、與建構效度。其中建構效度檢定酒精依賴篩檢量表之驗證性因素分析與探所式因素分析分別檢定之,最後並進一步檢定其量表之敏感性和特異性以及量表的最佳切分點。
結果顯示,中文版酒精依賴篩檢量表內在一致性KR-21,檢測量表內在一致性.83,再測信度顯示.89,中文版酒精依賴量表具有良好的內容效度。在建構效度上之因素分析更進一步確認酒精依賴表MAST包含四個層面: 自我及他人對飲酒問題的認識、法律、工作和社會問題、尋求幫助與夫妻及家庭困難。在量表的敏感性和特異性部份,研究者選擇最佳切分點為6/7分即可確認為酒精依賴患者。本研究發展的中文版酒精依賴量表(MAST)具有良好之信效度並能提供臨床照護人員快速、確實、敏感的確認為酒精依賴個案,以提供適當的照護措施,提升個案及家庭的生活品質。
英文摘要 Abstract
Title of Thesis: Reliability and Validity of the Chinese Version of Michigan Alcohol Screening Test (MAST-C) for Patients with Alcoholism
Institution: Graduate Institute of Nursing, Taipei Medical University
Author: Yu-Jung Hsueh
Thesis directed by: Kuei-Ru Chou RN, Ph.D., Professor, College of Nursing, Taipei Medical University

The purpose of this study was to examine and development the psychometric properties of the Chinese Version of Michigan Alcohol Screening Test (MAST-C). This was a cross-sectional descriptive design research and investigated with structured questionnaires. A total of 110 alcoholic patients and 102 patients with substance use disorders as controls were recruited in the study. The diagnostic instrument in the study was Schedule for Affective Disorder and Schizophrenia-life time (SADS-L).
The examination of reliability of the MAST included internal consistency KR-21 and rest-retest reliability. The examination of the validity of the MAST-C included content validity (CVI) and construct validity. The construct was established by using both confirmatory factor analysis and exploratory factor analysis. In addition, sensitivity, specificity, and optimal cut-off points of the MAST-C were further analyzed.
The result showed that the MAST-C demonstrated high in the internal consistency (KR-21= 0 .83) and test-retest reliability (r=0.89, p <0.01). The content validity was excellent established by experts (CVI = 0.92). In the construct validity, the exploratory factor analysis was further established and showed the MAST-C had four subscales: 1. Recognition of alcohol problem by self and others; 2. Legal, work and social problem; 3. Help-seeking; 4. Marital–family difficulties. Considering both sensitivity and specificity, the optimal cut-off point was 6/7 (AUC: 0.89; sensitivity: 0.92; specificity: 0.85). The study showed that the MAST-C demonstrated good reliability and validity and it could further provide clinical staff an effective and appropriate way to identify alcohol-related problems in psychiatric patients. With a strong psychometric assessment, clinical nurses could further provide an appropriate nursing care and improve the quality of life in alcoholic patients.

Keywords: Alcohol dependence, reliability, validity, Chinese Version MAST (MAST-C)
論文目次 目 錄
頁數
致謝 I
中文摘要 III
英文摘要 V
目錄 VII
圖表目次 IX
第一章緒論
第一節 研究背景及動機 1
第二節 研究目的 3
第二章文獻查證
第一節 酒精依賴及相關危險因子 4
第二節 酒精依賴篩檢量表 11
第三節 測量工具的信度及效度 25
第三章研究過程與方法
第一節 研究流程圖 32
第二節 研究場所 33
第三節 名詞解釋 34
第四節 研究工具 36
第五節 研究過程 38
第六節 資料處理與統計分析 41
第七節 倫理考量 43
第四章研究結果
第一節 研究對象之基本資料分析 44
第二節 中文版「酒精依賴篩檢量表」之信度分析 52
第三節 中文版「酒精依賴篩檢量表」之效度分析 53
第四節 中文版「酒精依賴篩檢量表」之敏感性、特異性之分析 62
第五章討論
第一節 中文版「酒精依賴篩檢量表」之信度 66
第二節 中文版「酒精依賴篩檢量表」之效度 69
第三節 中文版「酒精依賴篩檢量表」之理想截切點 75
第六章結論與建議
第一節 結論 77
第二節 研究限制 78
第三節 應用與建議 79
參考資料
中文文獻 80
英文文獻 81
圖表目次
頁數
表一 酒精依賴問卷 19
表二 酒精賴問卷信效度 20
表三 MAST信度研究一覽表 21
表四 MAST效度研究一覽表 22
表五 個案之基本資料表 48
表六 酒精濫用、依賴/物質濫用、依賴資料表 50
圖一 驗證性因素分析模式圖 55
表七 驗證性因素分析各種契合度指數比較 57
表八 中文版酒精依賴篩檢量表之因素分析資料檢測表 57
表九 MAST主要構成要素的分析 57
表十 MAST因素分析結果 60
圖二 MAST酒精依賴篩檢量表因素分析徒階圖 61
圖三 MAST酒精依賴篩檢量表轉軸後因素空間內的因素圖 61
圖四 MAST酒精依賴篩檢量表ROC Curve圖 64
表十一MAST中文版酒精依賴篩檢表ROC Curve分析結果 65
附錄一MAST授權書 92
附錄二人體試驗委員會同意書 93


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