Objective To translate the Health Problem-Solving Scale (HPSS) into Chinese, and evaluate its reliability and validity in patients with type 2 diabetes. Methods In pursuant to the Brislin model, the HPSS was translated, back-translated and culturally adapted to form a Chinese version, which was later used to survey 262 patients with type 2 diabetes.The reliability of the Chinese version HPSS was evaluated by calculating the Cronbach′s α coefficients, split-half reliability coefficients, and test-retest reliability coefficients.The validity of the Chinese version scale was evaluated via content validity index (CVI) determined by expert consultation,via determined by running criteria validity correlation analysis with the Problem Solving Inventory (PSI, as the criterion), and via construct validity determined by running exploratory factor analysis. Results The Chinese version HPSS consists of 6 dimensions,totaling 30 items.The scale-level CVI was 0.970, and the item-level CVI ranged from 0.830 to 1.000.The criteria validity coefficient was -0.675 (P＜0.05).Exploratory factor analysis extracted 6 common factors, and the cumulative variance was 59.017%.The Cronbach′s α coefficient was 0.911 for the scale, and between 0.715 to 0.839 for the items; the Spearman-Brown split-half reliability coefficient of the scale stood at 0.764, and test-retest reliability coefficient at 0.798. Conclusion The Chinese version HPSS demonstrates acceptable reliability and validity among patients with type 2 diabetes.This tool can be used to evaluate health problem-solving issues in patients with type 2 diabetes.