埃森-病房气氛量表的汉化及在精神科护士与 患者中的信效度检验
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女,硕士在读,学生

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中南大学湘雅二医院临床护理科研基金项目(2021-HLKY-04)


Translation and validation of the Essen Climate Evaluation Schema in psychiatricnurses and patients
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    摘要:

    目的 汉化埃森-病房气氛量表,并检验其信效度。方法 基于Brislin翻译模型对英文版埃森-病房气氛量表进行翻译、回译、文化调适和预调查,形成中文版量表,用于调查精神科病房的606名护士和368例患者,以检验量表的信效度。结果 中文版埃森-病房气氛量表包括治疗支持、安全体验、患者凝聚力3个维度,共15个条目。量表水平的平均内容效度指数为0.976,条目水平的内容效度指数为0.900~1.000。在精神科护士与患者中,量表总的Cronbach′s α系数分别为0.848、0.816,重测信度为0.893、0.878,折半信度系数为0.815、0.779;探索性因子分析均提取出3个公因子,累计方差贡献率分别为64.408%、61.131%;探索性图论分析均提取出3个维度,其稳定性频率分别为0.998、0.994,各条目所属维度的可靠性频率分别为0.970~1.000、0.920~1.000;验证性因子分析结果显示,护士与患者χ2/df=2.697、2.280,RMSEA=0.058、0.062,GFI=0.903、0.888,NFI=0.902、0.883,CFI=0.936、0.930,TLI=0.922、0.916,IFI=0.936、0.931。结论 中文版埃森-病房气氛量表信效度良好,是测量精神科病房气氛的可靠工具,可为针对性改善我国精神科病房气氛提供参考。

    Abstract:

    Objective To translate the Essen Climate Evaluation Schema (EssenCES) into Chinese and test its reliability and validity. Methods Based on the Brislin translation model, the original English version EssenCES was translated, back-translated, culturally adapted, and pretested to form the Chinese version of the EssenCES, then it was used to investigate 606 nurses and 368 patients in psychiatric wards to test its reliability and validity. Results The Chinese version of the EssenCES consisted of three dimensions (therapeutic hold, experienced safety, and patients cohesion) and 15 items. Its scale-level content validity index was 0.976,and its item-level content validity index ranged from 0.900 to 1.000. For psychiatric nurses and patients, its respective Cronbach′s α coefficient was 0.848 and 0.816, its test-retest reliability was 0.893 and 0.878, and its split-half reliability coefficient was 0.815 and 0.779. Exploratory factor analysis extracted three common factors, explaining cumulative variances of 64.408% for nurses and 61.131% for patients. Exploratory graph analysis detected three dimensions with a frequency of 0.998 for nurses and 0.994 for patients, and item-dimension reliability frequencies ranged from 0.970 to 1.000 for nurses and 0.920 to 1.000 for patients. Confirmatory factor analysis showed the following fit indices for nurses and patients respectively:χ2/df=2.697 and 2.280, RMSEA=0.058 and 0.062, GFI=0.903 and 0.888, NFI=0.902 and 0.883, CFI=0.936 and 0.930, TLI=0.922 and 0.916, IFI=0.936 and 0.931. Conclusion The Chinese version of the EssenCES has good reliability and validity,it serves as a reliable tool for assessing the psychiatric ward atmosphere, thus it provides references for improving the psychiatric ward atmosphere in China accordingly.

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刘德宇,汪健健,赵丽萍,田于胜,刘浚禹.埃森-病房气氛量表的汉化及在精神科护士与 患者中的信效度检验[J].护理学杂志,2025,(18):69-73

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  • 收稿日期:2025-04-14
  • 最后修改日期:2025-06-25
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  • 在线发布日期: 2025-10-22