护患治疗性互动量表的汉化及信效度检验
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女,硕士,助教

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镇江市社科应用研究青年发展专项课题(2023QN47);江苏省教育科学“十四五”规划2021年度课题(B/2021/01/25)


Translation and validation of the Nurse-Patient Therapeutic Interaction Scale
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    目的 汉化护患治疗性互动量表并检验其信效度,为我国临床护理人员护患治疗性互动能力评估提供标准化工具。方法 获得原量表作者授权后,依据Brislin翻译 模型开展正译、回译及跨文化调适,通过预调查形成中文版护患治疗性互动量表。于2025年8月采用便利抽样法选取镇江市、常州市、南京市共4所三级甲等医院的459名 临床护理人员开展问卷调查,验证量表信效度。结果 中文版量表包含情感支持与激励(6个条目)、共情与清晰沟通(5个条目)、以患者为中心的护理(6个条目)、支 持性沟通过程(3个条目)4 个维度共20个条目。探索性因子分析显示,4个公因子累计方差贡献率为75.599%;验证性因子分析显示模型拟合良好(χ2/df=1.242, RMSEA=0.033,GFI=0.920,CFI=0.988,NFI=0.988、TLI=0.986)。量表整体Cronbach′s α系数为0.929,各维度Cronbach′s α系数为0.872~0.936;重测信度为 0.956;量表水平全体一致性内容效度指数为0.950,条目水平的内容效度指数为0.875~1.000;4个维度的平均方差提取量(AVE)为 0.667~0.708,组合信度(CR)为 0.874~0.935,聚敛效度理想。结论 中文版护患治疗性互动量表的信效度良好,适用于我国临床护理人员护患治疗性互动能力的评估,可为护理质量提升及相关科研提供 可靠测量工具。

    Abstract:

    Objective To sinicize the Nurse-Patient Therapeutic Interaction Scale (NuPTIS) and test its reliability and validity, so as to provide a standardized tool for evaluating the therapeutic interaction ability of clinical nurses in China. Methods With the authorization of the original scale author, forward translation, back-translation, and cross-cultural adaptation were conducted based on the Brislin′s translation model, and the Chinese version of the NuPTIS was formed through a pre-survey. In August 2025, a questionnaire survey was carried out among 459 clinical nurses from 4 Grade A tertiary hospitals in Zhenjiang, Changzhou, and Nanjing using a convenience sampling method to verify the reliability and validity of the scale. Results The Chinese version of the NuPTIS included 20 items, divided into 4 dimensions:emotional support and motivation (6 items), empathy and clear communication (5 items), patient-centered care (6 items), and supportive communication process (3 items). Exploratory factor analysis showed that the cumulative variance contribution rate of the 4 common factors was 75.599%. Confirmatory factor analysis indicated that, the model had a good fit (χ2/df=1.242, RMSEA=0.033, GFI=0.920, CFI=0.988, NFI=0.988, TLI=0.986). The overall Cronbach′s α coefficient of the scale was 0.929, and the Cronbach′s α coefficients of each dimension were 0.872-0.936; the test-retest reliability was 0.956; the scale-level universal agreement content validity index was 0.950, and the item- level content validity index of each item ranged from 0.875 to 1.000; the average variance extracted (AVE) of the 4 dimensions was 0.667- 0.708, and the composite reliability (CR) was 0.874-0.935, showing ideal convergent validity. Conclusion The Chinese version of the NuPTIS has good reliability and validity, which is suitable for evaluating the therapeutic interaction ability of clinical nurses in China, and can provide a reliable measurement tool for nursing quality improvement and relevant scientific research.

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吴凡,杨超,张伟.护患治疗性互动量表的汉化及信效度检验[J].护理学杂志,2026,41(4):52-56

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  • 收稿日期:2025-09-03
  • 最后修改日期:2025-11-07
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  • 在线发布日期: 2026-03-27