精神科治疗性关系评估量表-护士版的汉化及信效度检验

doi:10.3761/j.issn.1672-9234.2024.04.015

摘要/Abstract

摘要：

目的引进精神科治疗性关系评估量表-护士版（Therapeutic Relationship Assessment Scale-Nurse，TRAS-N）并验证其信效度。方法按照Brislin翻译模型对葡萄牙语及英语版量表进行翻译和回译，通过预调查对中文版量表进行初步检验，邀请10名精神科专家评价量表的内容效度，便利选取青岛市及日照市2所精神卫生中心的360名临床护士展开调查，并进行信效度分析。结果中文版TRAS-N的各条目CR值范围为6.313~17.359、与量表总分的相关系数范围0.429~0.766；I-CVI为0.800~1.000，S-CVI为0.942。验证性因子分析结果显示结构方程模型拟合指标： χ²/df=2.297，RMSEA=0.074，IFI=0.914，TLI=0.903，CFI=0.913，RMR=0.041；中文版TRAS-N与护患关系量表-护士视角版的会聚效度为0.348；Cronbach’s α系数为0.940，2周后重测信度为0.884。结论中文版TRAS-N具有良好的信效度，可用于评估我国精神科临床护士治疗性关系。

关键词: 精神科护士, 治疗性关系, 信度, 效度

Abstract:

Objective To translate the Therapeutic Relationship Assessment Scale-Nurse（TRAS-N） and test its reliability and validity among mental health nurses. Methods According to the Brislin translation model，the Portuguese and English versions of the scale were translated and back translated. A preliminary experiment was conducted to test the Chinese version of the scale. A total of 10 psychiatric experts were invited to evaluate the content validity of the scale. A survey was conducted on 360 clinical nurses from two mental health centers in Qingdao and Rizhao for reliability and validity analysis. Results The CR values of each item in the Chinese version of the scale ranged from 6.313 to 17.359，the correlation coefficient range from 0.429 to 0.766，the I-CVI was 0.800~1.000，and the S-CVI was 0.942. Structural equation model fitting index was as following： χ²/df=2.297，RMSEA=0.074，IFI=0.914，TLI=0.903，CFI=0.913，RMR=0.041. The convergence validity of the scale was 0.348，while Cronbach’s α coefficient was 0.940 and the retest reliability was 0.884. Conclusion The Chinese version of Therapeutic Relationship Assessment Scale-Nurse has good reliability and validity，and can be used to evaluate the current status of therapeutic relationship among mental health nurses in China.

Key words: Psychiatric nurses, Therapeutic relationships, Reliability, Validity

李岩, 周晶, 徐洪娇, 樊玉霞, 李娜, 刘美红, 蔺晶. 精神科治疗性关系评估量表-护士版的汉化及信效度检验[J]. 中华护理教育, 2024, 21(4): 473-477.

LI Yan, ZHOU Jing, XU Hongjiao, FAN Yuxia, LI Na, LIU Meihong, LIN Jing. Reliability and validity of the Chinese version of Therapeutic Relationship Assessment Scale-Nurse（TRAS-N）among mental health nurses[J]. Chinese Journal of Nursing Education, 2024, 21(4): 473-477.

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