护士直觉病人病情恶化量表的汉化及信效度检验  

Validation and Reliability testing of the Chinese version of Nurse Intuition Patient Deterioration Scale

作　　者：贾明月 张国增[1] 王媛媛[1] 陈汀芷 赵慧杰[1] 王静 张怡梦 冯熠 JIA Mingyue;ZHANG Guozeng;WANG Yuanyuan;CHEN Tingzhi;ZHAO Huijie;WANG Jing;ZHANG Yimeng;FENG Yi(Institute of Nursing and Health,School of Nursing and Health,Henan University,Henan 475004 China;Kaifeng Central Hospital)

机构地区：[1]河南大学护理与健康研究所,河南475004 [2]开封市中心医院

出　　处：《护理研究》2025年第3期438-442,共5页Chinese Nursing Research

基　　金：河南大学大学生创新创业训练计划项目,编号:202310475146。

摘　　要：目的:汉化护士直觉病人病情恶化量表(Nurse Intuition Patient Deterioration Scale,NIPDS)并检验其信效度。方法:遵循Brislin翻译模型对NIPDS进行汉化,通过文化调试,确定中文版NIPDS。采用便利抽样法选取开封市某三级甲等医院2个外科病房和2个内科病房的251例住院病人检验中文版NIPDS的信效度。结果:中文版NIPDS共9个条目,量表总分与各条目得分间相关系数为0.622~0.755(P均<0.001),各条目间临界比值为11.251~17.609(P均<0.001)。经过探索性因子分析共提取1个公因子,累计方差贡献率为51.224%。条目的内容效度指数为0.83~1.00,总量表的平均内容效度指数为0.981;Cronbach'sα系数为0.867,折半信度为0.869。结论:中文版NIPDS具有良好的信效度,可以作为护士识别病人早期病情恶化的评估工具。Objective:To translate the Nurse Intuition Patient Deterioration Scale(NIPDS)into Chinese and examine its reliability and validity.Methods:Following the Brislin translation model,the NIPDS was localized into Chinese through cultural adaptation,finalizing the Chinese version of NIPDS.A convenience sampling method was used to select 251 hospitalized patients from 2 surgical wards and 2 internal medicine wards in a tertiary grade A hospital in Kaifeng city to test the reliability and validity of the Chinese version of NIPDS.Results:The Chinese version of NIPDS consists of 9 items,with the total scale score correlating with individual items scores at coefficients ranging from 0.622 to 0.755(P<0.001)and critical ratios between items ranging from 11.251 to 17.609(P<0.001).Exploratory factor analysis extracted one common factor,cumulative variance contribution rate was 51.224%.Item⁃level content validity index was 0.83⁃1.00;Scale⁃level content validity index was 0.981.The Cronbach's alpha coefficient was 0.867,and the split⁃half reliability was 0.869.Conclusion:The Chinese version of NIPDS demonstrates good reliability and validity,and can serve as an assessment tool for nurses to identify early deterioration in patient conditions.

关 键 词：护士直觉 病情恶化 量表 评估工具 信度 效度 

分 类 号：R47[医药卫生—护理学]