创伤暴露心理预期量表的汉化及信效度检验

doi:10.3761/j.issn.2096-7446.2026.02.016

摘要/Abstract

摘要：

目的对创伤暴露心理预期量表进行汉化，并检验中文版量表的信效度。方法根据Brislin翻译模式对创伤暴露心理预期量表进行翻译、回译和文化调试，形成中文版量表。采用便利抽样法，选取2025年2月—3月在浙江省某三级甲等医院急诊科、急诊科病房、骨科、康复科就诊或住院的311例车祸创伤患者进行调查，检验中文版量表的信度和效度，并间隔2周随机抽取30例患者进行重测信度检验。结果中文版创伤暴露心理预期量表共2个维度，21个条目。量表的Cronbach’s α系数为0.900，重测信度为0.890；量表的内容效度为0.902，条目内容效度指数为0.803~1.000；探索性因子提取出2个维度，累计方差贡献率为69.69%。该量表得分与广泛性焦虑障碍量表得分呈正相关（r=0.313，P<0.001），与创伤后成长评定量表得分呈负相关（r=-0.217，P<0.001）。结论中文版创伤暴露心理预期量表具有良好的信效度，可用于评估患者的创伤暴露心理预期水平，为创伤后心理干预和护理实践提供科学依据。

关键词: 创伤暴露, 心理护理, 量表, 信度, 效度

Abstract:

Objective To translate and culturally adapt the Trauma Disclosure Expectancy Scale into Chinese，and to assess the reliability and validity of the Chinese version. Methods The Chinese version of Trauma Disclosure Expectancy Scale was translated，back-translated，and culturally debugged according to the Brislin translation model. The convenience sampling method was used to select 311 car accident survivors from the emergency department，emergency wards，orthopedic department，and rehabilitation department of a tertiary level A hospital in Zhejiang Province between February and March 2025. The reliability and validity of the Chinese version were tested，with 30 patients randomly selected for test-retest reliability assessment after a 2-week interval. Results The Chinese version of the Trauma Disclosure Expectancy Scale comprised 2 dimensions and 21 items. The scale demonstrated a Cronbach’s α coefficient of 0.900 and a test-retest reliability of 0.890. The content validity index was 0.902，with item-level content validity indices ranging from 0.803 to 1.000. Exploratory factor analysis extracted 2 dimensions，accounting for 69.69% of the cumulative variance. The scale scores showed a positive correlation with the Generalized Anxiety Disorder Scale （r=0.313，P<0.001） and a negative correlation with the Posttraumatic Growth Inventory（r=-0.217，P<0.001）. Conclusion The Chinese version of the Trauma Disclosure Expectancy Scale exhibits good reliability and validity，making it suitable for assessing patients’ psychological expectations of trauma exposure. It provides a scientific foundation for post-traumatic psychological interventions and nursing practices.

Key words: Trauma Exposure, Psychological Care, Scale, Reliability, Validity

陈祎兰, 唐佳迎, 张巧玲, 王萍, 黄科儿, 何姣, 封秀琴. 创伤暴露心理预期量表的汉化及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(2): 216-222.

CHEN Yilan, TANG Jiaying, ZHANG Qiaoling, WANG Ping, HUANG Keer, HE Jiao, FENG Xiuqin. Cross-cultural adaptation and psychometric evaluation of the Trauma Disclosure Expectancy Scale in trauma patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 216-222.

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