护患沟通能力评估工具的系统评价

doi:10.3761/j.issn.0254-1769.2025.21.015

摘要/Abstract

摘要：

目的对护患沟通能力评估工具进行系统评价，为护理管理者和教育者选择适宜的评估工具提供依据。方法系统检索中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、CINAHL，检索时限为建库至2025年6月10日。根据纳入及排除标准筛选有关护患沟通能力评估工具的文献。依据基于共识的健康测量工具遴选标准对纳入评估工具的方法学质量和测量学属性进行评价，形成推荐意见。结果共纳入12篇文献，包含9种护患沟通能力评估工具。其中，临床护患沟通知信行调查问卷为A级推荐，5种工具为B级推荐，3种工具为C级推荐。结论护患沟通能力评估工具种类多样，其方法学质量仍需提升，测量学属性有待进一步验证，暂推荐使用临床护患沟通知信行调查问卷。

关键词: 护患沟通, 能力, 评估工具, 测量学属性, 系统评价, 循证护理学

Abstract:

Objective To systematically review the assessment tools for nurse-patient communication competence，thus providing evidence for nursing administrators and educators in selecting appropriate assessment tools. Methods A systematic search was conducted in CNKI，Wanfang，VIP，Sinomed，PubMed，Web of Science，Embase，and CINAHL，with a timeframe from inception of the databases to June 10，2025. Literature on nurse-patient communication competence assessment tools was screened based on the inclusion and exclusion criteria. The methodological quality and measurement properties of the included tools were evaluated according to the Consensus-Based Standards for the Selection of Health Measurement Instruments，and recommendations were generated. Results A total of 12 studies involving 9 nurse-patient communication competence assessment tools were included. The Clinical Nurse-Patient Communication Knowledge，Attitude and Practice Questionnaire was recommended at Level A；5 tools were recommended at Level B；3 tools were recommended at Level C. Conclusion There are various types of assessment tools for nurse-patient communication competence. However，the methodological quality still needs to be improved and the measurement properties need to be further validated. The Clinical Nurse-Patient Communication Knowledge，Attitude and Practice Questionnaire is recommended for the time being.

Key words: Nurse-Patient Communication, Competence, Assessment Tools, Measurement Properties, Systematic Review, Evidence-Based Nursing

邹思敏, 周高阳, 李嫣然, 刘传坤, 李丽. 护患沟通能力评估工具的系统评价[J]. 中华护理杂志, 2025, 60(21): 2662-2669.

ZOU Simin, ZHOU Gaoyang, LI Yanran, LIU Chuankun, LI Li. Systematic review of assessment tools for nurse-patient communication competence[J]. Chinese Journal of Nursing, 2025, 60(21): 2662-2669.

图/表 4

图1 文献筛选流程

Figure 1 Flow chart of literature

表1 纳入文献的基本特征（n=12）

Table 1 General characteristics of the included literature（n=12）

表2 纳入评估工具的方法学质量与测量学属性评价结果（n=12）

Table 2 Methodological quality and psychometric properties evaluation of the included assessment tools（n=12）

表3 纳入评估工具的总体评价结果及推荐等级（n=9）

Table 3 The synthesis results and recommendations of the measurement properties of the included assessment tools（n=9）

参考文献 33

[1]	Henriksen KF, Hansen BS, Wøien H, et al. The core qualities and competencies of the intensive and critical care nurse,a meta-ethnography[J]. J Adv Nurs, 2021, 77(12):4693-4710.
[2]	刘均娥, 孟庆慧. 护理人际沟通[M]. 北京: 人民卫生出版社, 2020.
	Liu JE, Meng QH. Nursing interpersonal communication[M]. Beijing: People’s Medical Publishing House, 2020.
[3]	万作芳. 能力发展研究[M]. 北京: 教育科学出版社, 2016.
	Wan ZF. Competence development[M]. Beijing: Educational Scien-ce Publishing House, 2016.
[4]	国家卫生健康委办公厅, 教育部办公厅, 国家中医药局综合司, 等. 关于印发医学人文关怀提升行动方案(2024-2027年)的通知[EB/OL].(2024-09-29)[2025-01-06]. https://www.gov.cn/zhengce/zhengceku/202410/content_6979036.htm. .
	General Office of the National Health Commission,General Office of the Ministry of Education, Comprehensive Department of the National Administration of Traditional Chinese Medi-cine, et al. Medical humanistic care enhancement initiative(2024-2027)[EB/OL].(2024-09-29)[2025-01-06]. https://www.gov.cn/zhengce/zhengceku/202410/content_6979036.htm. .
[5]	陈李英, 李晓娟, 陈琼妮, 等. 非暴力沟通培训对护士沟通能力和患者护患信任度及满意度的影响[J]. 中国护理管理, 2022, 22(4):598-603.
	Chen LY, Li XJ, Chen QN, et al. The effect of non-violent com-munication training on nurses’ communication skills,patients’ nurse-patient trust and satisfaction[J]. Chin Nurs Manag, 2022, 22(4):598-603.
[6]	朱红芹, 梅笑扬, 方芳, 等. 沟通能力和心理弹性对手术室护士职业倦怠的影响[J]. 中华现代护理杂志, 2024, 30(24):3325-3330.
	Zhu HQ, Mei XY, Fang F, et al. Effects of communication competence and psychological resilience on job burnout of operating room nurses[J]. Chin J Mod Nurs, 2024, 30(24):3325-3330.
[7]	Hahm SY, Gu M, Sok S. Influences of communication ability,organizational intimacy,and trust among colleagues on job satisfaction of nurses in comprehensive nursing care service units[J]. Front Public Health, 2024, 12:135497.
[8]	Johnson C, Wilhelmsson S, Börjeson S, et al. Improvement of communication and interpersonal competence in telenursing:development of a self-assessment tool[J]. J Clin Nurs, 2015, 24(11/12):1489-1501.
[9]	尹欣, 耿孟菲, 邸青, 等. 全国三级甲等综合医院护士临床沟通能力现状及相关因素研究[J]. 中华护理教育, 2024, 21(12):1490-1496.
	Yin X, Geng MF, Di Q, et al. Study on the current situation and influencing factors of nurses’ clinical communication com-petence in tertiary grade A comprehensive hospitals[J]. Chin J Nurs Educ, 2024, 21(12):1490-1496.
[10]	Mokkink LB, ElsmanEBM, Terwee CB. COSMIN guideline for systematic reviews of patient-reported outcome measures ver-sion 2.0[J]. Qual Life Res, 2024, 33(11):2929-2939.
[11]	陈祎婷, 沈蓝君, 彭健, 等. 改良版定量系统评价证据分级方法对患者报告结局测量工具的评价[J]. 解放军护理杂志, 2020, 37(10):57-60.
	Chen YT, Shen LJ, Peng J, et al. Modified GRADE evaluation of COSMIN method for patient reported outcome measures[J]. Nurs J Chin PLA, 2020, 37(10):57-60.
[12]	曾凯. 护士临床沟通能力量表的研制及应用[D]. 长沙: 中南大学, 2010.
	Zeng K. Development and application of Nurses’ Clinical Communication Ability Scale[D]. Changsha: Central South Uni-versity, 2010.
[13]	黄月, 张转运, 王晴, 等. 临床护患沟通知信行调查问卷的编制及信效度检验[J]. 护理研究, 2023, 37(15):2693-2698.
	Huang Y, Zhang ZY, Wang Q, et al. Development of Clinical Nurse-Patient Communication Knowledge,Attitude and Practi-ce Questionnaire and its reliability and validity test[J]. Chin Nurs Res, 2023, 37(15):2693-2698.
[14]	Joo Y, Jang Y, Park CG, et al. Development and validation of a Patient-Centered Communication Scale for nurses[J]. BMC Nurs, 2024, 23(1):550. DOI PMID
[15]	Pereira TJ, Puggina AC. Validation of the Self-Assessment of Communication Skills and Professionalism for Nurses[J]. Rev Bras Enferm, 2017, 70(3):588-594. DOI PMID
[16]	Lee J, Campbell SH, Aredes NDA, et al. Translation and vali-dation of the Korean Version of the Global Interprofessional Therapeutic Communication Scale:astudy of the psychometric properties among Korean nurses[J]. J Korean Acad Fundam Nurs, 2024, 31(3):359-368.
[17]	Samillán-Yncio G, Zeladita-Huaman JA, Franco-Chalco E, et al. Psychometric assessment of the Communication Skills Scale among Peruvian Nurses and factors associated with job inse-curity[J]. Healthcare (Basel), 2024, 12(24):2582.
[18]	张淑, 李宏, 周松, 等. 护患治疗性沟通量表的汉化及信效度检验[J]. 中华护理教育, 2023, 20(5):589-593.
	Zhang S, Li H, Zhou S, et al. The reliability and validity of the Chinese version of the Nurse-Patient Therapeutic Commu-nication Scale[J]. Chin J Nurs Educ, 2023, 20(5):589-593.
[19]	张格. 护士治疗性沟通问卷的汉化及应用研究[D]. 天津: 天津中医药大学, 2023.
	Zhang G. Study on the sinicization and application of Nurse Therapeutic Communication Questionnaire[D]. Tianjin: Tianjin University of Traditional Chinese Medicine, 2023.
[20]	Granados-Gámez G, Sáez-Ruiz IM, Márquez-Hernández VV, et al. Development and validation of the Questionnaire to Analyze the Communication of Nurses in Nurse-Patient Therapeutic Communication[J]. Patient Educ Couns, 2022, 105(1):145-150.
[21]	Chen X, Luo LM, Jiang L, et al. Development of the Nurse’s Communication Ability with Angry Patients Scale and evalua-tion of its psychometric properties[J]. J Adv Nurs, 2021, 77(6):2700-2708. DOI PMID
[22]	Mendi O, Yildirim N, Mendi B. Cross-cultural adaptation,relia-bility,and validity of the Turkish version of the Health Pro-fessionals Communication Skills Scale[J]. Asian Nurs Res(Ko-rean Soc Nurs Sci), 2020, 14(5):312-319.
[23]	Zhong XY, Tang FM, Lai DM, et al. The Chinese version of the Health Professional Communication Skills Scale:psycho-metric evaluation[J]. Front Psychol, 2023, 14:112540.
[24]	Noh S, Kang Y. The relationships among communication com-petence,professional autonomy and clinical reasoning compe-tence in oncology nurses[J]. Nurs Open, 2024, 11(8):e70003.
[25]	郜心怡, 陈怡杨, 温华, 等. 安宁疗护护士沟通中角色功能及体验的研究进展[J]. 中华护理杂志, 2021, 56(7):1093-1098. DOI
	Gao XY, Chen YY, Wen H, et al. Research progress of role function and experience in nurses’ communication in hospice care unit[J]. Chin J Nurs, 2021, 56(7):1093-1098.
[26]	孙丹红. 教师家校沟通能力及其德育意义研究[D]. 武汉: 华中师范大学, 2024.
	Sun DH. Research onteachers’ home-school communicatio-nability and its moral education significance[D]. Wuhan: Central China Normal University, 2024.
[27]	Peplau HE. Peplau’s theory of interpersonal relations[J]. Nurs Sci Q, 1997, 10(4):162-167.
[28]	卡尔·R·罗杰斯. 个人形成论:我的心理治疗观[M]. 杨广学,尤娜,潘福勤译. 北京: 中国人民大学出版社, 2004.
	Rogers CR. On becoming a person:a therapist’s view of psy-chotherapy[M]. Yang GX,You N,Pan FQ trans. Beijing: China Renmin University Press, 2004.
[29]	Smets E, van Zwieten M, Michie S. Comparing genetic counse-ling with non-genetic health care interactions:two of a kind?[J]. Patient Educ Couns, 2007, 68(3):225-234.
[30]	沈美頔, 高瑞桐, 许林琪, 等. 理论评价工具在护理领域中的应用进展[J]. 中华护理杂志, 2024, 59(4):502-506. DOI
	Shen MD, Gao RT, Xu LQ, et al. The introduction of Theo-retical Comparison and Selection Tools and its application in the field of nursing care[J]. Chin J Nurs, 2024, 59(4):502-506.
[31]	Bylund CL, Peterson EB, Cameron KA. A practitioner’s guide to interpersonal communication theory:an overview and explo-ration of selected theories[J]. Patient Educ Couns, 2012, 87(3):261-267. DOI PMID
[32]	陈祎婷, 彭健, 沈蓝君, 等. COSMIN方法介绍:制作患者报告结局测量工具的系统评价[J]. 护士进修杂志, 2021, 36(8):699-703.
	Chen YT, Peng J, Shen LJ, et al. Introduction of COSMIN method:systematic review of making patient reportout come-measurement tools[J]. J Nurses Train, 2021, 36(8):699-703.
[33]	陈潇, 张玉侠. 认知性访谈在患者护理服务体验量表编制中的应用[J]. 中华护理杂志, 2022, 57(1):83-89. DOI
	Chen X, Zhang YX. The application of cognitive interviews in the development of Patient Experience with Nursing Care Scale[J]. Chin J Nurs, 2022, 57(1):83-89. DOI