Abstract:

Objective To establish the norm of the Negative Emotion Screening Scale for inpatients in general hospitals in Guangdong Province，so as to provide a basis for assessing negative emotions among hospitalized patients. Methods From December 2023 to August 2024，a total of 6，770 inpatients were selected from 12 grade-A tertiary general public hospitals in Guangdong Province by regional stratified multistage sampling. The Negative Emotion Screening Scale for Inpatients was used to assess their negative emotion levels，and the provincial norm was constructed by establishing mean，classification，percentile，and demarcation norms. Results A total of 6 770 questionnaires were distributed，with 5 712 valid responses collected，resulting in a valid response rate of 84.37%. The total score of the scale was（51.99±13.98），and the scores of somatization，disease-related fear，depression，and anger dimensions were（50.12±20.88）（54.80±19.46）（55.36±20.53） and （47.00±20.04），respectively. The mean norm was established by gender and age. According to the results of univariate and multiple linear regression analyses，the characteristics with significant differences，including age，gender，living status，recent surgical history，personality traits，annual household income，number of chronic diseases，number of hospitalizations，disease duration，sleep duration，marital status，medical payment type，department，and region，were selected to construct the classification norm. 19 percentile nodes from the 5th to 95th percentiles were selected to establish a percentile norm；cut off points of $\bar{x}$-1.0 s、$\bar{x}$-0.5 s、$\bar{x}$+0.5 s and $\bar{x}$+1.0 s were used to create a demarcation norm，classifying the negative emotion screening scale for inpatients scores into 5 levels：extremely low，low，moderate，high，and extremely high. Conclusion This study established the provincial norm of the negative emotion screening scale for inpatients in general hospitals in Guangdong Province，providing a theoretical basis for effectively evaluating and identifying negative emotions among inpatients and offering references for psychological care interventions.

Key words: General Hospital, Inpatients, Negative Emotion, Scale, Norm, Nursing Care

摘要：

目的 构建广东省综合医院住院患者负性情绪筛查量表常模，为评估住院患者的负性情绪提供参考标准。方法 2023年12月—2024年8月，通过区域分层多阶段抽样法选取广东省12所公立三级甲等综合医院的非精神科住院患者作为调查对象，使用住院患者负性情绪筛查量表进行调查，建立均数、分类、百分位及划界常模。结果 发放问卷6 770份，回收有效问卷5 712份，有效问卷回收率为84.37%。住院患者负性情绪筛查量表得分为（51.99±13.98）分，躯体化、患病恐惧、抑郁及愤怒维度得分分别为（50.12±20.88）（54.80±19.46）（55.36±20.53）和（47.00±20.04）分。以性别和年龄分组建立均数常模；通过单因素及多重线性回归分析结果，根据年龄、性别、是否独居、近1个月是否手术、性格、家庭年收入、患慢性病数量、住院次数、病程、睡眠时长、婚姻状况、医疗费用支付方式、所在科室和所在区域建立分类常模；选取5~95百分位共19个节点建立百分位常模；以$\bar{x}$-1.0 s、$\bar{x}$-0.5 s、$\bar{x}$+0.5 s、$\bar{x}$+1.0 s为界点建立划界常模，将住院患者负性情绪筛查量表得分划分为极低、低、中等、高和极高5个水平。结论 该研究建立了广东省综合医院住院患者负性情绪筛查量表常模，可为医护人员评估和识别住院患者负性情绪提供参考标准。

关键词: 综合医院, 住院患者, 负性情绪, 量表, 常模, 护理