【摘要】 目的 ：编制精神科护理分级评估量表，为快速筛选精神科风险患者，确定并实施不同级别的护理提供科学有效的评估工具。方法 ：以三维护理模型为理论基础，通过文献研究、质性访谈和专家函询法编制精神科护理分级评估量表初稿。采取便利抽样法，选取2025年1月—3月在北京市、广州市、南京市、厦门市4所三级甲等精神专科医院的314例住院患者为调查对象，进行项目分析、确定护理分级划分标准，并检验量表的信度和效度。结果 ：精神科护理分级评估量表包括攻击行为、自杀自伤行为、意识状态、精神病性症状、情绪状态、日常生活能力6个条目，以及30项具体评分条目。探索性因子分析提取3个特征值> 1的公因子，累计方差贡献率为73.379%，量表的Cronbach’s α系数为0.765,Kendall’s W系数为0.866(P<0.05)。结论 ：精神科护理分级评估量表具有良好的信度和效度，能够用于精神专科住院患者的护理分级评估。更多还原

【Abstract】 Objective: To develop a psychiatric nursing grading assessment scale, thereby providing a scientific and effective tool for rapidly screening psychiatric patients at risk and implementing differentiated levels of nursing care. Methods: Based on the three-dimensional nursing model, a preliminary version of the scale was developed through literature review, qualitative interviews, and expert consultation. Using convenience sampling, 314 inpatients from four tertiary grade A psychiatric hospitals in Beijing, Guangzhou, Nanjing, and Xiamen were selected from January to March 2025. Item analysis was conducted, grading criteria were established, and the scale’s reliability and validity were tested. Results: The psychiatric nursing grading assessment scale consists of 6 items(aggressive behavior, suicidal and self-injurious behavior, consciousness status, psychiatric symptoms, emotional state, and activities of daily living) and 30 specific scoring items. Exploratory factor analysis extracted three common factors with eigenvalues >1, accounting for a cumulative variance contribution rate of 73.379%. The scale’s Cronbach’s α coefficient was 0.765, and Kendall’s W coefficient was 0.866(P<0.05). Conclusion: The psychiatric nursing grading assessment scale demonstrates good reliability and validity and can be used for nursing care classification in psychiatric inpatients.更多还原