不同智能聊天机器人用于心理疏导的互动 质量与干预技术评估
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女,硕士在读,学生

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湖南省卫生健康委卫生科研课题(W20243191);中南大学湘雅护理青年教师联合基金项目(2024XYHLQNLHJJ07);湖南省护理学会“青苗计划”人才项目(湘护会字[2024]184号)


Evaluation of interactive quality and intervention techniques of different intelligent chatbots for psychological counseling
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    目的 对国内智能聊天机器人参与心理疏导的情况进行应用与评价,系统评估优势和局限性。方法 从Apple-store与微信小程序系统检索能够参与心理疏导的智能聊天机器人,对符合纳入标准的工具逐一下载。建立3个模拟案例与各工具依次互动沟通,形成24万字的文稿。采用聊天机器人可用性量表-15对各工具聊天功能进行质量评估,采用行为改变技术分类法分析各工具使用的心理干预技术。结果 共纳入34个智能聊天机器人,2名评价者可用性量表的评价者信度为0.793。所有聊天工具在可用性量表各维度均分从高到低依次为:隐私性、感知聊天工具功能可及性、反应时间、感知聊天工具功能质量、感知沟通信息质量。使用大模型的聊天工具可用性评分分别显著高于心理疏导类与未使用大模型类(均P<0.05)。各工具平均使用5.6个行为改变技术。结论 当前的心理疏导类智能聊天工具在沟通的灵活性、隐私性方面有待提高,而普适类工具在专业指导上需加强。一些工具需要在信息量、避免可能的歧视色彩和歧义上进行改善。未来普遍使用大语言模型优化沟通风格是趋势。

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    Objective To apply and evaluate domestic intelligent chatbots for psychological counseling, and systematically assess their strengths and limitations. Methods Intelligent chatbots supporting psychological counseling were systematically retrieved from the Apple Store and WeChat Mini Programs, and all tools meeting the inclusion criteria were downloaded one by one.Three simulated cases were designed to interact with each chatbot in sequence, generating manuscripts with a total word count of 240,000. The Chatbot Usability Scale-15 (BUS-15) was adopted to evaluate the chat function quality of each tool, and the Behavior Change Technique Taxonomy was used to analyze the psychological intervention techniques adopted by each chatbot. Results A total of 34 AI chatbots were included. The inter-rater reliability for BUS-15 between the two evaluators was 0.793.The average scores of all chat tools on each dimension of the BUS-15 ranked from high to low as follows: privacy, perceived accessibility of chatbot functions, response time, perceived functional quality of chatbots, and perceived quality of communicated information. The usability scores of chatbots powered by large language models were significantly higher than those of professional psychological counseling chatbots and chatbots without large language model support (both P<0.05). Each chatbot adopted an average of 5.6 behavior change techniques. Conclusion Current professional psychological counseling chatbots need improvements in communication flexibility and privacy protection, while general-purpose chatbots should strengthen their professional guidance capability. Several tools require optimization in information volume, elimination of potential discriminatory expressions and ambiguous wording. Widespread adoption of large language models to optimize communication styles will be a major trend in the future.

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陈艺华,雷云霄,廖丹丹,谭思敏,陈佳睿,张爱迪.不同智能聊天机器人用于心理疏导的互动 质量与干预技术评估[J].护理学杂志,2026,41(14):110-114

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  • 收稿日期:2026-02-12
  • 最后修改日期:2026-04-10
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  • 在线发布日期: 2026-08-31