Gardashkhani Sevda, Ajri-Khameslou Mehdi, Heidarzadeh Mehdi, Rajaei Sedigh SeyedMohammad
Department of Medical-Surgical Nursing, Nursing and Midwifery School, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Intensive Care Nursing, Nursing and Midwifery School, Ardabil University of Medical Sciences, Ardabil, Iran.
Int J Nurs Knowl. 2023 Jan;34(1):35-41. doi: 10.1111/2047-3095.12369. Epub 2022 May 15.
Intensive care unit survivors experience new and ongoing physical, psychological, and cognitive complications known as postintensive care syndrome. The study aimed to investigate the psychometric properties of the healthy aging brain care monitor self-report tool for assessing postintensive care syndrome in Iranian patients.
The study is a methodological study investigating the psychometric properties of the healthy aging brain care monitor self-report tool in 153 patients discharged from the intensive care unit. The instrument's psychometric properties were examined to determine content validity, construct validity (factor analysis, convergent validity, and discriminant validity), concurrent validity, and internal consistency.
The factor structure of the healthy aging brain care monitor self-report tool was examined in the form of two models: the three-factor model with 27 items and the three-factor model with 19 items. Regarding fit indices and results of the convergent, discriminant validities and the internal consistency the 19-item model is better than the original 27-item model.
The study showed that the appropriate model for the healthy aging brain care monitor self-report tool in Iranian society is a tool with 19 items with the best conditions in terms of factor structure, internal consistency, and overall psychometric characteristics.
The present study led to the introduction of a valid instrument with a 19-item factor structure to assess the postintensive care syndrome by nurses and other healthcare providers in hospitals, clinics, palliative care centers, and home care centers.
重症监护病房幸存者会经历新的且持续存在的身体、心理和认知并发症，即所谓的重症监护后综合征。本研究旨在调查健康老龄脑护理监测自评工具在评估伊朗患者重症监护后综合征方面的心理测量特性。
本研究是一项方法学研究，调查健康老龄脑护理监测自评工具在153名从重症监护病房出院的患者中的心理测量特性。对该工具的心理测量特性进行检查，以确定内容效度、结构效度（因子分析、收敛效度和区分效度）、同时效度和内部一致性。
健康老龄脑护理监测自评工具的因子结构以两种模型的形式进行了检验：包含27个条目的三因子模型和包含19个条目的三因子模型。就拟合指数以及收敛效度、区分效度和内部一致性的结果而言，19个条目的模型优于原始的27个条目的模型。
研究表明，在伊朗社会，健康老龄脑护理监测自评工具的合适模型是一个包含19个条目的工具，该工具在因子结构、内部一致性和整体心理测量特性方面具有最佳条件。
本研究促成了一种具有19个条目因子结构的有效工具的引入，供医院、诊所、姑息治疗中心和家庭护理中心的护士及其他医疗服务提供者用于评估重症监护后综合征。
