Neuroscience Nursing, St. Luke's International University, Tokyo, Japan.
Adult Health Nursing, Department of Nursing, International University of Health and Welfare, Narita, Japan.
Aust Crit Care. 2023 Nov;36(6):989-996. doi: 10.1016/j.aucc.2023.02.004. Epub 2023 Mar 16.
Post-intensive care syndrome (PICS) requires the use of multiple assessment tools because it affects multiple domains: Cognitive, Functional, and Behavioural/Psychological. Therefore, this study translated the self-report (SR) version of the Healthy Aging Brain Care Monitor (HABC-M), spanning multiple domains, into Japanese and analysed its reliability and validity in a post-intensive care setting.
Patients aged 20 years or older and admitted to the adult intensive care unit from August 2019 to January 2021 were included and surveyed by questionnaire. The 21-item Dementia Assessment Sheet for the Regional Comprehensive Care System was used to validate cognitive and physical aspects, and the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Post Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders 5th edition were used to validate emotional aspects. Reliability was assessed by Cronbach's alpha, and congruent validity by correlation analysis. Multivariate linear regression models were used to identify potential factors for PICS.
A total of 104 patients (mean age: 64 ± 14 years) with 3 median mechanical ventilation days (interquartile range: 2-5) were enrolled. The Cognitive domain of the HABC-M SR was highly correlated with memory and disorientation (r = 0.77 for each), while the Functional domain was highly correlated with Instrumental Activities of Daily Living Scale (r = 0.75-0.79). The Behavioural/Psychological domain highly correlated with the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Post Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders 5th edition (r = 0.75-0.76). Multivariate analysis revealed longer ICU stays associated with lower Cognitive and Functional (p = 0.03 for each) domains and longer mechanical ventilation days with a lower Behavioural/Psychological domain (p < 0.01).
The translated Japanese HABC-M SR showed high validity for assessment of the Cognitive, Functional, and Behavioural/Psychological domains of PICS. Therefore, we recommend that the Japanese version of the HABC-M SR be routinely used in the assessment of PICS.
创伤后综合征（PICS）需要使用多种评估工具，因为它会影响多个领域：认知、功能和行为/心理。因此，本研究将涵盖多个领域的自我报告（SR）版本的健康老龄化大脑护理监测器（HABC-M）翻译成日语，并在重症监护后环境中分析其可靠性和有效性。
纳入 2019 年 8 月至 2021 年 1 月期间入住成人重症监护病房的年龄在 20 岁及以上的患者，并通过问卷调查进行调查。使用区域综合护理系统的痴呆评估表评估认知和身体方面，使用患者健康问卷-9、广泛性焦虑症-7 和创伤后应激障碍检查表诊断和统计手册第 5 版评估情绪方面。通过 Cronbach's alpha 评估可靠性，通过相关分析评估一致性有效性。使用多元线性回归模型确定 PICS 的潜在因素。
共纳入 104 例患者（平均年龄：64 ± 14 岁），中位机械通气天数为 3 天（四分位距：2-5）。HABC-M SR 的认知域与记忆和定向障碍高度相关（每项 r = 0.77），而功能域与工具性日常生活活动量表高度相关（r = 0.75-0.79）。行为/心理域与患者健康问卷-9、广泛性焦虑症-7 和创伤后应激障碍检查表诊断和统计手册第 5 版高度相关（r = 0.75-0.76）。多变量分析显示，ICU 停留时间较长与认知和功能域较低（每项 p = 0.03）以及机械通气时间较长与行为/心理域较低（p < 0.01）相关。
翻译后的日语 HABC-M SR 对 PICS 的认知、功能和行为/心理领域的评估具有较高的有效性。因此，我们建议在评估 PICS 时常规使用 HABC-M SR 的日语版本。
