Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpaşa University, Tokat, Turkey.
Department of Nursing, Faculty of Health Sciences, Tokat Gaziosmanpaşa University, Tokat, Turkey.
J Eval Clin Pract. 2024 Sep;30(6):1059-1065. doi: 10.1111/jep.14019. Epub 2024 May 27.
Postintensive care syndrome (PICS) is a combination of short-, medium- and long-term morbidities that occur in patients discharged from the Intensive care unit (ICU). ICU professionals have a crucial role in managing and understanding the PICS. This study aimed to develop the PICS Knowledge Test (PICS-KT), which measures ICU professionals' awareness and knowledge levels regarding PICS, and to determine its validity and reliability.
The databases were searched in detail, scientific research related to PICS was analyzed, and the draft scale was created accordingly. A total of 117 doctors and nurses who had been working in the ICU for at least 6 months were included in the study. For the validity and reliability analysis of the test, content validity ratio, item difficulty index, item discrimination index values and Cronbach α were examined.
The Cronbach's α reliability coefficient for the 46-item PICS-KT is 0.93, indicating high reliability. Scores range from 0 to 46, with 32 or higher considered successful, suggesting adequate knowledge of PICS among ICU professionals. Scores of 14 or less indicate minimal knowledge. Those with scores between 14 and 32 possess some knowledge but need improvement. PICS-KT assesses knowledge in four main areas: general information, risk factors/causes, symptoms and findings and interventions. ICU professionals show high awareness of interventions for preventing and treating PICS, as indicated by a high mean score in the interventions subdimension.
The PICS-KT is crucial in assessing healthcare professionals' understanding of the various short-, medium- and long-term morbidities associated with PICS. The study ensures that the test is a robust and dependable instrument for evaluating ICU professionals' knowledge about PICS.
密集治疗后综合征（PICS）是指在从重症监护病房（ICU）出院的患者中出现的短期、中期和长期合并症。 ICU 专业人员在管理和理解 PICS 方面起着至关重要的作用。本研究旨在开发 PICS 知识测试（PICS-KT），以衡量 ICU 专业人员对 PICS 的认识和知识水平，并确定其有效性和可靠性。
详细搜索数据库，分析与 PICS 相关的科学研究，并相应地创建草案量表。共有 117 名在 ICU 工作至少 6 个月的医生和护士参与了这项研究。为了对测试的有效性和可靠性进行分析，考察了内容有效性比、项目难度指数、项目鉴别指数值和 Cronbach α。
PICS-KT 有 46 个项目，Cronbach's α 信度系数为 0.93，表明具有高度可靠性。分数范围为 0 到 46，32 分或以上为成功，表明 ICU 专业人员对 PICS 有足够的了解。14 分或以下表示知识水平较低。14 分到 32 分之间的人具有一定的知识，但需要改进。PICS-KT 评估四个主要领域的知识：一般信息、风险因素/原因、症状和发现以及干预。ICU 专业人员对预防和治疗 PICS 的干预措施有很高的认识，干预子维度的平均分很高。
PICS-KT 对于评估医疗保健专业人员对 PICS 相关各种短期、中期和长期合并症的理解至关重要。该研究确保了该测试是评估 ICU 专业人员对 PICS 知识的可靠和可靠工具。
