Ikeda Mitsuki, Hoshino Haruhiko, Aikawa Gen, Matsuishi Yujiro, Kotani Misaki, Enomoto Yuki, Shimojo Nobutake, Inoue Yoshiaki
Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, JPN.
Department of Nursing, University of Tsukuba Hospital, Tsukuba, JPN.
Cureus. 2024 Jul 12;16(7):e64389. doi: 10.7759/cureus.64389. eCollection 2024 Jul.
Introduction The physical, cognitive, and psychiatric disorders that occur in patients after leaving the intensive care unit (ICU) are collectively called post-intensive care syndrome (PICS). Moreover, PICS-family (PICS-F) refers to the long-term psychological and social disorders that occur in the family. The symptoms of PICS-F can be psychological, and stress is a known cause of these symptoms. The Parental Stressor Scale: Pediatric Intensive Care Unit (PSS: PICU) was developed to assess stress levels and related factors among the families of patients admitted to the PICU. It has been translated into several languages and was revised in 2021. However, a Japanese version of the revised PSS: PICU (J-R-PSS: PICU) has not yet been developed. This study aimed to develop a J-R-PSS: PICU and to test its acceptability for clinical use. Materials and methods A back-translation method, involving initial translation, review by bilingual experts, and subsequent re-translation to ensure accuracy, was used to develop the J-R-PSS: PICU. Families with patients in the PICU for >48 hours between November and December 2021 and those who were transferred out of the ICU were recruited. Moreover, the study documents with a QR code for a web questionnaire were provided and explained to family members. Stress scores and stressors of family members were collected from web questionnaires using the PSS: PICU as the primary endpoint. Other information about the patients and their families was collected from clinical records and questionnaires. Participants and an expert panel evaluated the clarity of each item, and the expert panel evaluated the relevance of each item. Results Twenty family members who met the inclusion criteria and provided informed consent were included. The J-R-PSS: PICU was developed using a back-translation method. For clarity, all items were clarified after a single modification by an interdisciplinary team. For relevance, all the items had a content validity index at an item level of ≥0.8 and a scale level of 0.94. Alpha coefficients were 0.93 for the overall scale and 0.69-0.97 for its subscales. Conclusion We developed the J-R-PSS: PICU with high content validity and internal consistency using a back-translation method.
重症监护病房（ICU）患者出院后出现的身体、认知和精神障碍统称为重症监护后综合征（PICS）。此外，PICS-家庭（PICS-F）是指在家庭中出现的长期心理和社会障碍。PICS-F的症状可能是心理方面的，压力是这些症状的已知原因。儿科重症监护病房父母压力量表（PSS：PICU）旨在评估入住儿科重症监护病房患者家庭的压力水平及相关因素。该量表已被翻译成多种语言，并于2021年进行了修订。然而，修订后的PSS：PICU的日语版本（J-R-PSS：PICU）尚未开发。本研究旨在开发J-R-PSS：PICU并测试其临床应用的可接受性。
采用回译法开发J-R-PSS：PICU，包括初始翻译、双语专家审核以及随后的重新翻译以确保准确性。招募了2021年11月至12月期间在PICU住院超过48小时且已转出ICU的患者家属。此外，向家属提供并解释了带有网络问卷二维码的研究文件。以PSS：PICU作为主要终点，通过网络问卷收集家属的压力得分和压力源。从临床记录和问卷中收集患者及其家属的其他信息。参与者和专家小组评估每个条目的清晰度，专家小组评估每个条目的相关性。
纳入了20名符合纳入标准并提供知情同意的家属。采用回译法开发了J-R-PSS：PICU。为了提高清晰度，所有条目经多学科团队单次修改后均得到了澄清。对于相关性，所有条目在条目水平的内容效度指数≥0.8，在量表水平为0.94。总量表的阿尔法系数为0.93，各子量表的阿尔法系数为0.69 - 0.97。
我们采用回译法开发了具有高内容效度和内部一致性的J-R-PSS：PICU。
