Development and reliability and validity test of the Post-Intensive Care Syndrome Scale for Children
10.3761/j.issn.0254-1769.2025.12.008
- VernacularTitle:儿童重症监护后综合征评估量表的编制及信效度检验
- Author:
Jiajia ZHU
1
;
Linbo CHUI
;
Peiying WANG
;
Jun ZHOU
;
Xiaomin TANG
;
Hongcheng JIN
;
Mengyi CHEN
;
Jiajia LI
;
Jihua ZHU
Author Information
1. 310052 杭州市 浙江大学医学院附属儿童医院护理部
- Publication Type:Journal Article
- Keywords:
Children;
Post-Intensive Care Syndrome;
Scale;
Reliability;
Validity;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2025;60(12):1461-1467
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an assessment scale for post-intensive care syndrome in pediatrics(PICS-p)and evaluate its reliability and validity,aiming to provide a scientifically sound and feasible tool for clinical assessment.Methods Based on the PICS-p conceptual framework,combined with literature review,semi-structured interviews,and Delphi expert consultation,a preliminary scale was developed.From June to December 2023,a survey was conducted among 330 pediatric patients who were discharged from a tertiary children's hospital in Hangzhou,followed by a two-week retest with 30 children to assess the reliability and validity of the scale.Results Finally 304 children completed the survey.The Post-Intensive Care Syndrome Scale for Children consists of 4 dimensions of physical dysfunction,cognitive dysfunction,psychological dysfunction and social dysfunction,with a total of 29 entries,with a cumulative variance contribution of 61.705％.The content validity index for individual items ranged from 0.800 to 1.000,and the content validity index for the scale as a whole was 0.98.The dimensions of the scale showed positive correlations with the Functional Status Scale(r=0.438-0.581,P＜0.001).The overall Cronbach's α coefficient of the scale was 0.847;the split-half reliability was 0.868;the test-retest reliability was 0.832.Conclusion The scale demonstrates good reliability and validity,and it is suitable for assessing the severity of PICS-p in pediatric patients discharged from the PICU.
