儿童重症监护后综合征评估量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2025.12.008

摘要/Abstract

摘要： 目的编制儿童重症监护后综合征（post intensive care syndrome in pediatrics，PICS-p）评估量表，并检验其信效度，旨在为临床评估提供科学可行的工具。方法以PICS-p概念框架为理论基础，结合文献回顾、半结构式访谈及德尔菲专家函询，形成初始量表。采用便利抽样法，于2023年6月—12月，选取曾在杭州市某三级甲等儿童医院儿科重症监护病房住院治疗的330例患儿进行调查，并于2周后对30例再次调查，检验量表的信效度。结果最终304例患儿完成调查。PICS-p评估量表包括身体功能障碍、认知功能障碍、心理功能障碍及社会功能障碍4个维度，共29个条目，累计方差贡献率为61.705%。量表条目水平的内容效度指数为0.800~1.000，量表水平的内容效度指数为0.980。量表总分及各维度与功能状态量表得分呈正相关（r=0.438~0.581，P<0.001）。量表总的Cronbach's α系数为0.847，折半信度为0.868，重测信度为0.832。结论该量表具有良好的信效度，适用于儿科重症监护病房转出患儿PICS-p严重程度的评估。

关键词: 儿童, 重症监护后综合征, 量表, 信度, 效度, 儿科护理学

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.

Key words: Children, Post-Intensive Care Syndrome, Scale, Reliability, Validity, Pediatric Nursing

朱佳佳, 炊琳博, 王培影, 周军, 唐晓敏, 金泓丞, 陈梦怡, 李佳佳, 诸纪华. 儿童重症监护后综合征评估量表的编制及信效度检验[J]. 中华护理杂志, 2025, 60(12): 1461-1467.

ZHU Jiajia, CHUI Linbo, WANG Peiying, ZHOU Jun, TANG Xiaomin, JIN Hongcheng, CHEN Mengyi, LI Jiajia, ZHU Jihua. Development and reliability and validity test of the Post-Intensive Care Syndrome Scale for Children[J]. Chinese Journal of Nursing, 2025, 60(12): 1461-1467.

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