家属ICU后综合征症状自我报告量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2025.14.010

摘要/Abstract

摘要：

目的编制家属ICU后综合征症状自我报告量表并检验其信效度，为医护人员全面评估患者家属ICU后综合征提供科学的工具。方法基于症状管理理论的症状体验维度，通过文献分析、半结构式访谈、专家函询及预调查构建量表的预试版。采取便利抽样法，于2024年6月—9月应用预试版量表对武汉市某三级甲等综合医院442名ICU患者家属进行问卷调查，并进行信效度检验。结果编制的家属ICU后综合征症状自我报告量表包含4个维度、20个条目。探索性因子分析提取了4个公因子，累计方差贡献率为70.921%。量表水平的内容效度为0.941，各条目水平的内容效度为0.809~1.000。验证性因子分析结果表明，各模型拟合优度指标均在可接受范围内。量表总的Cronbach’s α系数为0.941，折半信度为0.832。结论家属ICU后综合征症状自我报告量表的信效度良好，能够全面反映家属ICU后综合征的主要症状，可以作为临床评估家属ICU后综合征症状的有效工具。

关键词: 重症监护室, 家属, 综合征, 症状管理理论, 信度, 效度, 危重症护理

Abstract:

Objective To develop a Self-Report Scale of Symptoms for Post Intensive Care Syndrome-Family（PICS-F） and validate its reliability and validity，providing a scientific tool for healthcare professionals to comprehensively assess post intensive care syndrome-family. Methods Based on the symptom experience dimension of Symptom Management Theory，a preliminary version of the scale was developed through literature analysis，semi-structured interviews，expert consultations，and a pilot survey. A convenience sampling method was used to conduct the pre-trial version of the scale questionnaire survey on 442 family members of ICU patients at a tertiary A comprehensive hospital in Wuhan from June to September 2024. The test of the validity and reliability was conducted. Results The developed scale consists of 4 dimensions and 20 items. Exploratory factor analysis identified 4 factors，with a cumulative variance contribution rate of 70.921%. The content validity index at the scale level was 0.941，and the content validity indices for individual items ranged from 0.809 to 1.000. Confirmatory factor analysis indicated that the model fit indices were within acceptable ranges. The overall Cronbach’s α coefficient for the scale was 0.941，and the split-half reliability was 0.832. Conclusion The Self-Report Scale of Symptoms for PICS-F demonstrates good reliability and validity. It can comprehensively reflect the primary symptoms of PICS-F，and can serve as an effective measurement tool for clinicians to assess PICS-F in family members of ICU patients.

Key words: Intensive Care Unit, Family Members, Syndrome, Symptom Management Theory, Reliability, Validity, Critical Nursing Care

文佳祺, 胡桢璟, 刘于, 张丽婷, 钟晨晨, 田翌成. 家属ICU后综合征症状自我报告量表的编制及信效度检验[J]. 中华护理杂志, 2025, 60(14): 1723-1729.

WEN Jiaqi, HU Zhenjing, LIU Yu, ZHANG Liting, ZHONG Chenchen, TIAN Yicheng. Development and reliability and validity test of a Self-Report Scale of Symptoms for Post Intensive Care Syndrome-Family[J]. Chinese Journal of Nursing, 2025, 60(14): 1723-1729.

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