Intensive and Critical Care Nursing
Volume 25, Issue 2 , Pages 80-89, April 2009

Development of the 3-SET 4P questionnaire for evaluating former ICU patients’ physical and psychosocial problems over time: A pilot study

  • Eva Åkerman

      Affiliations

    • Department of Intensive Care Medicine, Malmö University Hospital, Malmö, Sweden
    • Corresponding Author InformationCorresponding author at: Intensive Care Unit, University Hospital Malmö, Entrance 42, 205 02 Malmo, Sweden. Tel.: +46 40337606; fax: +46 40926137.
    • ,
  • Bengt Fridlund

      Affiliations

    • School of Health Sciences & Social Work, Växjö University, Växjö, Sweden
    • School of Health Sciences, Jönköping University, Jönköping, Sweden
    • ,
  • Anders Ersson

      Affiliations

    • Department of Intensive Care Medicine, Malmö University Hospital, Malmö, Sweden
    • ,
  • Anetth Granberg-Axéll

      Affiliations

    • Department of Anaesthesia and Intensive Care, Lund University Hospital, Lund, Sweden
    • Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden

Accepted 27 June 2008.

Summary 

Background

Current studies reveal a lack of consensus for the evaluation of physical and psychosocial problems after ICU stay and their changes over time.

Objectives

The aim was to develop and evaluate the validity and reliability of a questionnaire for assessing physical and psychosocial problems over time for patients following ICU recovery.

Patients

Thirty-nine patients completed the questionnaire, 17 were retested.

Methods and results

The questionnaire was constructed in three sets: physical problems, psychosocial problems and follow-up care. Face and content validity were tested by nurses, researchers and patients. The questionnaire showed good construct validity in all three sets and had strong factor loadings (explained variance >70%, factor loadings >0.5) for all three sets. There was good concurrent validity compared with the SF 12 (rs>0.5). Internal consistency was shown to be reliable (Cronbach's α 0.70–0.85). Stability reliability on retesting was good for the physical and psychosocial sets (rs>0.5).

Conclusion

The 3-set 4P questionnaire was a first step in developing an instrument for assessment of former ICU patients’ problems over time. The sample size was small and thus, further studies are needed to confirm these findings.

Keywords: Intensive care, Physical problems, Psychosocial problems, Follow-up care, Over time, Questionnaire development

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PII: S0964-3397(08)00070-0

doi:10.1016/j.iccn.2008.06.004

Intensive and Critical Care Nursing
Volume 25, Issue 2 , Pages 80-89, April 2009

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