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Instruments to Assess Physical Impairments in Post-Intensive Care Syndrome: A Systematic Review  

Kang, Jiyeon (Department of Nursing, Dong-A University)
Lee, Minju (Department of Nursing, Dong-A University)
Jeong, Yeon Jin (Department of Nursing, Dong-A University)
Kim, Soo Kyung (Surgical Intensive Care Unit, Kosin University Gospel Hospital)
Cho, Young Shin (Surgical Intensive Care Unit, Kosin University Gospel Hospital)
Park, Jung Hoon (Neurosurgical Intensive Care Unit, Dong-A University Hospital)
Lee, Soon (Coronary Care Unit, Dong-A University Hospital)
Hong, Ji Won (Coronary Care Unit, Dong-A University Hospital)
Publication Information
Journal of Korean Critical Care Nursing / v.11, no.1, 2018 , pp. 46-66 More about this Journal
Abstract
Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.
Keywords
Critical care unit; Post-intensive care syndrome; Physical function; Measurement; Systematic review;
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