J Korean Crit Care Nurs Search


Journal of Korean Critical Care Nursing 2018;11(1):46-66.
Published online February 28, 2018.

집중치료 후 증후군의 신체적 장애 측정도구에 관한 체계적 고찰
강지연, 이민주, 정연진, 김수경, 조영신, 박정훈, 이순영, 홍지원
1동아대학교 간호학과
2동아대학교 간호학과
3동아대학교 간호학과
4고신대학교복음병원 외과계중환자실
5동아대학교병원 신경계중환자실
6동아대학교병원 심중환자실
Instruments to Assess Physical Impairments in Post-Intensive Care Syndrome: A Systematic Review
Jiyeon Kang, Minju Lee, Yeon Jin Jeong, Soo Kyung Kim, Young Shin Cho, Jung Hoon Park, Soon Young Lee, Ji Won Hong
1Professor, Department of Nursing, Dong-A University, Busan, Korea.
2Assistant Professor, Department of Nursing, Dong-A University, Busan, Korea. mjlee@dau.ac.kr
3Doctoral Student, Department of Nursing, Dong-A University, Busan, Korea.
4Staff Nurse, Surgical Intensive Care Unit, Kosin University Gospel Hospital, Busan, Korea.
5Staff Nurse, Neurosurgical Intensive Care Unit, Dong-A University Hospital, Busan, Korea.
6Staff Nurse, Coronary Care Unit, Dong-A University Hospital, Busan, Korea.
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.
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.
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.
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.
Key Words: Critical care unit, Post-intensive care syndrome, Physical function, Measurement, Systematic review

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