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Cross-Cultural adaptation of the Intensive Care Psychological Assessment Tool in Colombia

Authors

Abstract

Hospitalization in the intensive care unit (ICU) can result in mental and physical disturbances post-hospitalization. In Colombia, there is little research exploring the early detection of psychological morbidity in the ICU. This study aimed to develop a version of the Intensive Care Psychology Assessment Tool (IPAT) in Spanish equivalent to the original instrument. Direct and reverse translations of the IPAT instrument were carried out with prior authorization from the authors and the participation of professional linguists. People with different sociodemographic profiles, hospitalized in the ICU, were interviewed to confirm the cultural adequacy of the Colombian version, as well as to compare it with the original version. It was found that items 1, 2, 3, 4, and 5 presented 100% comprehensibility, items 6, 7, 8, and 9 had 97.5% comprehensibility, and item 10 had 90% comprehensibility, requiring modifications. Life support measures such as mechanical ventilation, traumatic experiences, and memories of the hospital stay were detected as factors for the development of anxiety, depression, and post-traumatic stress disorder. It is hoped that this study will be a reference point for new research based on cross-cultural adaptations related to psychological morbidity, in the nursing field in Latin America. The Colombian version of the IPAT instrument derived from this cross-cultural adaptation is equivalent to the English one. This study represents a starting point for new research that aims to develop a personalized and validated instrument in Spanish that can be used regularly by nursing staff in the near future.

Keywords:

Psychological Tests, Morbidity, Critical Care, Psychological Stress, Traumatic Stress Disorders

Author Biography

Laura Estefanía Buitrago-Velandia, Clínica los Cobos Medical Center, Bogotá, Colombia.

Enfermero, especialista, magíster, ponente en diferentes eventos nacionales e internacionales. Con experiencia laboral de 11 años en áreas asistenciales como: Atención primaria, unidad de cuidado intensivo adulto, triage y hemodiálisis; en el área administrativa: Experiencia en gestión del riesgo individual y colectivo en salud desde la implementación y seguimiento a las rutas integrales de atención en salud; en el área docente: Profesor asistente de la Universidad del Tolima y de la Universidad Antonio Nariño (UAN) y en el área investigativa: Investigador principal en proyecto ganado por convocatoria interna en la UAN, jurado, asesor de trabajos de grado y auxiliar de investigación del proyecto “Caracterización de los factores relacionados con la capacidad de respuesta y resolutividad institucional para gestión de la atención en salud en comunidades de zonas rurales y rurales dispersas en el departamento del Tolima”.

References

Serra VMÁ. Las enfermedades crónicas no transmisibles y la pandemia por COVID-19. Rev. Finlay Finlay. 2020;10(2):78-8. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342020000200078&lng=es

Barrera L, Mabel G, Chaparro L, Sánchez B. Cuidado de Enfermería en situaciones de enfermedad crónica Bogotá, D.C.: Universidad Nacional de Colombia; 2014. https://repositorio.unal.edu.co/bitstream/handle/unal/82737/9789587617641.pdf?sequence=2

Bernal-Ruiz D. Adaptación transcultural, validez y confiabilidad del Environmental Stress Questionnaire. Revista Cubana de Enfermería. 2016;32(2):182-195. https://revenfermeria.sld.cu/index.php/enf/article/view/774

Leah, Hughes., Joanne, McPeake. Intensive care nurses should seek to identify those patients at risk of developing post-traumatic stress syndrome. Evidence-Based Nursing, 2021. http://dx.doi.org/10.1136/ebnurs-2020-103360

Bermúdez Durán LV, Barrantes Martínez MM, Bonilla Álvarez G. Trastorno por estrés postrauma. Rev.méd.sinerg. 2020;5(9):1-10. https://doi.org/10.31434/rms.v5i9.568

Ramona O, Hopkins. Emotional Processing/Psychological Morbidity in the ICU. 2018:31-47. http://dx.doi.org/10.1007/978-3-319-94337-4_4

Deffner T, Michels G, Nojack A, Rößler I, Stierle D, Sydlik M, Wicklein K. Psychological care in the intensive care unit: Task areas, responsibilities, requirements, and infrastructure. Medizinische Klinik. 2020;115:205-212. http://dx.doi.org/10.1007/S00063-018-0503-1

Deffner, T., Michels, G., Nojack, A., Rößler, I., Stierle, D., Sydlik, M., ... & Wicklein, K.. Investigating risk factors for psychological morbidity three months after intensive care: a prospective cohort study. Crit Care. 2012;16(5):R192. https://doi.org/10.1186/cc11677

Paparrigopoulos T, Melissaki A, Tzavellas E, Karaiskos D, Ilias I, Kokras N. Increased co-morbidity of depression and post-traumatic stress disorder symptoms and common risk factors in intensive care unit survivors: a two-year follow-up study. Int J Psychiatry Clin Pract. 2014;18(1):25-31. https://doi.org/10.3109/13651501.2013.855793

Duman B, Kotan, Z, Kotan VO, Mutlu NM, Erdoğan BD, Akaslan DS, & Kumbasar H. Intensive Care Psychological Assessment Tool (IPAT): Turkish validity and reliability study. Turkish Journal of Medical Sciences. 2019;49(4):1236-1242. https://doi.org/10.3906/sag-1812-164

Carvajal A, Centeno C, Watson R, Martínez M, Sanz Rubiales Á. ¿Cómo validar un instrumento de medida de la salud? Anales Sis San Navarra. 2011;34(1):63-72. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272011000100007

Beaton DE, Bombardier C, Guillemin F, & Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25(24):3186–3191. https://doi.org/10.1097/00007632-200012150-00014

Escobar Bravo, M. Á. Adaptación transcultural de instrumentos de medida relacionados con la salud. Enfermería Clínica. 2004;14(2):102–106. https://doi.org/10.1016/s1130-8621(04)73863-2

Lira MT, Caballero E. Adaptación transcultural de Instrumentos de evaluación en salud: Historia y Reflexiones del Por Qué, Cómo y Cuándo. Revista Médica Clínica Las Condes. 2020;31(1):85–94. https://doi.org/10.1016/j.rmclc.2019.08.003

Quezada S, Rojas D, Chavarro D, Riaño I. Mortalidad en pacientes mayores de 65 años ingresados en Cuidados Intensivos del Hospital Universitario San Ignacio en el 2014. Acta Colombiana de Cuidado Intensivo. 2019;19(2):61-68. https://doi.org/10.1016/j.acci.2018.11.002

Mas N, Olaechea P, Palomar M, Álvarez F, Rivas R, Nuvials X, et al. Análisis comparativo de pacientes ingresados en Unidades de Cuidados Intensivos españolas por causa médica y quirúrgica. Medicina Intensiva. 2015;39(5):279-289. https://doi.org/10.1016/j.medin.2014.07.006

Castillero A. Intervención psicológica en cirugía cardíaca. Avances en Psicología Latinoamericana. 2007;25(1):52-63. https://www.redalyc.org/articulo.oa?id=79902506

Velasteguí J. Almache W, Severidad de las disfunciones orgánicas como predictores de síndrome post-cuidado intensivo a 90 días, en sobrevivientes a la sepsis del Hospital Carlos Andrade Marín, en el periodo de junio de 2018 a junio de 2019 [tesis de grado]. Quito: Pontificia Universidad Católica del Ecuador; 2019. http://repositorio.puce.edu.ec/bitstream/handle/22000/16850/TRABAJO%20DE%20TITULACION%20SINDROME%20POST%20CUIDADO%20INTENSIVO.pdf?sequence=1&isAllowed=y

Romero de San Pío, María Jesús; Romero de San Pío, Emilia; Vallina Riopedre, Amparo; Wensell Fernández, Ana; Linares Gutiérrez, María Begoña; Rodríguez Villanueva, Lara María; Fernández Ordóñez, Beatriz; González Fernández, Adrián; Clavero Ballester, Natividad. Estudio de la influencia de la presencia de depresión previa en el aumento de la morbilidad del paciente crítico. Enfermería Docente. 2020; (112): 4-0. Disponible en: http://ciberindex.com/c/ed/11204ed

Barragán-Becerra J, Moreno-Mojica C, Hernández-Bernal N. Nivel de independencia funcional tras el alta de cuidados intensivos. Medicina interna de México. 2018;34(5):683-691. https://doi.org/10.24245/mim.v34i5.2027

Kapfhammer H. Depressive, Angst-und posttraumatische Belastungsstörungen als Konsequenzen intensivmedizinischer Behandlung. Nervenarzt. 2016;87(3):253-263. https://doi.org/10.1007/s00115-016-0070-8

Rose L, Nonoyama M, Rezaie S, Fraser I. Psychological wellbeing, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. Intensive and Critical Care Nursing. 2014;30(3):145-151. https://doi.org/10.1016/j.iccn.2013.11.002

Wade DM, Hankins M, Smyth DA, Rhone EE, Mythen MG, Howell DC, et al. Detecting acute distress and risk of future psychological morbidity in critically ill patients: validation of the intensive care psychological assessment tool. Crit Care. 2014; 18(5). https://doi.org/10.1186/s13054-014-0519-8

Mora S, Barreto C, García L. Procesos médico-administrativos en Hospitalarios y prolongación de la estancia. Hospital de San José, Bogotá DC Colombia. Revista Repertorio de Medicina y Cirugía. 2015;24(4):284-293. https://doi.org/10.31260/RepertMedCir.v24.n4.2015.603

G. Efstathiou. Translation, Adaptation and Validation Process of Research Instruments. In: Individualized Care: Theory, Measurement, Research and Practice. Cham: Springer International Publishing; 2019. http://link.springer.com/10.1007/978-3-319-89899-5_7

Baughcum AE, Clark OE, Lassen S, Fortney CA, Rausch JA, Dunnells ZD, ... & Gerhardt CA. Preliminary Validation of the Psychosocial Assessment Tool in the Neonatal Intensive Care Unit. Journal of Pediatric Psychology. 2023;48(6):503-511. https://doi.org/10.1093/jpepsy/jsac081

Ghafouri S, Jahani S, Maraghi E, Biparva Haghighi S. Psychometrics and Validation of the Intensive Care Unit Memory Assessment Tool in the Iranian Population. Caspian Journal of Neurological Sciences. 2023;9(1):30–38. https://doi.org/10.32598/cjns.9.32.391.1

Vincelette C, Rochefort CM. Adapting the Healthy Work Environment Assessment Tool for French-Canadian Intensive Care Nurses. American Journal of Critical Care. 2023; 32(1):62-70. https://doi.org/10.4037/ajcc2023298

Narváez Martínez MA, Henao Castaño Ángela M. Validation into Spanish of a Scale to Detect the Post-intensive Care Syndrome. Invest. Educ. Enferm. 2023;41(1):e09. https://doi.org/10.17533/udea.iee.v41n1e09