Validation of EXPRIM Questionnaire for ICU Patients

Extract

[...] This distinction is essential to guide care towards more intensive and specialized treatments. Chronic pain is another important illustration of the difference between discomfort and suffering. Initial discomfort may manifest as mild or moderate pain related to the post-ICU healing process. However, when this pain becomes persistent, it transforms into prolonged suffering, deeply affecting all aspects of the patient's life (25)25(26)26. Recognizing chronic pain not only as a physical symptom but also as a complex source of suffering is essential for developing effective treatment strategies (27)27(28)28 The objective of this study is to validate the Exprim questionnaire as a specific tool for evaluating the discomfort and suffering of patients who have stayed in intensive care units. [...]

[...] EXPRIM : «Yes for a certain number of participants: 16/50 ? IPREA : «Yes for a certain number of participants: 13/50 Interpretation : The exact Fisher test indicates that there is no significant difference between the proportions of 'yes' responses to item 16 of IPREA (lived) and item 25 of EXPRIM (health info). The two items therefore seem to be in agreement in the evaluation of the lived experience concerning health information, but this relationship is not strong enough to be statistically significant. [...]

[...] For a deeper understanding, it is relevant to examine the internal consistency for each distinct domain of the questionnaire. The domains to be included are: - Organisation of care, environment (Q1 to Q9) A Cronbach's Alpha of 0.641 shows moderate internal consistency. This suggests that the questions in this domain are not sufficiently correlated to measure the organization of care and the patient's experience environment in a fully reliable manner. - Basic Needs (Q10 to Q14) A Cronbach's Alpha of 0.224 shows very low internal consistency. [...]

[...] - Test : Fisher's Exact Test - Test Statistics : 0,8352 - p-value : Not significant (Two-sided) - Number of data analyzed : - EXPRIM : 33 yes - IPREA : 36 yes Interpretation : The exact Fisher test indicates that there is no significant difference between the proportions of 'yes' responses to item 4 of IPREA (suffering) and item 10 of EXPRIM (sleep). This means that the two items are in agreement in the evaluation of these specific aspects, but this relationship is not statistically significant. The analysis shows that even if the 'yes' responses to the two items are close in terms of proportion, the difference between them is not statistically significant. [...]

[...] - Relations with Healthcare Providers (Q19 to Q29) A Cronbach's Alpha of 0.654 shows moderate to acceptable internal consistency. This suggests that the questions in this domain are relatively well correlated to measure the relations with healthcare providers of the patient experience in a reliable manner, although there is still room for improvement. - Social Aspect (Q30) With a single item, it is not possible to calculate the Cronbach's Alpha. A single item cannot measure internal consistency by definition. B. [...]