Author/Authors :
Cho, Jun Yeun Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Jinwoo Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Sang-Min Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Park, Ju-Hee Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Kim, Junghyun Department of Internal Medicine - National Medical Center - Seoul, Korea , Kim, Youlim Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Sang Hoon Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Park, Jong Sun Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Cho, Young-Jae Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Yoon, Ho Il Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Jae Ho Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Choon-Taek Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea , Lee, Yeon Joo Department of Internal Medicine - Seoul National University College of Medicine - Seoul, Korea
Abstract :
Background: Providing palliative care to dying patients in the intensive care unit (ICU) has recently received much attention. Evaluating the quality of dying and death (QODD) is important for appropriate comfort care in the ICU. This study aimed to validate the Korean
version of the QODD questionnaire.
Methods: This study included decedents in the ICUs of three tertiary teaching hospitals and one secondary hospital from June 2016 to
May 2017. ICU staff members were asked to complete the translated QODD questionnaire and the visual analogue scale (VAS) questionnaire within 48 hours of patient death. The validation process consisted of evaluating construct validity, internal consistency, and
interrater reliability.
Results: We obtained 416 completed questionnaires describing 255 decedents. The QODD score was positively correlated with the
100-VAS score (Pearson correlation coefficient, 0.348; P<0.001). An evaluation of the internal consistency presented favorable results
(calculated Cronbach’s alpha if a given item exceeded 0.8 in all items). The interrater reliability revealed no concordance between doctors
and nurses.
Conclusions: The QODD questionnaire was successfully translated and validated in Korean medical ICUs. We hope further studies that
use this valuable instrument will be conducted in Korea.
Keywords :
attitude to death , intensive care units , medical staff , questionnaires and surveys , validation studies