Development and content validity testing of the Cardiac Symptom Survey in patients after coronary artery bypass grafting.

BACKGROUND Patients who have undergone coronary artery bypass grafting often experience numerous symptoms after surgery. There is a need for a symptom tool for this population that is disease-specific, comprehensive, and responsive to change. AIMS The aims of this study were to describe the development and preliminary content validity testing of the Cardiac Symptom Survey (CSS), assess further content validity of the CSS through an expert panel, and assess responsiveness of the CSS to change. METHODS The original development of the CSS is described. An expert panel of four judges was used to rate the clarity of the items (content validity) and the relevance of the symptoms and items to the domain. Responsiveness to change of the CSS was assessed in a sample of 90 subjects who underwent coronary artery bypass grafting. RESULTS Percent agreement and content validity index coefficients ranged from .90 to 1.00. Repeated measures analyses of variance showed significant changes over time as hypothesized in some of the symptom evaluation and symptom response scores. CONCLUSION Support is documented for both content validity and responsiveness of the CSS.

[1]  C. Grindel,et al.  Comparison of Symptoms of Younger and Older Patients Undergoing Coronary Artery Bypass Surgery , 2004, Clinical nursing research.

[2]  T. Jaarsma,et al.  Problems of cardiac patients in early recovery. , 1995, Journal of advanced nursing.

[3]  L. Davis,et al.  Selection and use of content experts for instrument development. , 1997, Research in nursing & health.

[4]  B. Stewart,et al.  Nursing intervention studies require outcome measures that are sensitive to change: Part Two. , 1993, Research in nursing & health.

[5]  S. Moore,et al.  Development of discharge information for recovery after coronary artery bypass surgery. , 1994, Applied nursing research : ANR.

[6]  M. Lynn.  Determination and quantification of content validity. , 1986, Nursing research.

[7]  B. Stewart,et al.  Nursing intervention studies require outcome measures that are sensitive to change: Part One. , 1992, Research in nursing & health.

[8]  Kathryn A. Lee,et al.  Advancing the science of symptom management. , 2001, Journal of advanced nursing.

[9]  C. Waltz,et al.  Measurement in nursing research , 1984 .

[10]  M. J. Grap,et al.  Telephone monitoring after early discharge for cardiac surgery patients. , 1999, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[11]  S. Heidrich,et al.  Women's perceptions of their social roles after heart surgery and coronary angioplasty. , 2001, Heart & lung : the journal of critical care.

[12]  S. Moore.  A comparison of women's and men's symptoms during home recovery after coronary artery bypass surgery. , 1995, Heart & lung : the journal of critical care.

[13]  N. Redeker,et al.  Sleep patterns in women after coronary artery bypass surgery. , 1996, Applied nursing research : ANR.

[14]  N. Artinian,et al.  Sex differences in patient recovery patterns after coronary artery bypass surgery. , 1995, Heart & lung : the journal of critical care.

[15]  E. Hamrin,et al.  Measurement of sleep and quality of life before and after coronary artery bypass grafting: a pilot study. , 1997, International journal of nursing practice.

[16]  C. Tennant,et al.  A prospective evaluation of the psychosocial effects of coronary artery bypass surgery. , 1989, Journal of psychosomatic research.

[17]  C. Y. Wu.  Assessment of postdischarge concerns of coronary artery bypass graft patients. , 1995, The Journal of cardiovascular nursing.

[18]  N. Artinian,et al.  Age differences in patient recovery patterns following coronary artery bypass surgery. , 1993, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[19]  R E Slaughter,et al.  The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. , 1998, Oncology nursing forum.

[20]  C. Gilliss,et al.  Predictors of general activity 8 weeks after cardiac surgery. , 1992, Applied nursing research : ANR.

[21]  L. Zimmerman,et al.  Comparison of recovery patterns for patients undergoing coronary artery bypass grafting and minimally invasive direct coronary artery bypass in the early discharge period. , 2002, Progress in cardiovascular nursing.

[22]  C. Jenkins,et al.  Quantifying and predicting recovery after heart surgery. , 1994, Psychosomatic medicine.

[23]  R A Deyo,et al.  Development and evaluation of the Seattle Angina Questionnaire: a new functional status measure for coronary artery disease. , 1995, Journal of the American College of Cardiology.

[24]  P. Crane.  Fatigue and physical activity in older women after myocardial infarction. , 2005, Heart & lung : the journal of critical care.

[25]  N. Redeker.  Symptoms Reported by Older and Middle-Aged Adults after Coronary Bypass Surgery , 1993, Clinical nursing research.

[26]  C. Gilliss,et al.  Nurse-monitored cardiac recovery: a description of the first 8 weeks. , 1990, Heart & lung : the journal of critical care.

[27]  L. Tulman,et al.  A Longitudinal Study of Functional Status and Correlates Following Coronary Artery Bypass Graft Surgery in Women , 2003, Nursing research.