Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.
J Eval Clin Pract. 2011 Apr;17(2):236-43. doi: 10.1111/j.1365-2753.2010.01428.x. Epub 2010 Sep 16.
The previously developed Postoperative Recovery Profile (PRP) questionnaire is intended for self-assessment of general recovery after surgery. The aim of this study was to further evaluate the questionnaire regarding the construct validity and ability to discriminate recovery profiles between groups. Furthermore, the item variables of greatest importance during the progress of recovery were investigated.
Post-operative recovery was assessed during the period from discharge to 12 months after lower abdominal and orthopaedic surgery. Construct validity was evaluated by comparing the assessments from the PRP questionnaire and a global recovery scale. Recovery profiles of the diagnose groups were displayed by the cumulative proportion recovered participants over time. The importance of item variables was investigated by ranking ordering.
A total of 158 patients were included. Support was given for good construct validity. The result showed that 7.6% of all possible pairs were disordered when comparing the assessments from the PRP questionnaire and the global recovery scale. Twelve months after discharge the PRP assessments discriminated significantly the recovery profiles of the abdominal and orthopaedic groups. The variable pain was one of the top five most important issues at each follow-up occasion in both study groups. The importance of the item variables was thereby emphasized.
The PRP questionnaire allows for evaluation of the progress of post-operative recovery, and can be useful to assess patient-reported recovery after surgical treatment both on individual and group levels. Knowledge about recovery profiles can assist clinicians in determining the critical time points for measuring change.
先前开发的术后恢复状况（PRP）问卷旨在自我评估手术后的一般恢复情况。本研究的目的是进一步评估该问卷的结构有效性和区分不同组别之间的恢复状况的能力。此外，还研究了在恢复过程中最重要的项目变量。
对下腹和骨科手术后的出院后至 12 个月期间的术后恢复进行评估。通过比较 PRP 问卷和整体恢复量表的评估来评估结构有效性。通过随时间恢复的参与者的累积比例显示诊断组的恢复状况。通过排序来研究项目变量的重要性。
共纳入 158 例患者。支持良好的结构有效性。结果表明，在比较 PRP 问卷和整体恢复量表的评估时，有 7.6%的可能对是无序的。出院后 12 个月，PRP 评估可显著区分腹部和骨科组的恢复状况。在两组研究中，疼痛是每个随访时最重要的五个问题之一。因此，强调了项目变量的重要性。
PRP 问卷可用于评估术后恢复的进展情况，并可用于评估手术治疗后的患者报告的恢复情况，无论是在个体水平还是在群体水平上。了解恢复状况可以帮助临床医生确定测量变化的关键时间点。
