Lyckner S, Böregård I-L, Zetterlund E-L, Chew M S
Department of Anaesthesia, Mälarsjukhuset, Eskilstuna, Sweden.
Department of Anaesthesia, Södertälje Hospital AB, Södertälje, Sweden.
Acta Anaesthesiol Scand. 2018 Aug;62(7):893-902. doi: 10.1111/aas.13086. Epub 2018 Feb 7.
Quality of recovery (QoR) after surgery is often focused on morbidity, mortality and physiological changes, while well-being and emotional state are other important aspects that are often ignored. QoR is poorly investigated in clinical settings and a psychometrically tested questionnaire, QoR-15, has recently been developed. QoR-15 has not been validated for Swedish conditions. The aim of this study was to translate, adapt and validate QoR-15 to Swedish conditions (QoR-15swe).
A translation and cultural adaption was performed resulting in a Swedish version of the instrument, QoR-15swe. Patients answered the QoR-15swe before surgery, 24 and 48 h after surgery. Feasibility, validity, reliability and responsiveness of the QoR-15swe were evaluated.
The QoR-15swe was feasible in 85.5% of the eligible patients. Construct validity was good, with significant correlations between QoR-15swe score and, ASA-PS class, grade of surgery, length of surgery and time in the post-anaesthesia care unit. The instrument demonstrated good internal consistency with an inter-item Cronbach's α of 0.83-0.87, and inter-dimension Cronbach's α was acceptable 0.71-0.76. Test-retest repeatability was also good with Cronbach's alpha > 0.99 and an interclass correlation coefficient of 0.992 (CI: 0.981-0.997). There were no floor and ceiling effects. Responsiveness assessed by Cliff's effect size was -0.23 indicating a moderate ability to detect change at 24 h postoperatively.
We have translated and culturally adapted the QoR-15 into Swedish. The score demonstrated acceptable validity, reliability and responsiveness. The QoR-15swe is a clinically acceptable and feasible outcome measure after surgery in a Swedish population.
手术后的恢复质量（QoR）通常侧重于发病率、死亡率和生理变化，而幸福感和情绪状态是其他常被忽视的重要方面。在临床环境中，QoR的研究较少，最近开发了一种经过心理测量测试的问卷QoR - 15。QoR - 15尚未针对瑞典的情况进行验证。本研究的目的是将QoR - 15翻译成瑞典语，进行改编并验证其在瑞典情况下的适用性（QoR - 15swe）。
进行了翻译和文化适应，得出该工具的瑞典语版本QoR - 15swe。患者在手术前、手术后24小时和48小时回答QoR - 15swe。评估了QoR - 15swe的可行性、有效性、可靠性和反应性。
QoR - 15swe在85.5%的符合条件患者中可行。结构效度良好，QoR - 15swe评分与美国麻醉医师协会身体状况分级（ASA - PS分级）、手术分级、手术时长和麻醉后护理单元停留时间之间存在显著相关性。该工具显示出良好的内部一致性，项间Cronbach's α为0.83 - 0.87，维度间Cronbach's α可接受，为0.71 - 0.76。重测信度也良好，Cronbach's alpha > 0.99，组内相关系数为0.992（CI：0.981 - 0.997）。不存在地板效应和天花板效应。通过Cliff效应量评估的反应性为 - 0.23，表明术后24小时检测变化的能力中等。
我们已将QoR - 15翻译成瑞典语并进行了文化适应。该评分显示出可接受的效度、信度和反应性。QoR - 15swe是瑞典人群手术后临床上可接受且可行的结局指标。
