Department of Anaesthesiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
J Anesth. 2021 Jun;35(3):426-433. doi: 10.1007/s00540-021-02921-z. Epub 2021 Mar 24.
Patient-reported outcomes after surgery and anaesthesia have recently attracted attention. A recent systematic review and a consensus guideline recommend that patients' recovery can be adequately measured using the quality of recovery-15 (QoR-15) during the perioperative period; however, the Japanese version of the QoR-15 (QoR-15J) is not available. We aimed to translate the QoR-15 into Japanese and assess its validity.
After translating into Japanese, 205 patients who underwent various types of surgery under general anaesthesia were enrolled in the study. QoR-15J was evaluated before surgery and 24 h and 48 h after surgery. Additionally, 30 patients answered the QoR-15J at 25 h after surgery. We assessed the feasibility, reliability, validity, and responsiveness of the QoR-15J.
One patient who did not undergo surgery and two patients who were discharged within 24 h were excluded. One hundred and eighty-seven patients answered the QoR-15J at 24 h after surgery (completion rate, 92.6%) and 183 patients with complete data were included in the final analysis. The Cronbach's alpha coefficient for internal reliability and Spearman rank correlation coefficient for test-retest reliability were 0.84 and 0.91, respectively. The Cohen effect size for all items was 1.42.
QoR-15 was translated into Japanese and the Japanese version's validity was assessed in patients undergoing various types of surgery under general anaesthesia. Our results suggest that QoR-15J is feasible, reliable, valid, and responsive.
术后和麻醉患者报告的结局最近受到关注。最近的一项系统评价和共识指南建议,在围手术期可以使用恢复质量-15 (QoR-15)充分衡量患者的恢复情况;然而,QoR-15 的日文版(QoR-15J)并不存在。我们旨在将 QoR-15 翻译为日文,并评估其有效性。
翻译为日文后,纳入了 205 名接受全身麻醉下各种类型手术的患者。在手术前、手术后 24 小时和 48 小时评估 QoR-15J。此外,30 名患者在手术后 25 小时回答了 QoR-15J。我们评估了 QoR-15J 的可行性、可靠性、有效性和反应性。
排除了 1 名未手术和 2 名在 24 小时内出院的患者。187 名患者在手术后 24 小时回答了 QoR-15J(完成率为 92.6%),183 名具有完整数据的患者纳入最终分析。内部可靠性的 Cronbach's alpha 系数和测试-重测可靠性的 Spearman 秩相关系数分别为 0.84 和 0.91。所有项目的 Cohen 效应量为 1.42。
QoR-15 被翻译为日文,并在接受全身麻醉下进行各种类型手术的患者中评估了其有效性。我们的结果表明,QoR-15J 是可行的、可靠的、有效的和敏感的。