1Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Centre, Zagreb, Croatia; 2University of Zagreb School of Medicine, Zagreb, Croatia; 3Department of Neurosurgery, Zagreb University Hospital Centre, Zagreb, Croatia.
Acta Clin Croat. 2021 Jun;60(2):237-245. doi: 10.20471/acc.2021.60.02.09.
The Quality of Recovery-40 (QoR-40) questionnaire is a psychometric instrument designed to quantify postoperative recovery. It has been translated and validated in several countries but not in Croatia. The aim was to translate, cross-culturally adapt, and validate Croatian version of the QoR-40. The QoR-40 was translated from English by two independent translators, back-translated by a native speaker, and approved by an expert committee. The questionnaire was administered to 106 patients who underwent general anesthesia before elective spinal surgery, post-surgery in the operating room, and 30 days after surgery. Internal consistency was assessed using the Cronbach's alpha coefficient. Construct validity was assessed by evaluating correlation between the QoR-40 and hand grip strength. The mean preoperative global QoR-40 score was 177.6 (95% CI 174.9-180.3) and postoperative 168.9 (95% CI 165.8-171.9); the mean change was -8.8 (95% CI -11.9 to -5.6). Internal consistency was good for global QoR-40 score (Cronbach α=0.896), acceptable across all domains (8>α≥7). There was a significant correlation between grip strength and total QoR-40 score, pain, and physical independence, but not with other domains. In conclusion, the Croatian version of the QoR-40 has acceptable properties and can be used in the assessment of postoperative recovery in Croatian patients.
恢复质量-40 （QoR-40）问卷是一种旨在量化术后恢复的心理计量工具。它已在多个国家进行了翻译和验证，但尚未在克罗地亚进行。目的是翻译、跨文化适应和验证克罗地亚版的 QoR-40。QoR-40 由两位独立的翻译人员从英语翻译而来，由母语人士进行回译，并由专家委员会批准。该问卷由 106 名接受全身麻醉的择期脊柱手术患者在手术前、手术后在手术室和手术后 30 天进行了评估。内部一致性使用 Cronbach's alpha 系数进行评估。通过评估 QoR-40 与握力之间的相关性来评估结构有效性。术前全球 QoR-40 总分平均为 177.6（95%置信区间 174.9-180.3），术后为 168.9（95%置信区间 165.8-171.9）；平均变化为-8.8（95%置信区间 -11.9 至 -5.6）。全球 QoR-40 总分的内部一致性良好（Cronbach α=0.896），所有领域的一致性均可以接受（8>α≥7）。握力与总 QoR-40 评分、疼痛和身体独立性均呈显著相关性，但与其他领域无相关性。结论：克罗地亚版的 QoR-40 具有可接受的特性，可用于评估克罗地亚患者的术后恢复情况。
