土耳其语版产后恢复质量量表-10的编制与验证
Development and Validation of a Turkish Version of Obstetric Quality of Recovery-10.
作者信息
Kozanhan Betül, Yıldız Munise, Polat Ayşenur, Günenç Oğuzhan, Tutar Sami Mahmut, İyisoy Mehmet Sinan, Kulhan Nur Gözde, Sultan Pervez
机构信息
Department of Anaesthesiology and Reanimation, University of Health Sciences, Konya City Hospital, Konya, Turkey.
Department of Obstetric and Gynecology, University of Health Sciences, Konya City Hospital, Konya, Turkey.
出版信息
Turk J Anaesthesiol Reanim. 2022 Oct;50(5):366-372. doi: 10.5152/TJAR.2022.21441.
OBJECTIVE
The 10-item Obstetric Quality-of-Recovery 10 scale is a validated patient-reported outcome questionnaire that measures the quality of recovery following delivery. This study aims to develop a Turkish version of the Obstetric Quality of Recovery 10 to evaluate its validity, reliability, and clinical feasibility.
METHODS
Term parturients who underwent vaginal delivery or elective caesarean delivery were asked to complete a Turkish version of Obstetric Quality-of-Recovery 10 scoring tool and EuroQol 5-dimension 3L scores (including a global health visual analogue scale) 24 hours after delivery. To validate the Obstetric Quality of Recovery 10-Turkish, we assessed validity, reliability, and clinical feasibility and compared it with the EQ-5D-3L questionnaires.
RESULTS
One hundred parturients completed the questionnaire in 24 hours (100% response rate). Obstetric Quality of Recovery 10-Turkish correlated highly with EQ-5D-3L score (r=-0.611) and global health visual analogue scale score (r = 0.652) at 24 hours and discriminated well between good versus poor recovery (global health visual analogue scale score ≥70 vs <70; median interquartile range were 86 [80-90] and 68 [59-75] (P < .001), respectively). Scores were similar for caesarean and vaginal deliveries, 83 (76-89) and 82.5 (69-90), respectively (P = .5). Twenty-four-hour Obstetric Quality of Recovery 10-Turkish scores did not correlate with any baseline demographic and clinical data parameters. Internal consistency was good (Cronbach's alpha=0.87 and inter-item correlation=0.41), and split-half reliability was very good (Spearman-Brown prophesy reliability estimate=0.86). Test-retest reliability was excellent (intra-class correlation coefficient=0.99). No floor or ceiling effects were demonstrated.
CONCLUSION
The Obstetric Quality of Recovery 10-Turkish is a valid, reliable, and clinically feasible measure of inpatient postpartum recovery following caesarean and vaginal delivery modes.
目的
10项产科恢复质量量表（Obstetric Quality-of-Recovery 10 scale）是一种经过验证的患者报告结局问卷，用于测量分娩后的恢复质量。本研究旨在开发10项产科恢复质量量表的土耳其语版本，以评估其有效性、可靠性和临床可行性。
方法
对接受阴道分娩或择期剖宫产的足月产妇，要求她们在分娩后24小时完成10项产科恢复质量量表土耳其语版评分工具及欧洲五维度健康量表（EuroQol 5-dimension 3L scores，包括总体健康视觉模拟量表）。为验证10项产科恢复质量量表土耳其语版，我们评估了其有效性、可靠性和临床可行性，并将其与EQ-5D-3L问卷进行比较。
结果
100名产妇在24小时内完成了问卷（应答率100%）。10项产科恢复质量量表土耳其语版在24小时时与EQ-5D-3L评分（r=-0.611）和总体健康视觉模拟量表评分（r = 0.652）高度相关，且在恢复良好与恢复不佳之间有良好区分度（总体健康视觉模拟量表评分≥70分与<70分；中位数四分位间距分别为86 [80-90]和68 [59-75]，P <.001）。剖宫产和阴道分娩的评分相似，分别为83（76-89）和82.5（69-90）（P =.5）。10项产科恢复质量量表土耳其语版24小时评分与任何基线人口统计学和临床数据参数均无相关性。内部一致性良好（克朗巴哈系数=0.87，项目间相关性=0.41），分半信度非常好（斯皮尔曼-布朗预测信度估计值=0.86）。重测信度极佳（组内相关系数=0.99）。未显示地板效应或天花板效应。
结论
10项产科恢复质量量表土耳其语版是一种有效、可靠且临床可行的测量剖宫产和阴道分娩模式下住院产后恢复情况的工具。
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