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土耳其版质量恢复量表-15(QoR-15)问卷的有效性和可靠性。

The validity and reliability of the Turkish version of the quality of recovery-15 (QoR-15) questionnaire.

机构信息

Selcuk University Faculty of Medicine, Department of Anesthesiology and Reanimation, Konya, Turkey.

Necmettin Erbakan University Faculty of Medicine, Department of Medical Pharmacology, Konya, Turkey.

出版信息

Medicine (Baltimore). 2024 Apr 19;103(16):e37867. doi: 10.1097/MD.0000000000037867.

Abstract

Quality of recovery (QoR) is a significant component of peri-operative health status and is influenced by patients' characteristics and surgical and anesthetic methods. The QoR-15 scale is a patient-reported outcome questionnaire that measures postoperative QoR. The validity of the QoR-15 scale has been proven in many languages. In this study, we aimed to translate the QoR-15 questionnaire into Turkish and evaluate its validity in the Turkish population. After being translated into Turkish, the questionnaire was administered to 190 patients who underwent obstetric, gynecological, orthopedic, or thoracic surgery under general or regional anesthesia. The Turkish version of QoR-15 (QoR-15T) was administered 2 times: before surgery and 24 hour after surgery. The feasibility, reliability, validity and responsiveness of the QoR-15T were evaluated. Because 13 patients were discharged within 24 hour postoperatively, the study was completed with 177 patients. The recruitment and completion rates of questionnaire were 95% and 93.1% respectively. The completing time of the questionnaire was 2.5 minutes preoperatively and 3.5 minutes postoperatively. The scale yielded a Cronbach α value of 0.75, a Cohen effect size of 1.42, and a standardized response mean of 1.39. There was a significant positive correlation (95% confidence interval; R = 0.68, P < .001) between QoR-15T and visual analog scale postoperatively. The correlation of the items with the total QoR-15T score ranged from 0.19 to 0.60. The total scores of preoperative and postoperative QoR-15T were mean: 130.67, standard deviation: 15.78 and mean: 108.23, standard deviation: 13.06, respectively, with a significant difference between them (P < .01). The QoR-15T is feasible, reliable, valid, and responsive among patients undergoing surgery under general and regional anesthesia.

摘要

术后恢复质量(QoR)是围手术期健康状况的重要组成部分,受患者特征、手术和麻醉方法的影响。QoR-15 量表是一种衡量术后 QoR 的患者报告结局问卷。QoR-15 量表在许多语言中的有效性已得到验证。在这项研究中,我们旨在将 QoR-15 问卷翻译成土耳其语,并评估其在土耳其人群中的有效性。翻译为土耳其语后,向 190 名接受全身或局部麻醉下的产科、妇科、骨科或胸科手术的患者发放问卷。土耳其版 QoR-15(QoR-15T)在术前和术后 24 小时进行了 2 次评估。评估了 QoR-15T 的可行性、可靠性、有效性和反应性。由于 13 名患者在术后 24 小时内出院,因此 177 名患者完成了研究。问卷的招募和完成率分别为 95%和 93.1%。术前问卷完成时间为 2.5 分钟,术后为 3.5 分钟。该量表的 Cronbach α 值为 0.75,Cohen 效应量为 1.42,标准化反应均值为 1.39。QoR-15T 与术后视觉模拟评分之间存在显著正相关(95%置信区间;R=0.68,P<.001)。项目与总 QoR-15T 评分的相关性范围为 0.19 至 0.60。术前和术后 QoR-15T 的总分为 130.67,标准差为 15.78 和 108.23,标准差为 13.06,两者之间存在显著差异(P<.01)。在接受全身和局部麻醉的手术患者中,QoR-15T 具有可行性、可靠性、有效性和反应性。

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