Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)

Abstract

Introduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale.

The validation of a Japanese language version of the postoperative quality of recovery scale: a prospective observational study

“…We also investigated the feasibility and acceptability of the Japanese version of the PostopQRS. In previous studies [ 2 , 10 ], the time taken to perform the assessments were around 5 min, consistent with the Japanese study. Acceptability was similar in the Japanese population to an Arabic population [ 9 ].…”

“…In previous studies, the PostopQRS has been successfully translated into other languages and validated in each of the countries [ 2 , 8 – 10 ]. The cognitive domain is of great importance in the validation of the translation form.…”

“…This study shows that the English and Japanese versions of the PostopQRS are similar, and that the Japanese version was also able to discriminate recovery profiles between ENT and orthopedic patients. Feasibility and In previous studies, the PostopQRS has been successfully translated into other languages and validated in each of the countries [2,[8][9][10]. The cognitive domain is of great importance in the validation of the translation form.…”

“…The PostopQRS has been translated into Spanish, French, Portuguese, German, Mandarin, Arabic, Japanese, and is in the process of undergoing translation into Malay, Korean, Greek, Swedish, Yugoslavian, and Russian. Validation studies have been separately published for the Chinese [ 8 ], Arabic [ 9 ], and Portuguese [ 10 ] versions. A Japanese version has been previously translated and published as a pilot study but had not considered the differences in the language styles within the word generation task of the cognitive domain in detail [ 11 ].…”

Dependência de cuidados pré-operatórios e qualidade de recuperação pós-operatória de pacientes cirúrgicos

“…(6,7) Muitos fatores, incluindo dor, estado emocional, resposta ao estresse, duração da hospitalização, tempo de recuperação e complicações pós-operatórias, bem como situação socioeconômica, escolaridade, histórico cirúrgico e comorbidades afetam a QR pós-operatória. (8,9) Os estudos afirmam que os pacientes com DC, conforme determinado pelo bem-estar físico e mental e realização das atividades da vida diária com dificuldade no período pré-operatório, apresentam alta taxa de morbimortalidade e risco significativo de complicações no período pós-operatório. (10,11) A literatura enfatiza a importância de identificar a DC no pré-operatório e seu impacto na qualidade dos cuidados de enfermagem.…”