Validity and reliability of quality of recovery-35 Thai version: a prospective questionnaire-based study

Abstract

BackgroundThe quality of patients’ recovery following surgery and anesthesia has been a matter of focus and concern over the past decade. The Quality of Recovery-40 (QoR-40) questionnaire was developed and validated for post-anesthesia patient evaluation. The QoR-40, however, is English-based and was tested and validated in Caucasian patients, a population that is culturally and behaviorally different from the Thai population. The objective of this study was to translate and modify the original English-language QoR-40 into the Thai language and evaluate the Quality of Recovery-35 Thai version for measuring health outcomes in Thai patients after surgery and anesthesia.MethodsTranslation was performed according to internationally recognized translation standards to ensure the integrity of the translated version. Consistent with the recommendations of 25 anesthesiologists, five questions from the original QoR-40 were excluded. The 35-item questionnaire was then translated into the Thai language and renamed the Quality of Recovery-35 Thai version (Thai QoR-35). Overall, 43 outpatients and 53 inpatients rated their health and recovery status using three patient evaluation tools: 100-mm Visual Analogue Scale–Recovery (VAS-R), six-item Activities of Daily Living (ADL) questionnaire, and Thai QoR-35.ResultsOverall, 90 % of patients took <10 min to complete the Thai QoR-35 questionnaire. The Thai QoR-35 and VAS-R showed good convergent validity (r = 0.84, P < 0.001). Discrimination validity was supported by a significant difference in mean scores for recovery among the Thai QoR-35, VAS-R, and ADL when compared between outpatients and inpatients (P < 0.01) and also between baseline and postoperative values (P < 0.001). The Thai QoR-35 also demonstrated good reliability with high internal consistency at three time points (Cronbach’s alpha = 0.88, 0.89, 0.91, respectively; P < 0.01) and a split-half reliability coefficient of 0.65 (P < 0.001).ConclusionThai QoR-35 is a valid, reliable tool for evaluating quality of recovery in Thai patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s12871-016-0229-7) contains supplementary material, which is available to authorized users.

Efficacy of Erector Spinae Plane Block on Postoperative Analgesia for Patients Undergoing Bariatric Surgery: A Randomized Controlled Trial

“…Postoperative morphine consumption at 24 h post-surgery was recorded, and the quality of recovery (QoR) was assessed 24 h after surgery using the Thai QoR-35 questionnaire, validated in the local language [15]. Patient satisfaction with postoperative pain management was evaluated using a − 5 to 5 rating scale where 5 represented "very satis ed," −5 indicated "very dissatis ed," and 0 represented "neutral.…”

Cerrahi Hastalarında Bakım Odaklı Hemşire Hasta Etkileşim Düzeyinin Derlenme Sürecine Etkisi

“…Araştırmanın M, Wangdee, 2016;Stamenkovic, Rancic, Latas, Neskovic, Rondovic, Wu, 2018). Luker vd., (2000) bu ilişkinin bakımın kalitesini doğrudan etkilediğini ve hemşirelik uygulamasının etkililiği için çok önemli olduğunu belirtmektedir (Luker, Austin, Caress, Hallett, 2000).…”

Validation of the Quality of Recovery-40 Questionnaire Adapted for Croatian Population

“…The QoR-40 has been validated in several languages and cultures and extensively used as an outcome measure in clinical trials. The translated QoR-40 versions have acceptable validity and reliability for evaluating the quality of postoperative recovery [5][6][7][8][9] .…”